韩国血液透析患者的剩余预期寿命:他们还能活多久?

IF 2.9 3区 医学 Q1 UROLOGY & NEPHROLOGY Kidney Research and Clinical Practice Pub Date : 2024-09-01 Epub Date: 2024-02-19 DOI:10.23876/j.krcp.23.241
Hayne Cho Park, Do Hyoung Kim, AJin Cho, Bo Yeon Kim, Miri Lee, Gui Ok Kim, Jinseog Kim, Young-Ki Lee
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引用次数: 0

摘要

背景:与普通人群相比,血液透析(HD)患者的死亡率较高。然而,迄今为止还没有研究调查过韩国血液透析患者的预期寿命。因此,本研究旨在计算韩国维持性血液透析患者的剩余预期寿命,并将其与普通人群和其他国家的血液透析患者进行比较:基线数据来自 2015 年的血液透析质量评估数据。在 2016 年初存活的 30 岁以上患者(男性 20304 人,女性 14264 人)中,共有 22078 人(男性 12621 人,女性 9457 人)在 2021 年末仍然存活,而有 12490 人(男性 7683 人,女性 4807 人)在 6 年的随访期间死亡。我们采用生命表法以 2 年为单位计算预期剩余寿命:结果:60 岁患者的剩余预期寿命男性为 11.64 年,女性为 14.64 年。HD 患者的平均剩余寿命仅为普通人群的一半左右。与高血压或肾小球肾炎患者相比,糖尿病患者的预期寿命较短。韩国 HD 患者的剩余预期寿命与日本人相似,几乎是欧美等西方国家 HD 患者的两倍:结论:与普通人群相比,HD 患者的预期寿命较短。应进行纵向分析,分析先进的透析技术对提高 HD 患者生存率的影响。
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Remaining life expectancy of Korean hemodialysis patients: how much longer can they live?

Background: Hemodialysis (HD) patients have a higher mortality rate compared to the general population. However, no study has investigated life expectancy in Korean HD patients so far. Therefore, this study aimed to calculate the remaining life expectancy among Korean maintenance HD patients and compare it to those of the general population as well as HD patients from other countries.

Methods: Baseline data were retrieved from HD quality assessment data from 2015. Among the patients over 30 years old who were alive at the beginning of 2016 (20,304 males and 14,264 females), a total of 22,078 (12,621 males and 9,457 females) were still alive at the end of 2021 while 12,490 (7,683 males and 4,807 females) were deceased during 6 years of follow-up. We used the life table method to calculate the expected remaining years of life in 2-year increments.

Results: The remaining life expectancies for 60-year-old patients were 11.64 years for males and 14.64 years for females. The average remaining life expectancies of the HD population were only about half of the general population. Diabetic patients demonstrated shorter life expectancy compared to patients with hypertension or glomerulonephritis. The remaining life expectancy of Korean HD patients was similar to that of Japanese and was almost double that of HD patients in Western countries such as Europe and the United States.

Conclusion: The HD population shows a shorter life expectancy compared to the general population. Longitudinal analysis should be warranted to analyze the effect of advanced dialysis technology on improved survival rates among the HD population.

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来源期刊
CiteScore
4.60
自引率
10.00%
发文量
77
审稿时长
10 weeks
期刊介绍: Kidney Research and Clinical Practice (formerly The Korean Journal of Nephrology; ISSN 1975-9460, launched in 1982), the official journal of the Korean Society of Nephrology, is an international, peer-reviewed journal published in English. Its ISO abbreviation is Kidney Res Clin Pract. To provide an efficient venue for dissemination of knowledge and discussion of topics related to basic renal science and clinical practice, the journal offers open access (free submission and free access) and considers articles on all aspects of clinical nephrology and hypertension as well as related molecular genetics, anatomy, pathology, physiology, pharmacology, and immunology. In particular, the journal focuses on translational renal research that helps bridging laboratory discovery with the diagnosis and treatment of human kidney disease. Topics covered include basic science with possible clinical applicability and papers on the pathophysiological basis of disease processes of the kidney. Original researches from areas of intervention nephrology or dialysis access are also welcomed. Major article types considered for publication include original research and reviews on current topics of interest. Accepted manuscripts are granted free online open-access immediately after publication, which permits its users to read, download, copy, distribute, print, search, or link to the full texts of its articles to facilitate access to a broad readership. Circulation number of print copies is 1,600.
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