Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
, 30 (1), 17-22

Major Changes and Improvements of Dialysis Therapy in Korea: Review of End-Stage Renal Disease Registry

Affiliations
Review

Major Changes and Improvements of Dialysis Therapy in Korea: Review of End-Stage Renal Disease Registry

Dong Chan Jin. Korean J Intern Med.

Abstract

The Korean Society of Nephrology (KSN) launched a nationwide end-stage renal disease (ESRD) patient registry in 1985 called the Insan Prof. Byung-Suk Min Memorial ESRD Patient Registry. KSN members voluntarily participate in this registry, which has been collecting data through the Internet since 2000. The KSN ESRD patient registry data were reviewed to elucidate the major changes and improvements in dialysis therapy in Korea. The data review revealed: a rapid increase in the number of patients with ESRD; an increase in the number of patients with diabetic nephropathy; a decrease in the proportion of patients undergoing peritoneal dialysis; an increase in the role of private dialysis clinics; an increase in the number of elderly patients undergoing dialysis and the number of patients undergoing long-term dialysis; a decrease in mean blood pressure and an increase in pulse pressure; improvement in anemia treatment; improvement in dialysis adequacy; and improvement in the survival of patients undergoing dialysis. In conclusion, improvements have been made in blood pressure control, anemia treatment, and dialysis adequacy despite increases in the number of elderly patients, diabetic patients, and patients on long-term dialysis during the last two decades in Korea.

Keywords: Dialysis registry; Kidney failure, chronic; Peritoneal dialysis; Renal dialysis.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1
Prevalence and incidence of renal replacement therapy in Korea. (A) Number of patients undergoing renal replacement therapy at the end of each year. (B) Changes in the proportion of three major causes of end-stage renal disease. (C) Proportion of renal replacement modalities and incidence in 2013. (D) Percent distribution of patients undergoing hemodialysis (HD) according to dialysis center classification. PD, peritoneal dialysis; KT, kidney transplantation; DM, diabetic nephropathy; HTN, hypertensive nephrosclerosis; CGN, chronic glomerulonephritis.
Figure 2
Figure 2
Major changes and improvements in dialysis therapy in Korea. (A) Age distribution of patients undergoing dialysis according to underlying diseases. (B) Distribution of mean blood pressure (MBP) in patients undergoing hemodialysis (HD) and peritoneal dialysis (PD). (C) Changes in hemoglobin among patients undergoing dialysis (HD vs. PD). (D) Dialysis adequacy parameters (normalized protein catabolic rate [nPCR] and single pool Kt/V [spKt/V]) in patients undergoing HD. DM, diabetes mellitus; HTN, hypertensive nephrosclerosis; GN, glomerulonephritis.

Similar articles

  • Current Status of Dialysis Therapy in Korea
    DC Jin. Korean J Intern Med 26 (2), 123-31. PMID 21716586. - Review
    The number of patients with end-stage renal disease (ESRD) is rising very rapidly as the number of elderly and patients with diabetes increases in Korea. ESRD Registry Co …
  • Dialysis Registries in the World: Korean Dialysis Registry
    DC Jin. Kidney Int Suppl (2011) 5 (1), 8-11. PMID 26097779.
    The Korean Society of Nephrology (KSN) end-stage renal disease (ESRD) registry was established in 1985 in which all KSN members are participating voluntarily: the 'Insan …
  • Lessons From 30 Years' Data of Korean End-Stage Renal Disease Registry, 1985-2015
    DC Jin et al. Kidney Res Clin Pract 34 (3), 132-9. PMID 26484037. - Review
    The Korean Society of Nephrology (KSN) launched a nationwide official survey program about dialysis therapy in 1985. Nowadays, the accumulated data for 30 years by this " …
  • Brief Report: Renal Replacement Therapy in Korea, 2010
    DC Jin et al. Kidney Res Clin Pract 31 (1), 62-71. PMID 26889410.
    The Korean Society of Nephrology (KSN) launched the official End-Stage Renal Disease (ESRD) Patient Registry in 1985 and the Internet online registry program was opened i …
  • Renal Replacement Therapy in Korea, 2012
    DC Jin et al. Kidney Res Clin Pract 33 (1), 9-18. PMID 26877945. - Review
    The Korean Society of Nephrology (KSN) launched the official end-stage renal disease (ESRD) patient registry in 1985, and an Internet online registry program was opened i …
See all similar articles

Cited by 19 PubMed Central articles

See all "Cited by" articles

References

    1. ESRD Registry Committee, Korean Society of Nephrology. Current renal replacement therapy in Korea 2013 [Internet] Seoul (KR): Korean Society of Nephrology; c2006. [cited 2014 Sep 1]. Available from: http://www.ksn.or.kr.
    1. Jin DC, Han JS. Renal replacement therapy in Korea, 2012. Kidney Res Clin Pract. 2014;33:9–18. - PMC - PubMed
    1. Untied States renal data system (USRDS) 2013 USRDS annual data report [Internet] Ann Arbor (MI): USRDS; 2013. [cited 2014 Sep 1]. Available from: http://www.usrds.org/adr.htm.
    1. Japanese Society for Dialysis Therapy. An overview of regular dialysis treatment in Japan [Internet] Tokyo (JP): Japanese Society for Dialysis Therapy; c2007. [cited 2014 Sep 1]. Available from: http://www.jsdt.or.jp.

MeSH terms

Feedback