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Erschienen in: Clinical and Experimental Nephrology 3/2011

01.06.2011 | Original Article

Environmental factors influencing the survival of chronic dialysis patients

verfasst von: Satoshi Ogata, Noriaki Yorioka

Erschienen in: Clinical and Experimental Nephrology | Ausgabe 3/2011

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Abstract

Background

There have been few investigations into the effects of environmental factors on the outcome of end-stage renal disease.

Methods

We investigated factors influencing the survival of dialysis patients in each prefecture of Japan by analyzing data from the Japan Statistics Bureau and Japanese Society for Dialysis Therapy using univariate and multivariate regression analysis.

Results

Univariate analysis showed that the number of dialysis specialists (p = 0.028, r = 0.319), the density of dialysis centers (the number in relation to the area of each prefecture, p = 0.018, r = 0.344), the average annual temperature (p < 0.0001, r = 0.686), and the mortality rate of the general population with cerebrovascular disease (p = 0.014, r = −0.355) were correlated with the 1-year survival of new dialysis patients from 2005 to 2007. Multivariate regression analysis showed that the average annual temperatures were extracted as determinants of the 1-year survival rate of new dialysis patients (p < 0.0001, F = 40.11, R 2 = 0.471, R 2′ = 0.460).

Conclusion

The average annual temperatures could have an influence on the survival of dialysis patients. Survival of new dialysis patients by prefecture in Japan may be influenced by environmental factors that cannot be controlled medically after the initiation of dialysis.
Literatur
1.
Zurück zum Zitat van Dijk PC, Zwinderman AH, Dekker FW, Schön S, Stel VS, Finne P, et al. Effect of general population mortality on the north−south mortality gradient in patients on replacement therapy in Europe. Kidney Int. 2007;71:53–9.CrossRef van Dijk PC, Zwinderman AH, Dekker FW, Schön S, Stel VS, Finne P, et al. Effect of general population mortality on the north−south mortality gradient in patients on replacement therapy in Europe. Kidney Int. 2007;71:53–9.CrossRef
2.
Zurück zum Zitat Hall YN, Sugihara JG, Go AS, Chertow GM. Differential mortality and transplantation rates among Asians and Pacific Islanders with ESRD. J Am Soc Nephrol. 2005;16:3711–20.CrossRef Hall YN, Sugihara JG, Go AS, Chertow GM. Differential mortality and transplantation rates among Asians and Pacific Islanders with ESRD. J Am Soc Nephrol. 2005;16:3711–20.CrossRef
3.
Zurück zum Zitat Usami T, Koyama K, Takeuchi O, Morozumi K, Kimura G. Regional variations in the incidence of end-stage renal failure in Japan. JAMA. 2000;284:2622–4.CrossRef Usami T, Koyama K, Takeuchi O, Morozumi K, Kimura G. Regional variations in the incidence of end-stage renal failure in Japan. JAMA. 2000;284:2622–4.CrossRef
4.
Zurück zum Zitat Usami T, Nakao N, Fukuda M, Takeuchi O, Kamiya Y, Yoshida A, et al. Maps of end-stage renal disease and amounts of angiotensin-converting enzyme inhibitors prescribed in Japan. Kidney Int. 2003;64:1445–9.CrossRef Usami T, Nakao N, Fukuda M, Takeuchi O, Kamiya Y, Yoshida A, et al. Maps of end-stage renal disease and amounts of angiotensin-converting enzyme inhibitors prescribed in Japan. Kidney Int. 2003;64:1445–9.CrossRef
5.
Zurück zum Zitat Japan Statistics Bureau. Statistical observations of prefectures 2009. Tokyo, Japan: Statistical Association; 2009. Japan Statistics Bureau. Statistical observations of prefectures 2009. Tokyo, Japan: Statistical Association; 2009.
6.
Zurück zum Zitat Patient Registration Committee. In: Akiba T, editor. An overview of regular dialysis treatment in Japan as of Dec. 31, 2005 CD-ROM. Tokyo, Japan: Japanese Society for Dialysis Therapy; 2006; Table 7, 9. Patient Registration Committee. In: Akiba T, editor. An overview of regular dialysis treatment in Japan as of Dec. 31, 2005 CD-ROM. Tokyo, Japan: Japanese Society for Dialysis Therapy; 2006; Table 7, 9.
7.
Zurück zum Zitat Patient Registration Committee. In: Tsubakihara Y, editor. An overview of regular dialysis treatment in Japan as of Dec. 31, 2006 CD-ROM. Tokyo, Japan: Japanese Society for Dialysis Therapy, 2007; Table 65, 68. Patient Registration Committee. In: Tsubakihara Y, editor. An overview of regular dialysis treatment in Japan as of Dec. 31, 2006 CD-ROM. Tokyo, Japan: Japanese Society for Dialysis Therapy, 2007; Table 65, 68.
8.
Zurück zum Zitat Patient Registration Committee. In: Tsubakihara Y, editor. An overview of regular dialysis treatment in Japan as of Dec. 31, 2007 CD-ROM. Tokyo, Japan: Japanese Society for Dialysis Therapy; 2008; Tables 65, 68. Patient Registration Committee. In: Tsubakihara Y, editor. An overview of regular dialysis treatment in Japan as of Dec. 31, 2007 CD-ROM. Tokyo, Japan: Japanese Society for Dialysis Therapy; 2008; Tables 65, 68.
9.
Zurück zum Zitat Patient Registration Committee. In: Tsubakihara Y, editor. An overview of regular dialysis treatment in Japan as of Dec. 31, 2008 CD-ROM. Tokyo, Japan: Japanese Society for Dialysis Therapy; 2009; Tables 232–234. Patient Registration Committee. In: Tsubakihara Y, editor. An overview of regular dialysis treatment in Japan as of Dec. 31, 2008 CD-ROM. Tokyo, Japan: Japanese Society for Dialysis Therapy; 2009; Tables 232–234.
11.
Zurück zum Zitat Usami T, Kimura G. Proposal for mapping renal failure in Japan and its application for strategy to arrest end-stage renal disease. Clin Exp Nephrol. 2006;10:8–12.CrossRef Usami T, Kimura G. Proposal for mapping renal failure in Japan and its application for strategy to arrest end-stage renal disease. Clin Exp Nephrol. 2006;10:8–12.CrossRef
12.
Zurück zum Zitat Iseki K, Shinzato T, Nagura Y, Akiba T. Factors influencing long-term survival in patients on chronic dialysis. Clin Exp Nephrol. 2004;8:89–97.PubMed Iseki K, Shinzato T, Nagura Y, Akiba T. Factors influencing long-term survival in patients on chronic dialysis. Clin Exp Nephrol. 2004;8:89–97.PubMed
13.
Zurück zum Zitat Wakai K. Jinkou atari mansei touseki ryouhou shinki dounyuu kanjya suu no chiikisa no kentou. J Jpn Soc Dial Ther. 2006;39(Suppl 1):S600 (Abstract) (in Japanese). Wakai K. Jinkou atari mansei touseki ryouhou shinki dounyuu kanjya suu no chiikisa no kentou. J Jpn Soc Dial Ther. 2006;39(Suppl 1):S600 (Abstract) (in Japanese).
14.
Zurück zum Zitat Terawaki H, Nakayama M, Itoh S. A multicenter survey of awareness and eating behavior regarding salt restriction among patients receiving peritoneal dialysis in the Tohoku region. J Jpn Soc Dial Ther. 2006;39:1179–85.CrossRef Terawaki H, Nakayama M, Itoh S. A multicenter survey of awareness and eating behavior regarding salt restriction among patients receiving peritoneal dialysis in the Tohoku region. J Jpn Soc Dial Ther. 2006;39:1179–85.CrossRef
15.
Zurück zum Zitat Wong JS, Port FK, Hulbert-Shearon TE, Carroll CE, Wolfe RA, Aqodoa LY, et al. Survival advantage in Asian American end-stage renal disease patients. Kidney Int. 1999;55:2515–23.CrossRef Wong JS, Port FK, Hulbert-Shearon TE, Carroll CE, Wolfe RA, Aqodoa LY, et al. Survival advantage in Asian American end-stage renal disease patients. Kidney Int. 1999;55:2515–23.CrossRef
16.
Zurück zum Zitat Masakane I, Nakai S, Arizono K. Nihon kokunai no touseki chiryou ni chiikisa wa arunoka. J Jpn Soc Dial Ther. 2005;38(Suppl 1):S600 (Abstract) (in Japanese). Masakane I, Nakai S, Arizono K. Nihon kokunai no touseki chiryou ni chiikisa wa arunoka. J Jpn Soc Dial Ther. 2005;38(Suppl 1):S600 (Abstract) (in Japanese).
17.
Zurück zum Zitat Ogata S, Iwasaki Y, Matsuda M, Mori M, Matsuki S, Tatsukawa Y, et al. Factors influencing the survival of chronic dialysis patients in each prefecture of Japan. J Jpn Soc Dial Ther. 2007;40:255–9 (in Japanese).CrossRef Ogata S, Iwasaki Y, Matsuda M, Mori M, Matsuki S, Tatsukawa Y, et al. Factors influencing the survival of chronic dialysis patients in each prefecture of Japan. J Jpn Soc Dial Ther. 2007;40:255–9 (in Japanese).CrossRef
Metadaten
Titel
Environmental factors influencing the survival of chronic dialysis patients
verfasst von
Satoshi Ogata
Noriaki Yorioka
Publikationsdatum
01.06.2011
Verlag
Springer Japan
Erschienen in
Clinical and Experimental Nephrology / Ausgabe 3/2011
Print ISSN: 1342-1751
Elektronische ISSN: 1437-7799
DOI
https://doi.org/10.1007/s10157-010-0400-2

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