Hasegawa Takeshi, Nakai Shigeru, Moriishi Misaki, Ito Yasuhiko, Itami Noritomo, Masakane Ikuto, Hanafusa Norio, Taniguchi Masatomo, Hamano Takayuki, Shoji Tetsuo, Yamagata Kunihiro, Shinoda Toshio, Kazama Junichiro, Watanabe Yuzo, Shigematsu Takashi, Marubayashi Seiji, Morita Osamu, Wada Atsushi, Hashimoto Seiji, Suzuki Kazuyuki, Kimata Naoki, Wakai Kenji, Fujii Naohiko, Ogata Satoshi, Tsuchida Kenji, Nishi Hiroshi, Iseki Kunitoshi, Tsubakihara Yoshiharu, Nakamoto Hidetomo
Subcommittee of PD Registry, Statistical Survey Committee, Japanese Society for Dialysis Therapy.
Subcommittee of Statistical Analysis, Statistical Survey Committee, Japanese Society for Dialysis Therapy, Tokyo, Japan.
Ther Apher Dial. 2015 Dec;19(6):529-39. doi: 10.1111/1744-9987.12382.
Since 2009, the peritoneal dialysis (PD) registry survey has been carried out as part of the annual nationwide survey conducted by the Statistical Survey Committee of the Japanese Society for Dialysis Therapy with the cooperation of the Japanese Society for Peritoneal Dialysis. In this report, the current status of PD patients is presented on the basis of the results of the survey conducted at the end of 2012. The subjects were PD patients who lived in Japan and participated in the 2012 survey. Descriptive analysis of various items was performed, which included the current status of the combined use of PD and another dialysis method such as hemodialysis (HD) or hemodiafiltration (HDF), the method of exchanging dialysate, the use of an automated peritoneal dialysis (APD) machine, and the rates of peritonitis and catheter exit-site infection. From the results of the facility survey in 2012, the number of PD patients was 9514, a decrease of 128 from 2011. Among the entire dialysis patient population, 3.1% were PD patients, a decrease of 0.1%. Among the studied patients, 347 had a peritoneal catheter and underwent peritoneal lavage, 175 were started on PD in 2012 but introduced to other blood purification methods in the same year, and 1932 underwent both PD and another dialysis method such as HD or HDF. The percentage of patients who underwent PD and another dialysis method increased with PD vintage: <1 year, 4.8%; 1 to <2 years, 9.2%; 2 to <4 years, 16.3%; 4 to <8 years, 32.0%; and ≥8 years, 47.5%. The percentage of PD patients who completely manually exchanged the dialysate was 29.8%. The percentages of PD patients who used a double-bag exchange system with ultraviolet-light irradiation and those who used the same system but with a sterile connecting device were 54.7 and 13.9%, respectively. The percentage of patients on PD for <1 year using an APD machine was 43.4%, and it decreased with a PD vintage of ≥2 years. The mean rate of peritonitis was 0.22 per patient per year. The mean rate of catheter exit-site infections was 0.36 per patient per year.
自2009年起，腹膜透析（PD）登记调查作为日本透析治疗学会统计调查委员会在日本腹膜透析学会合作下开展的年度全国性调查的一部分进行。在本报告中，根据2012年底进行的调查结果呈现了PD患者的现状。研究对象为居住在日本并参与2012年调查的PD患者。对各项内容进行了描述性分析，包括PD与血液透析（HD）或血液滤过透析（HDF）等其他透析方法联合使用的现状、透析液交换方法、自动腹膜透析（APD）机的使用情况以及腹膜炎和导管出口处感染的发生率。根据2012年机构调查结果，PD患者数量为9514例，比2011年减少了128例。在整个透析患者群体中，PD患者占3.1%，下降了0.1%。在研究患者中，347例有腹膜导管并接受了腹膜灌洗，175例于2012年开始接受PD治疗，但同年转为其他血液净化方法，1932例同时接受了PD和HD或HDF等其他透析方法。接受PD和其他透析方法的患者比例随PD透析龄增加而上升：<1年，4.8%；1至<2年，9.2%；2至<4年，16.3%；4至<8年，32.0%；≥8年，47.5%。完全手动交换透析液的PD患者比例为29.8%。使用带紫外线照射的双袋交换系统的PD患者比例和使用相同系统但带有无菌连接装置的患者比例分别为54.7%和13.9%。透析龄<1年的PD患者使用APD机的比例为43.4%，且随着PD透析龄≥2年而下降。腹膜炎的平均发生率为每年每例患者0.22次。导管出口处感染的平均发生率为每年每例患者0.36次。
