Masakane Ikuto, Hasegawa Takeshi, Ogata Satoshi, Kimata Naoki, Nakai Shigeru, Hanafusa Norio, Hamano Takayuki, Wakai Kenji, Wada Atsushi, Nitta Kosaku
Statistical Survey Committee, Japanese Society for Dialysis Therapy, Japan.
Subcommittee of Statistical Analysis, Japanese Society for Dialysis Therapy, Japan.
Ther Apher Dial. 2016 Dec;20(6):557-568. doi: 10.1111/1744-9987.12520.
Since 2009, the peritoneal dialysis (PD) registry 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 study, the current status of PD patients is reported on the basis of the results of the survey conducted at the end of 2013. The subjects were PD patients who lived in Japan and participated in the 2013 survey. Descriptive analysis was performed for various items including 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 incidences of peritonitis and catheter exit-site infection. From the results of the facility survey in 2013, the number of PD patients was 9392, a decrease of 122 from that in 2012. Among the entire dialysis patient population, 3.0% were PD patients, a decrease of 0.1%. Among the studied patients, 292 had a peritoneal catheter and underwent peritoneal lavage, 174 were started on PD in 2013 but introduced to other blood purification methods in 2013, and 1920 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 the number of years on PD: <1 year, 3.5%; 1 to < 2 years, 8.4%; 2 to < 4 years, 15.3%; 4 to < 6 years, 27.1%; 6 to < 8 years, 39.3%; 8 to < 10 years, 47.1%; and ≥ 10 years, 57.5%. The percentage of PD patients for whom the dialysate was completely manually exchanged was 31.6%, whereas the percentages of PD patients who used a bag-exchange device based on ultraviolet-light irradiation and that based on thermal sterile joint systems were 52.1 and 14.9%, respectively. The mean incidence of peritonitis was 0.22 per patient per year (once per 54.5 patients per month). The mean incidence of catheter exit-site infection was 0.34 per patient per year (once per 35.3 patients per month).
自2009年起，腹膜透析（PD）登记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。在本研究中，根据2013年底进行的调查结果报告了PD患者的现状。研究对象为居住在日本并参加2013年调查的PD患者。对包括PD与血液透析（HD）或血液透析滤过（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等各项指标进行了描述性分析。根据2013年机构调查结果，PD患者人数为9392人，比2012年减少了122人。在整个透析患者群体中，PD患者占3.0%，下降了0.1%。在研究患者中，292人有腹膜导管并接受了腹膜灌洗，174人于2013年开始接受PD治疗，但在2013年改用其他血液净化方法，1920人同时接受了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着PD治疗年限的增加而上升：<1年，3.5%；1至<2年，8.4%；2至<4年，15.3%；4至<6年，27.1%；6至<8年，39.3%；8至<10年，47.1%；≥10年，57.5%。透析液完全手动交换的PD患者比例为31.6%，而使用基于紫外线照射的袋式交换装置和基于热无菌连接系统的袋式交换装置的PD患者比例分别为52.1%和14.9%。腹膜炎的平均发生率为每年每位患者0.22次（每月每54.5名患者发生1次）。导管出口处感染的平均发生率为每年每位患者0.34次（每月每35.3名患者发生1次）。
