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Excess mortality among patients on dialysis: Comparison with the general population in Korea

대한신장학회지
2014년 33권 2호 p.89 ~ p.94
최형연 ( Choi Hyung-Yun ) - Seoul National University Graduate School of Public Health Department of Public Health

김명희 ( Kim Myoung-Hee ) - Eulji University College of Health Science Department of Dental Hygiene
김현욱 ( Kim Hyun-Wook ) - Wonkwang University College of Medicine Department of Internal Medicine
이정표 ( Lee Jung-Pyo ) - Seoul National University Boramae Medical Center Department of Internal Medicine
이정환 ( Lee Jeong-Hwan ) - Hallym University Hangang Sacred Heart Hospital Department of Internal Medicine
박정탁 ( Park Jung-Tak ) - Yonsei University College of Medicine Department of Internal Medicine
김경호 ( Kim Kyoung-Hoon ) - Korea University Graduate School Department of Public Health
안형식 ( Ahn Hyeong-Sik ) - Korea University College of Medicine Department of Preventive Medicine
한후재 ( Hann Hoo-Jae ) - Ewha Womans University Ewha Medical Research Institute
류동열 ( Ryu Dong-Ryeol ) - Ewha Womans University School of Medicine Department of Internal Medicine

Abstract

Background: Although patients with end-stage renal disease (ESRD) experience excess mortality compared with the general population, the standardized mortality ratio (SMR) for Korean patients on dialysis has not yet been investigated. In this study, we evaluated the SMR among all Korean ESRD patients on maintenance dialysis in 2009 and 2010, and compared it according to age categories, sex, and dialysis modality.

Methods: We used data from all patients on maintenance dialysis between January 1, 2009 and December 31, 2010 in Korea using the database of the Korean Health Insurance Review and Assessment Service, and the SMR was determined by calculating of the ratio between the number of actual deaths and expected deaths.

Results: A total of 45,568 patients in 2009 and 48,170 patients in 2010 were included in the analysis. The overall age- and sex-adjusted SMR was 10.3 [95% confidence interval (CI), 10.0?10.6] in 2009 and 10.9 (95% CI, 10.7?11.2) in 2010. The SMR for females was much higher than for males. The SMR gradually decreased with increasing age groups. The overall SMR for maintenance hemodialysis patients was
lower than that of peritoneal dialysis patients.

Conclusion: The SMR among Korean ESRD patients is likely to be higher than in other
countries. Further evaluation is needed to attempt to improve the outcomes.

키워드

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학술진흥재단(KCI) KoreaMed 대한의학회 회원 
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연구대상
(Population)
연구참여
(Sample size)
대상성별
(Gender)
질병특성
(Condition Category)
연구환경
(Setting)
연구설계
(Study Design)
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중재방법
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(Year)
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