表紙/オレンジDIC164 背4.5mm

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1 An overview of regular dialysis treatment in Japan as of Dec. 31, 2004 Japanese Society for Dialysis Therapy

2 An overview of regular dialysis treatment in Japan as of Dec. 31, 2004 Japanese Society for Dialysis Therapy

3

4 DOS/V CD-ROM , , , FAX Key man 513 3,8823,

5 ,16610, Web,CD- ROM Key man

6 v

7 HCO D 32 2 D 33 3 D 34 4 D 35 5D 36 6D 37 7PTH D 38 8PTH D 39 1PTX 40 2PEIT 41 vi

8 LDL HDL PTH vii

9

10 2 3, % 97,3664,6565.0% 96,5404, ,79816,7945.4% ,9323,882(98.73%) 2004

11 3 248,16610, , / / / / 1, / 3, / 6, / 9, / 13, / 18, / 22, / 27, / 32, / 36, / 42, / 47, / 53, / 59, / 66, / 73, / 80, / 88, / 83, / 103, / 116, / 3, / 134, / 143, / 154, / 167, / 175, / 185, / 197, / 206, / 219, / 229, / 237, / 248,166

12 300, , , , ,000 50, ,017 11,348 4,538 59,811,606 5,000 66,310 13,416 5,770 73,537 14,175 6,296 80,553 14,699 6,581 88,534 16,470 7,765 83,221 14,174 6, ,296 18,411 8, ,303 20,877 9,722 3,926 22,475 11, ,298 23,874, ,709 24,296 13, ,413 26,398 14, ,192 28,409 15, ,988 28,870 16, ,322 29,641 16, ,213 31,483 18, ,134 32,018 18, ,183 33,243 19, ,538 33,710 20, ,710 33,966 21, ,166 35,084 22, , ,118(3.3%) 22,7151,043(4.8%) 1 4

13 , , , , , , , , , , , , ,

14 ,3664,6565.0% 1966/ 1968/ / / / 3, / 1, / 4, / 5, / 7, / 9, / 10, /, / 16, / 18, / 21, / 22, / 24, / 26, / 1986/ 30,846 28, / 36, / 33, / 40, / 34, / 45, / 49, / 53, / 58, / 59, / 63, / 66, / 69, / 75, / 79, / 83, / 89, / 92, / 97,366

15 %17.2% CAPD3.5%CAPD4% CAPD8, ,255 2,304 1,997 2,941 1,566 1,486 3,085 4,508 3,728 3,444 9,613 8,0 18,606 11,193 3,164 1,607 1,821 1,143 1,566 3,259 2,779 6,378 9,559 2,557 1, ,096 2,041 4,830 2,770 1, ,289 3, ,597 3,644 14,541 8,219 2,243 2, ,925 4,721 2,304 1,683 1,863 2,347 1,500 8,569 1,357 2,584 4,180 2,624 2,517 3,716 2, , ,201 3,165 1, , , , ,085 2,641 2,529 3,840 1,788 1,935 3,827 5,488 4,516 4,289,079 10,302 24,136 14,490 4,333 2,038 2,221 1,422 1,805 4,000 3,562 8,015 13,315 3,375 2,113 5,004 18,477 10,223 2,560 2,421 1,155 1,224 3,828 5,876 2,840 2,150 2,276 2,918 1,845 11,178 1,645 3,169 5,209 3,103 3,097 4,400 3, ,166

16 8,085 2,641 2,529 3,840 1,788 1,935 3,827 5,488 4,516 4,289,079 10,302 24,136 14,490 4,333 2,038 2,221 1,422 1,805 4,000 3,562 8,015 13,315 3,375 2,113 5,004 18,477 10,223 2,560 2,421 1,155 1,224 3,828 5,876 2,840 2,150 2,276 2,918 1,845 11,178 1,645 3,169 5,209 3,103 3,097 4,400 3, , ,000 10,000 15,000 20,000 25,000

17 % % % % %252.9% ,

18 ,830 (0.0) (0.0) (0.0) (0.4) (0.7) (1.4) (2.0) (2.6) (4.5) (8.5) (0.0) (0.0) (0.3) (0.7) (1.1) (1.7) (2.2) (3.5) (6.7) ,397 2,659 (0.0) (0.0) (0.0) (0.4) (0.7) (1.3) (1.9) (2.5) (4.1) (7.8) 2,433 2,773 3,2 3,388 2,909 1, , , (11.3) (.9) (14.9) (15.7) (13.5) (7.6) (3.1) (0.6) (100.0) 1,103 1,403 1,680 1,871 1,889 1, ,3 50, (9.0) (11.4) (13.6) (15.2) (15.3) (11.8) (5.5) (1.5) (100.0) 3,536 4,176 4,892 5,259 4,798 3,095 1, , , (10.4) (.3) (14.4) (15.5) (14.2) (9.1) (4.0) (0.9) (100.0) ,0841,118(3.3%) 33,87721,565,

19 %28.1% 9.3%8.8% , , , (28.1) (0.9) (1.1) (0.2) (0.4) (2.7) (8.8) (0.7) (41.3) (0.8) (0.4) (0.3) ,3 33, ,935 (0.2) (0.4) (0.3) (0.4) (0.7) (2.8) (9.3) (100.0)

20 % 28.1% % 8.8 SLE

21 ,132 3,510 5,052 7,919 14,253 20,331 21,911 21,525 19,850 14,481 7,321 2, (0.0) (0.0) (0.0) (0.2) (0.7) (1.5) (2.4) (3.5) (5.5) (9.9) (14.2) (15.3) (15.0) (13.8) (10.1) (5.1) (1.9) (0.5) ,133 1,903 2,882 4,595 8,644,149 13,054 13,217,339 10,775 7,214 3, (0.0) (0.0) (0.0) (0.2) (0.5) (1.2) (2.0) (3.1) (4.9) (9.3) (13.1) (14.0) (14.2) (13.3) (11.6) (7.8) (3.6) (1.0) ,469 3,265 5,413 7,934,514 22,897 32,480 34,965 34,742 32,189 25,256 14,535 6,094 1, (0.0) (0.0) (0.0) (0.2) (0.6) (1.4) (2.3) (3.4) (5.3) (9.7) (13.7) (14.8) (14.7) (13.6) (10.7) (6.1) (2.6) (0.7) 143,389 (100.0) , ,031 (100.0) 45 93, ,420 (100.0) ,

22 106,458 (45.1) ,977 1,437 1,760 1,076 7,933 13,485 1,785 (1.3) (0.6) (0.7) (0.5) (3.4) (5.7) (0.8) ,394 (30.2) , , (0.9) (0.2) (0.5) ,596 4,050 15,219 (0.2) (0.2) (0.2) (0.3) (0.2) (0.7) (1.7) (6.4) ,034 (100.0) , % 30.2%1/

23 ß 15

24

25 ICD-10 (24.3%)(21.9%)(10.6%) (25.3%)(22.6%)(6.8%) 385 (21.9) 108 (6.2) 427 (24.3) 32 (1.8) 186 (10.6) 39 (2.2) 71 (4.0) 56 (3.2) 48 (2.7) 281 (25.3) 72 (6.5) 251 (22.6) 33 (3.0) 75 (6.8) 40 (3.6) 39 (3.5) 52 (4.7) 13 (1.2) 666 (23.2) 180 (6.3) 678 (23.7) 65 (2.3) 261 (9.1) 79 (2.8) 110 (3.8) 108 (3.8) 61 (2.1) 668 (23.3) 182 (6.3) 678 (23.6) 65 (2.3) 261 (9.1) 79 (2.8) 110 (3.8) 108 (3.8) 61 (2.1) 2 (50.0) 2 (50.0) 1 24 (1.4) 8 (0.5) 15 (0.9) 8 (0.5) 205 (11.7) 143 (8.1) 1,756 (100.0) 17 1, (0.7) 7 (0.6) 6 (0.5) 3 (0.3) 152 (13.7) 77 (6.9) 1,110 (100.0) 1, (1.1) 15 (0.5) 21 (0.7) 11 (0.4) 357 (.5) 220 (7.7) 2,866 (100.0) 29 2,895 4 (100.0) (1.1) 15 (0.5) 21 (0.7) 11 (0.4) 357 (.4) 220 (7.7) 2,870 (100.0) 30 2,900

26 %23.3%9.1%6.3% 3.8% % 18

27 ,991 (23.4) 1,318 (10.3) 2,423 (18.9) 253 (2.0) 1,311 (10.3) 266 (2.1) 741 (5.8) 689 (5.4) 245 (1.9) 2,185 (27.7) 871 (11.1) 1,459 (18.5) 198 (2.5) 553 (7.0) 219 (2.8) 379 (4.8) 382 (4.9) 83 (1.1) 5,176 (25.0) 2,189 (10.6) 3,882 (18.8) 451 (2.2) 1,864 (9.0) 485 (2.3) 1,0 (5.4) 1,071 (5.2) 328 (1.6) 2 (50.0) 2 (50.0) 5,178 (25.1) 2,191 (10.6) 3,882 (18.8) 451 (2.2) 1,864 (9.0) 485 (2.3) 1,0 (5.4) 1,071 (5.2) 328 (1.6) (1.1) 100 (0.8) 54 (0.4) 95 (0.7) 1,252 (9.8) 898 (7.0),790 (100.0) 158, (0.7) 90 (1.1) 30 (0.4) 25 (0.3) 887 (11.3) 450 (5.7) 7,876 (100.0) 106 7, (1.0) 190 (0.9) 84 (0.4) 0 (0.6) 2,139 (10.4) 1,348 (6.5) 20,666 (100.0) ,930 4 (100.0) (1.0) 190 (0.9) 84 (0.4) 0 (0.6) 2,139 (10.3) 1,348 (6.5) 20,670 (100.0) ,936

28 % % 10.6% 6.2%5.4% PTCACABG 20

29 %8.5%9.29.3% % 21

30 %86.0% 62.3%60.2%1039.3% % % ,050,036,971 14,238 15,424 16,951 16,908 19,339 21,364 23,231 24,540 25,280 27,047 29,510 30,362 31,994 33,578 36,503 37,973 38,293 38,

31

32 %75.1% 119,532 (75.1) 8,442 (76.7) 29 (61.7) 251 (73.2) 69 (75.0) 2,878 (68.5) 118 (79.7) 35,503 (26.2) 3,460 (37.4) 10 (20.4) 118 (39.5) 32 (35.6) 1,060 (28.5) 38 (40.4) 1,432 (1.1) 160 (1.9) 6 (13.3) 1 (0.4) 79 (2.2) 3,213 (2.5) 587 (6.2) 1 (2.6) 35 (11.2) 2 (2.2) 90 (2.5) 3 (3.1) D HCO3PTXPEIT

33 26 1.5g3.0g3.0g6.0g 9g6.0g 731 (1.8) 4,993 (.4) 15,218 (37.9) 15,028 (37.4) 3,083 (7.7) 1,8 (2.8) ,

34 PTH mg/dlmeq/l PTH 27

35 HCO3 HCO3 28

36 29 1.5g3.0g 3.0g4.5g 8,264 (6.3) 47,819 (36.5) 50,223 (38.3) 13,944 (10.6) 7,338 (5.6) 1,947 (1.5) 1,531 (1.2) , (%)

37 PTH 24PTH PTHD 30

38 1,382 7,583 7,220 2,316 1, , (21.6) (20.8) (19.1) (21.9) (24.6) (23.1) (21.2) (.0) (32.4) (42.9) 32.4% 6.0g9.0g 24.6% 31

39 32 D D D CAPDD CAPD 48,388 (29.2) 3,184 (27.1) (21.1) 87 (24.0) 22 (23.2) 1149 (25.1) 38 (25.5) 15,687 (9.5) 1,094 (9.3) 3 (5.3) 35 (9.7) 16 (16.8) 557 (.2) 33 (22.1) 3,904 (2.4) 425 (3.6) 13 (3.6) 13 (13.7) 296 (6.5) 5 (3.4) 1,032 (0.6) 78 (0.7) 2 (3.5) 35 (0.8) 95,917 (57.8) 6,911 (58.9) 40 (70.2) 226 (62.4) 44 (46.3) 2,463 (53.8) 72 (48.3) 947 (0.6) 39 (0.3) 1 (0.3) 75 (1.6) 1 (0.7)

40 6,822 (4.1) 671 (5.8) 1 (1.7) 27 (7.4) 19 (0.4) 18,359 (11.1) 2,030 (17.4) 7 (.1) 86 (23.7) 9 ( 9.5) 3 ( 2.7) 6 ( 4.1) (0.5) 1 (0.3) 138,605 (84.1) 8,860 (76.1) 50 (86.2) 248 (68.3) 86 (90.5) 4,309 (94.9) 139 (95.2) 748 (0.5) 36 (0.3) 1 (0.3) 89 (2.0) 1 (0.7) D 15%D CAPD3%CAPDD 33

41 13,835 (31.7) 4,377 (10.0) 831 (1.9) 353 (0.8) 23,968 (54.9) 311 (0.7) 15,151 (31.5) 4,564 (9.5) 1,159 (2.4) 353 (0.7) 26,660 (55.4) 235 (0.5),492 (27.5) 4,041 (8.9) 1,231 (2.7) 264 (0.6) 27,136 (59.7) 263 (0.6) 5,430 (25.0) 1,927 (8.9) 705 (3.2) 90 (0.4) 13,436 (61.9) 106 (0.5) 2,705 (23.9) 1,136 (10.0) 348 (3.1) 37 (0.3) 7,017 (62.0) 82 (0.7) 1,746 (24.5) 768 (10.8) 224 (3.1) 27 (0.4) 4,324 (60.7) 35 (0.5) 1,521 (27.8) 6 (11.2) 158 (2.9) 23 (0.4) 3,132 (57.2) 31 (0.6) D D20 34

42 925 (2.1) 2,4 (4.9) 41 39,679 (92.1) 298 (0.7) 1,521 (3.2) 3,417 (7.2) 46 42,449 (89.1) 226 (0.5) 2,025 (4.5) 5,499 (.2) 89 (0.2) 37,402 (82.7) 204 (0.5) 1,327 (6.1) 4,276 (19.7) 42 (0.2) 15,973 (73.7) 69 (0.3) 860 (7.6) 2,625 (23.1) 24 (0.2) 7,813 (68.7) 43 (0.4) 494 (6.9) 1,613 (22.6) 26 (0.4) 4,992 (69.9) 18 (0.3) 388 (7.1) 1,066 (19.5) 18 (0.3) 3,989 (72.8) 17 (0.3) D D20 PTX 35

43 36 D 0.75g3.0 g 4,823 (9.2) 1,502 (8.7) 767 (16.6) 29,463 (56.2) 11,357 (65.6) 3,723 (80.7) 16,140 (30.8) 3,973 (23.0) 88 (1.9) 1,786 (3.4) 370 (2.1) 11 (0.2) 259 (0.5) 99 (0.6) 27 (0.6) , ,673 1,063

44 492 (6.5) 1,035 (13.8) 2,844 (37.8) 2,7 (28.3) 1,028 (13.7) 14 3,271 (16.0) 6,342 8,007 2, (31.0) (39.1) (13.2) (0.7) , D 1.5g3.0g3.0g4.5g 15.0g30.0g7.5g15.0g 37

45 4,501 4,832 4,010 3,615 3,314 3,050 2,896 2,390 2,319 2,028 8,698 2, (33.2) (33.6) (32.1) (31.1) (31.0) (31.8) (30.9) (28.7) (28.9) (28.1) (25.8) (18.7) (13.7) (10.8) (10.7) 1,731 1,472 1,215 1,107 1, ,169 1, (.8) (10.2) (9.7) (9.5) (9.5) (9.6) (9.2) (9.6) (9.0) (9.3) (9.4) (7.6) (6.2) (5.9) (5.9) , (1.5) (1.5) (1.5) (1.6) (2.0) (2.3) (2.3) (2.6) (3.0) (2.9) (4.1) (4.2) (3.6) (4.3) (3.2) (0.8) (0.7) (0.7) (0.6) (0.5) (0.7) (0.5) (0.5) (0.5) (0.7) (0.5) (0.4) (0.2) (0.3) 6,976 7,687 6,935 6,578 6,058 5,305 5,319 4,844 4,674 4,231 20,170 9,182 2,548 1,152 1,209 (51.4) (53.5) (55.6) (56.6) (56.6) (55.2) (56.7) (58.1) (58.2) (58.5) (59.8) (68.4) (75.8) (78.2) (79.5) (0.3) (0.5) (0.4) (0.5) (0.4) (0.4) (0.5) (0.5) (0.4) (0.5) (0.5) (0.6 (0.7) (0.7) (0.5) PTHD PTH200pg/mlD PTHDPTH PTHD D 38

46 ,482 1, (0.7) (0.7) (1.0) (1.4) (1.7) (2.3) (2.9) (3.5) (4.6) (5.3) (7.3) (.1) (13.9) (13.6) (14.8) ,968 4,602 1, (1.0) (1.7) (2.5) (3.2) (4.4) (5.5) (7.2) (9.3) (11.1) (.8) (20.6) (33.7) (39.1) (40.3) (36.8) (0.0) (0.2) (0.2) (0.2) (0.3) (0.5) (0.7) (0.3),934 13,656 11,757 10,849 9,866 8,649 8,286 7,113 6,676 5,843 24,173 7,302 1, (97.9) (97.3) (96.1) (95.0) (93.5) (91.6) (89.3) (86.3) (83.8) (81.3) (71.4) (53.4) (46.0) (45.1) (47.9) (0.3) (0.3) (0.4) (0.4) (0.4) (0.6) (0.5) (0.6) (0.3) (0.5) (0.4) (0.3) (0.3) (0.7) (0.5) PTHD DPTHD PTH 600pg/ml 39

47 160,694 9, ,551 (92.1) (5.4) (0.3) (0.0) (0.0) (0.0) (2.0) PTX 6%PTX 40

48 167,952 1, ,243 (96.7) (0.9) (0.2) (0.0) (0.0) (0.0) (0.0) (1.9) PEIT PEIT2,4811,576 PEIT 41

49

50 2003 LDL HDL- PTH end point PTH ,933 end point censored case end point censored case ,214 end point censored case 45

51 ,715 end point2004 Lacunar Infarction 2004 censored case ,474 end point censored case Cox

52 47

53 180mg/dl 240mg/dl mg/dl mg/dl mg/dl 48

54 160mg/dl 160mg/dl 160mg/dl 200mg/dl 220mg/dl 160mg/dl 49

55 80mg/dl LDL LDL 60mg/dl LDL LDL 50

56 100mg/dl LDL LDL100mg/dl LDL60mg/dl LDLp= mg/dl LDL 51

57 52 HDL- HDL- HDL- HDL- HDL-

58 HDL-30mg/dl HDL- 53

59 50mg/dl 54

60 50mg/dl 200mg/dl mg/dl 55

61 meq/l mg/dl 9mg/dl 11mg/dl 8mg/dl 11mg/dl 56

62 57

63 56mg/dl 4mg/dl 8mg/dl 6mg/dl 58

64 4mg/dl 59

65

66 70 61

67 60pg/ml 360pg/ml PTH 60pg/ml 720pg/ml PTH 3060pg/ml0360pg/ml PTH 30pg/ml 360pg/ml PTH 62

68 63

69 3.5mEq/L mEq/L mEq/L3.5mEq/L mEq/L 64

70 mEq/L 2.5mEq/L 65

71 66

72 67

73

74 70

75 71

76 An overview of regular dialysis treatment in Japan as of Dec. 31, 2004

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