Epidemiology investigation and analysis of patients with hemodialysis in Sichuan province of China

Abstract

Objectives: To investigate the incidence, pathogenesis, as well as mortality rate and causes of end-stage renal disease patients with hemodialysis (ESRD-HD) in Sichuan province of China. Methods: In this retrospective descriptive study, all the data were exported from the Chinese National Renal Data System (CNRDS). The demographic and pathogenic information from 01 January 2011 to 31 December 2016 were statistically analyzed. Results: According to the data from CNRDS, the incidence of ESRD-HD was high in Sichuan province. From 2011 to 2016, the annual incidence rate of ESRD-HD was 61.84, 73.75, 78.04, 66.04, 72.61, and 60.98 per million population (pmp). Male ESRD-HD patients were higher than female patients (1.5:1). The major causes of ESRD-HD in Sichuan province from 2011 to 2016 were chronic glomerulonephritis and diabetic nephropathy. The annual mortality rate of ESRD-HD was 113.20, 91.25, 73.02, 68.56, 68.57, and 58.39 per 1000 person-years. The descending rate of mortality was parallel in both males and females. The mortality rate was observed to be higher in the elderly group (age ≥ 60). The major cause of mortality was cardiovascular diseases (24.48%). Conclusions: In Sichuan province, the incidence of ESRD-HD annually was gradually descending. The elderly and male patients had higher incidence of ESRD-HD. The annual mortality rate of ESRD-HD was declining year by year, and elderly patients aged ≥ 60 contributed to the highest mortality rates. The major cause of death was cardiovascular diseases. This could contribute to a better understanding of ESRD-HD in southwest of China, thus providing better treatment for ESRD in the future.

Prevalence and Associated Risk Factors of Chronic Kidney Disease in an Elderly Population from Eastern China

“…Several possible explanations of this phenomenon are as follows: (a) Obesity and central obesity may play an indirect role in mediating the pathophysiological development [43]. The prevalence of obesity and central obesity were significantly higher in female (32.3% and 74%, respectively) compared with the male (16.9% and 33.1%, respectively) in this study, which was consistent with the finding of Yu’s [44]; (b) the differences in physiological structure (e.g., glomerular structure and muscle mass) and hormone metabolism between men and women may partly explain this phenomenon [42]; (c) data from the Chinese National Renal Data System (CNRDS) showed that there were more male end-stage renal disease patients with hemodialysis (ESRD-HD) patients than female patients (1.5:1, respectively), and the incidence of ESRD-HD patients obtaining HD was higher in males than in the female population [45]. The result suggested that the access to medical care was substantially limited for women, which might partly explain a higher prevalence of CKD in the females.…”

Depression and Associated Factors in Chinese Patients With Chronic Kidney Disease Without Dialysis: A Cross-Sectional Study

“…CKD is irreversible; when it progresses to stage 5, patients experience kidney failure that requires replacement therapy (e.g., dialysis treatment) to prolong life. However, in 2016, the annual mortality rate of patients with hemodialysis in Sichuan Province, China was 58.39% person-years (5). Effective management including early initiation of dialysis treatment is critical for delaying the progression of CKD (6).…”

Using a Web-Based Platform as an Alternative for Conducting International, Multidisciplinary Medical Conferences During the Novel COVID-19 Pandemic: Analysis of a Conference

“…YouTube was selected because it is among the top 2 platforms in terms of user penetration in Western countries [ 9 ]. Although YouTube is readily accessible and is a popular platform for viewing video content in many parts of the world, it is inaccessible in some Asian countries such as China, which has seen a rapid increase in the need for dialysis over the past decade [ 10 ]. Hence, WeChat was selected as an additional broadcast platform.…”