HDCN Article Review/Hyperlink

Shinzato T, Nakai S, Akiba T, Yamazaki C, Sasaki R, et al

Survival in long-term haemodialysis patients: results from the annual survey of the Japanese Society for Dialysis Therapy

Nephrol Dial Transplant (May) 12:884-888 1997

It is interesting to compare the Japanese mortality statistics with those of the U.S., specifically, the data of Owen et al from the National Medical Care patients, and the data from the USRDS as reported by Held et al. In both of the US datasets, mortality appears to level off at a Kt/V of about 1.2-1.3 (single-pool). However, in the Japanese patients, as reported by Shinzato and colleagues, mortality appears to decrease until a Kt/V of about 1.8 is reached. Hence, whether or not mortality continues to fall beyond a Kt/V of 1.2 (single-pool) remains controversial. (John T. Daugirdas, M.D., University of Illinois at Chicago)

The abstract of this paper is available from Oxford Press at this site.