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Journal of the Korean Society of Pediatric Nephrology 2009;13(2): 176-188. doi: https://doi.org/10.3339/jkspn.2009.13.2.176
소아복막투석의 현황: 다기관 공동연구 결과보고
윤지석, 이주훈, 박영서, 임형은, 백경훈, 유기환, 하일수, 정해일, 최용
1울산대학교 의과대학 서울아산병원 소아과학교실
2울산대학교 의과대학 서울아산병원 소아과학교실
3울산대학교 의과대학 서울아산병원 소아과학교실
4고려대학교 의과대학 소아과학교실
5성균관대학교 의과대학 소아과학교실
6고려대학교 의과대학 소아과학교실
7서울대학교 의과대학 소아과학교실
8서울대학교 의과대학 소아과학교실
9서울대학교 의과대학 소아과학교실
Current Status of Children on Peritoneal Dialysis in Korea : A Cross-Sectional Multicenter Study
Ji-Seok Youn, Joo-Hoon Lee, Young-Seo Park, Hyung-Eun Yim, Kyung-Hoon Paik, Kee-Hwan Yoo, Il-Soo Ha, Hae-Il Cheong, Yong Choi
1Department of Pediatrics, University of Ulsan, College of Medicine Asan Medical Center
2Department of Pediatrics, University of Ulsan, College of Medicine Asan Medical Center
3Department of Pediatrics, University of Ulsan, College of Medicine Asan Medical Center
4Department of Pediatrics, College of Medicine, Korea University
5Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine
6Department of Pediatrics, College of Medicine, Korea University
7Department of Pediatrics, Seoul National University Children's Hospital
8Department of Pediatrics, Seoul National University Children's Hospital
9Department of Pediatrics, Seoul National University Children's Hospital
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ABSTRACT
Purpose : Peritoneal dialysis (PD) is the major form of dialysis in use for infants and children with end-stage renal disease (ESRD). The aim of this study was to gain insight into the current status of children on PD in Korea.
Methods : In May 2008, questionnaires were sent to the pediatric nephrologists via e-mail. Four centers replied and those data were reviewed.
Results : A total of 103 patients were included in this study. Male to female ratio was 1.6:1. Mean age was $11.5{pm}4.9$ years (0-19 years). Primary renal diseases diagnosed were as follows: primary glomerular disease (34%), chronic pyelonephritis-reflux nephropathy (14.6%), systemic disease (9.7%), renal hypoplasia/dysplasia (8.7%), heredofamilial disease (6.8%), vascular disease (3.9%), drug-induced nephropathy (1.0%), and unknown (12.6%). PD modalities were as follows: CAPD (42.7%), CCPD (27.2%), NIPD (11.7%), and Hybrid (18.4%). Weekly total Kt/V was $2.1{pm}0.7$ (0.3-4.1). Results of peritoneal equilibrium test were as follows: low 36.8%, low average 31.6%, high average 19.7%, and high 11.8%. Z-score for weight was $-1.00{pm}1.20$ (-4.54~+2.50). Z-score for height was $-1.55{pm}1.65$ (-9.42~+1.87). Growth hormone was administered in 24.3% of patients. Anti-hypertensive drugs were administered in 64.0% of patients. Laboratory findings were as follows: hemoglobin $10.5{pm}1.4$ g/dL, calcium $9.7{pm}0.7$ mg/dL, phosphorus $5.4{pm}1.4$ mg/dL, and parathyroid hormone $324.2{pm}342.8$ pg/mL.
Conclusion : Primary glomerular disease was the most common cause of ESRD. CAPD was the most prevalent PD modality. Low and low average peritoneal transport type were common. Growth disturbance were noted in many patients. Some patients had hypertension even with anti- hypertensive drugs. Calcium-phosphorus levels were maintained adequately, but many patients had secondary hyperparathyroidism.
Key words: End-Stage Renal Disease | Peritoneal Dialysis
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