Home Dialysis in Japan ( Contributions to Nephrology )

Publication series : Contributions to Nephrology

Author: Suzuki H.  

Publisher: S. Karger AG‎

Publication year: 2012

E-ISBN: 9783318021103

P-ISBN(Paperback): 9783318021097

Subject: R1 Preventive Medicine , Health;R5 Internal Medicine;R69 urological (genito - urinary diseases)

Keyword: 预防医学、卫生学,泌尿科学(泌尿生殖系疾病),内科学

Language: ENG

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Description

Despite the various advantages of home dialysis compared to in-center hemodialysis, only a fraction of patients in Japan currently opt for peritoneal dialysis or home hemodialysis. However, considerable advances in research and technical improvements have been made lately, advancing the practice of home dialysis therapy in Japan.Japanese research is well-known for its ingenuity and creative energy with regard to the development of new machines and systems for dialysis. New insights regarding peritoneal dialysis and home hemodialysis are presented in the publication at hand: Contributions by leading Japanese experts discuss topics such as educational methods, techniques, tools, novel systems and organization of patients. The book will be of great interest to clinical physicians involved in dialysis care; Moreover, the expertise collected in this volume may contribute to the advancement of home dialysis therapy in a global context.

Chapter

Peritoneal Dialysis

A Kinetic Model for Peritoneal Dialysis and Its Application for Complementary Dialysis Therapy

Abstract

Theoretical

Commercial Software for Peritoneal Dialysis

PD and HD Combined (Complementary) Treatment

Conclusions

References

Appendix

How Automated Peritoneal Dialysis Is Applied and Maintained in Japan

Abstract

Dialysis Trends in Japan – A Nationwide Statistical Survey

Trends of CAPD and APD in Japan

PD + HD Combination Therapy and Icodextrin in Japan

Comparison of APD and CAPD

How to Apply and Maintain APD in Japan

New Technology Using an APD Telemedicine System

References

Introduction and Maintenance Program for PD Based on PD Guidelines for Japan

Abstract

Recent Peritoneal Dialysis Trends and Frame of PD Guidelines in Japan

Background of PD Introduction at GFR not below 6.0 ml/min/1.73 m2

How to Access the Peritoneal Degeneration?

References

Appropriate Drug Dosing in Patients Receiving Peritoneal Dialysis

Abstract

Drug Clearance during CAPD

Drug Regimen Design for CAPD Patients

Intraperitoneal Dosing and Peritonitis in CAPD Patients

References

Surgical and Medical Treatments of Encapsulation Peritoneal Sclerosis

Abstract

Pathogenesis of EPS

Prevention

Treatment

Conclusions

References

Application of Peritoneal Dialysis in Elderly Patients by Classifying the Age into Young-Old, Old, and Oldest-Old

Abstract

Methods

Results

Discussion

Conclusion

Acknowledgment

References

Maintenance of Continuous Ambulatory Peritoneal Dialysis in Elderly Patients

Abstract

Current Status of Elderly PD Patients

Actual Status of Support for Patients after PD Introduction

Dialysis Medical Care for CKD Is a Team Medical Care Approach

Conclusion

References

Role of Nurses in a Continuous Ambulatory Peritoneal Diagnosis Outpatient Clinic

Abstract

Nursing during Therapy Selection Period

Nursing in PD Introduction Period

Nursing in the Peritoneal Dialysis Maintenance Period

Conclusion

References

Combination Therapy with Hemodialysis and Peritoneal Dialysis

Abstract

Regular Treatment Modality in the Kidney Center in Saitama Medical University

Patient Monitoring

Statistical Analysis

Short-Term Effects of Combination Therapy

Long-Term Effects of Combination Therapy

Effects of Early Start of Combination Therapy

Discussion

References

Implementation of a Cooperative Program for Peritoneal Dialysis

Abstract

Cooperative Program for CKD Patients

Education Program for CKD Patients

PD Promotion Program

HHD Promotion Program

Results of the Cooperative Program and Education Program for CKD Patients

Result of PD Promotion Program

Conclusion

References

Home Hemodialysis

Care for Patients Carrying Out Dialysis Therapy at Home

Abstract

Current Status of Home Dialysis in Japan

Gist of Care from Conservative Treatment Stage of the End- Stage Renal Disease by the Dialysis Introduction Period

Care during the Maintenance Stage of Home Dialysis Treatment

Gist of Care during Discontinuation of Home Dialysis Therapy

Conclusion

References

Perspectives on Home Hemodialysis in Japan

Abstract

Investigation of Survival Outcome

History of Research and Modifications to Improve Survival Rate

Diversification of Hemodialysis Therapy

Future Outlook for Home Hemodialysis

References

Current International Status of Home Hemodialysis

Abstract

History of Home Hemodialysis

Advantages of Conventional Home Hemodialysis

Advantages of More Frequent HHD

Impact of Home Hemodialysis Therapies on Comorbid Conditions and Patient Variables

Economic Assessment of Home Hemodialysis

Home Hemodialysis Equipment and Systems

References

Future Home Hemodialysis – Advantages of the NxStage System One

Abstract

Current Treatment Modalities and Their Problems

NxStage Artificial Kidney System

Multiple Clinical Uses

Indications for HHD

Evaluation

Dialysis- Related Risks

Conclusions

References

Introduction to Home Hemodialysis

Abstract

What Is HHD?

The Direction We Want to Pursue

Conclusion

References

Overnight Home Hemodialysis: Eight Patients and Six Years of Experience in Sakairumi Clinics

Abstract

Patients

Dialysis Method

Laboratory Data

Blood Pressure and Some Symptoms during Overnight HHD and Some Other Problems

Our HHD Training and Overnight HHD

Problems, Difficulties, and Questions

Discussion

Conclusion

References

Practice of Home Hemodialysis in Dialysis Clinic

Abstract

Education and Training for HHD

The State Regarding HHD

Advantages of HHD

Conclusion

References

Perspective of Home Hemodialysis in Japan

Abstract

History of Home Hemodialysis in Japan

Advantages of Long and Frequent HD, and HHD

Selection of Home Dialysis Patients and Training

Support and Monitoring for HHD

Restrictions of Using HHD

Perspective of HHD in Japan

References

Role of Clinical Engineers in Home Hemodialysis

Abstract

Education and Coaching

Administration of HD Equipment

Problems

Administration of HD Materials

Perspectives

Conclusion

References

Daily Hemodialysis Improves Uremia-Associated Clinical Parameters in the Short Term

Abstract

Materials and Methods

Results

Discussion

References

Development of a Nanotechnology-Based Dialysis Device

Abstract

Problems in the Present Dialysis System

Idea and Clinical Investigation of Portable Dialysis System

Microdialyzer Using Nanotechnology

References

Author Index

Subject Index

Cover

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