[総説］沖縄透析研究(Okinawa Dialysis Study, OKIDS)について

概要

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Clinico-epidemiological study on chronic dialysis patients has been conducted in Okinawa, Japan. Criteria of chronic dialysis patient was defined as end-stage renal disease patient who survived at least one month by dialysis therapy. Chronic dialysis therapy has started in 1971 in Okinawa, and so far, 3,034 patients have registered by the end of 1994. Due to the geographical location and the good support from the medical facilities, we are able to obtain complete set of data regarding the dialysis therapy in Okinawa. Survival analysis by using Kaplan-Meier method and the Cox proportional hazard model have been performed. We have been publishing papers regarding clinical aspects of dialysis patients. Importantly, we found that the nutritional status of dialysis patients is very important to sustain life. Therefore, the dose of dialysis should be decided with their nutritional status, not only by looking at the laboratory variables. To construct better preventive strategies of end-stage renal disease, we are also studying the cases of renal biopsy and the participants of mass screening. Okinawa Dialysis Study (OKIDS) is becoming a useful registry to understand the pathophysiology of renal disease from the beginning to its end-stage.
琉球医学会,Ryukyu Medical Associationの論文