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Patient characteristics according to rehabilitation and employment status in Korean hemodialysis patients

Kidney Research and Clinical Practice 2020년 39권 3호 p.356 ~ 364
이종윤, 진동찬,
소속 상세정보
이종윤 ( Lee Jong-Yun ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Internal Medicine
진동찬 ( Jin Dong-Chan ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Internal Medicine

Abstract


Background: While the final goal of renal replacement therapy is to achieve normal social adaptation and employment, many studies to date have focused on the analysis of complications and causes of death. In contrast, the analysis of dialysis patients with normal job employment and exhibiting a good medical status can be important for clinical treatment policy. This study assessed various clinical parameters according to rehabilitation and employment status to elucidate characteristics correlated with better rehabilitation status among hemodialysis patients.

Methods: A total of 29,865 hemodialysis patients who were registered with rehabilitation status information in the Korean Society of Nephrology end-stage renal disease registration program from January 2017 to April 2019 were included and divided into five groups according to their rehabilitation status.

Results: About half (47%) of enrolled patients belonged to the “independent but without a job” group and 21% of patients belonged to the “employed with a full-time job” group. Analysis revealed significantly younger mean age, longer mean hemodialysis duration, a higher proportion of male sex, and a lower proportion of diabetic nephropathy cases in the full-time job group than in the other hemodialysis patient groups. Also, hemoglobin, albumin, and phosphorus levels were higher but the urea reduction ratio was lower in the full-time job group.

Conclusion: A better rehabilitation and employment state of hemodialysis patients was associated with younger age, male sex, and underlying chronic glomerulonephritis. Patients with full-time jobs generally have better laboratory data but lower dialysis efficacy.

키워드

Chronic kidney failure; Employment; Rehabilitation; Renal dialysis

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