Korean J Med.
2013 Oct;85(4):378-384.
Prevalence of Anemia and Calcium-Phosphorus Abnormalities in Hemodialysis Patients in Southwestern Seoul
- Affiliations
-
- 1Department of Internal Medicine, Hallym Kidney institute, Hallym University College of Medicine, Seoul, Korea.
- 2Department of Medical Law and Ethics, Yonsei University College of Medicine, Seoul, Korea.
- 3Ewha Institute for Biomedical Law and Ethics, Ewha Womans University, Seoul, Korea.
- 4Seong Nam Kim Internal Medicine Clinic, Seoul, Korea.
- 5Samsung Myungin Internal Medicine Clinic, Icheon, Korea.
- 6Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.
- 7Nephrology Clinic, National Cancer Center, Goyang, Korea.
- 8Department of Internal Medicine, National Medical Center, Seoul, Korea.
- 9Seung Hwan Son Internal Medicine Clinic, Seoul, Korea.
- 10Division of Nephrology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. daejoongsmc.kim@samsung.com
- 11Dialysis Committee, Korean Society of Nephrology, Seoul, Korea.
Abstract
- BACKGROUND/AIMS
The number of hemodialysis patients and dialysis centers is increasing each year, but there are no quality standards for facilities. Thus, the Korean Society of Nephrology carried out a pilot project regarding a hemodialysis center accreditation system. This study was aimed at surveying the prevalence of anemia and abnormalities of calcium or phosphorus metabolism in hemodialysis patients in southwestern Seoul.
METHODS
We investigated anemia, serum calcium, and phosphorus levels in 1,524 patients in 25 hemodialysis units. The rate of iron injections in patients with iron deficiency was also evaluated. Each item was compared between accredited (n = 12) and non-accredited centers (n = 13).
RESULTS
The mean hemoglobin in subjects was 10.5 +/- 1.5 g/dL. The prevalences of anemia and iron deficiency were 27.4% and 25.2%, respectively. The rate of iron injection in patients with iron deficiency was 48.1%. The mean phosphorus level was 5.1 +/- 1.9 mg/dL and the proportion of patients with Ca x P < 55 mg2/dL2 was 70.7%. The prevalence of anemia, iron deficiency, and Ca x P were similar between accredited and non-accredited centers. The rate of iron injection in iron deficiency was higher in accredited (65.6%) than non-accredited centers (30.9%).
CONCLUSIONS
Management of anemia and levels of calcium or phosphorus were acceptable in hemodialysis patients in southwestern Seoul, although some facilities should make more efforts to improve iron deficiency. The availability of data from a hemodialysis center accreditation system allowed us a unique opportunity to further explore the relationships between anemia, abnormalities of mineral metabolism, and outcomes.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Serum level of Calcium and Phosphorus in Normal Infants
- Effects of CaCO3 Supplements on Serum Calcium and Phosuhorus in Patients on Hemodialysis Treatment
- Hematologic and hemodynamic findings during hemodialysis in 13 beagle dogs
- Regulation of Calcium and Phosphorus Homeostasis
- A study of calcium and inorganic phosphorus levels in maternal and cord blood
