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Koichi Kozaki Author
Subjects of specialization
Affiliation
Renal transplant, Hemodialysis, Ureteroureterostomy
Department of Surgery, in japan
Biography
Koichi Kozaki Department of Surgery, Specialization in different fields Renal transplant; Hemodialysis; Ureteroureterostomy National Hospital Organization Mito Medical Center, Ibaraki, Japan
Publications
Research Article Open Access
Renal Transplant for Patients on Long-term dialysis (20 or more years) at our Center
Author(s): Koichi Kozaki, Naoki Adachi, Nahoko Ohtani, Akiho Okada, Taketo Kato, Kenji Yuzawa and Tohru Terashima
Background: In Japan, patients undergoing dialysis (HD) are increasing every year, and the number has reached 329,609 at the end of 2016. Out of them, 26,313 patients were undergoing longterm HD (LHD; 20 or more years), which is 8.3% of the total number. The number of renal transplantation (RTx) was 1,648 in 2016, 1,471 for living donor RTx (LRTx) and 177 for deceased donor RTx (DRTx). Moreover, in Japan, DRTx did not increase, while the number of patients enrolled in the waiting list for DRTx reached approximately 13,000. Due to this discrepancy, the mean waiting period of DRTx is approximately 17 years, and many patients waiting for DRTx have no choice but to choose LRTx. LHD patients are at a risk of serious morbidity and mortality from the various complications of HD, which hamper o... view more»
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