Baseline data report of the China Dialysis Outcomes and Practice Patterns Study (DOPPS)

Abstract The number of patients on hemodialysis (HD) is rapidly increasing in China. As an Asian country with a large number of HD patients, understanding the status of Chinese HD patients has a special significance. We reported here the baseline data for China Dialysis Outcomes and Practice Pattern...

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Autores principales:	Xinju Zhao, Qingyu Niu, Liangying Gan, Fan Fan Hou, Xinling Liang, Zhaohui Ni, Yuqing Chen, Junhui Zhao, Brian Bieber, Bruce Robinson, Xiaonong Chen, Li Zuo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4cf632d75c2a420ea4809d76b245bca0
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spelling	oai:doaj.org-article:4cf632d75c2a420ea4809d76b245bca02021-12-02T15:23:01ZBaseline data report of the China Dialysis Outcomes and Practice Patterns Study (DOPPS)10.1038/s41598-020-79531-42045-2322https://doaj.org/article/4cf632d75c2a420ea4809d76b245bca02021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79531-4https://doaj.org/toc/2045-2322Abstract The number of patients on hemodialysis (HD) is rapidly increasing in China. As an Asian country with a large number of HD patients, understanding the status of Chinese HD patients has a special significance. We reported here the baseline data for China Dialysis Outcomes and Practice Pattern Study Phase 5 (DOPPS5). The DOPPS is an international prospective, observational cohort study. Patients were restricted to the initial sample of patients who participated in China DOPPS5. We summarized the baseline demographic and clinical data of patients. Results were weighted by facility sampling fraction. 1186 patients were initial patients in China DOPPS5. The mean age was 58.7 ± 3.5 years, with 54.6% males. The median dialysis vintage was 3.4 (1.5, 6.3) years. The main assigned primary end-stage kidney disease (ESKD) causes was chronic glomerulonephritis (45.9%), followed by diabetes (19.9%). 17.6% patients had hepatitis B infection, and 10.0% patients had hepatitis C infection. 25.9% patients had a single-pooled Kt/V < 1.2. 86.6% patients had albumin > 3.5 g/dl. 18.8% patients had hemoglobin < 9 g/dl. 66.5% patients had serum calcium in target range (8.4–10.2 mg/dl), 41.5% patients had serum phosphate in target range (3.5–5.5 mg/dl) and 51.2% patients maintained PTH in 150–600 pg/dl. 88.2% patients used fistula as their vascular access. Meanwhile, there were differences in the demographic, clinical, laboratory, and treatment characteristics among the three cities participated in China DOPPS. We observed a relatively higher albumin level and a higher rate of fistula usage in our patients. But it remains a major challenge to us on the management of CKD-MBD and anemia. This study did not include patients in small cities and remote areas, where the situation of HD patients might be worse than reported.Xinju ZhaoQingyu NiuLiangying GanFan Fan HouXinling LiangZhaohui NiYuqing ChenJunhui ZhaoBrian BieberBruce RobinsonXiaonong ChenLi ZuoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Xinju Zhao Qingyu Niu Liangying Gan Fan Fan Hou Xinling Liang Zhaohui Ni Yuqing Chen Junhui Zhao Brian Bieber Bruce Robinson Xiaonong Chen Li Zuo Baseline data report of the China Dialysis Outcomes and Practice Patterns Study (DOPPS)
description	Abstract The number of patients on hemodialysis (HD) is rapidly increasing in China. As an Asian country with a large number of HD patients, understanding the status of Chinese HD patients has a special significance. We reported here the baseline data for China Dialysis Outcomes and Practice Pattern Study Phase 5 (DOPPS5). The DOPPS is an international prospective, observational cohort study. Patients were restricted to the initial sample of patients who participated in China DOPPS5. We summarized the baseline demographic and clinical data of patients. Results were weighted by facility sampling fraction. 1186 patients were initial patients in China DOPPS5. The mean age was 58.7 ± 3.5 years, with 54.6% males. The median dialysis vintage was 3.4 (1.5, 6.3) years. The main assigned primary end-stage kidney disease (ESKD) causes was chronic glomerulonephritis (45.9%), followed by diabetes (19.9%). 17.6% patients had hepatitis B infection, and 10.0% patients had hepatitis C infection. 25.9% patients had a single-pooled Kt/V < 1.2. 86.6% patients had albumin > 3.5 g/dl. 18.8% patients had hemoglobin < 9 g/dl. 66.5% patients had serum calcium in target range (8.4–10.2 mg/dl), 41.5% patients had serum phosphate in target range (3.5–5.5 mg/dl) and 51.2% patients maintained PTH in 150–600 pg/dl. 88.2% patients used fistula as their vascular access. Meanwhile, there were differences in the demographic, clinical, laboratory, and treatment characteristics among the three cities participated in China DOPPS. We observed a relatively higher albumin level and a higher rate of fistula usage in our patients. But it remains a major challenge to us on the management of CKD-MBD and anemia. This study did not include patients in small cities and remote areas, where the situation of HD patients might be worse than reported.
format	article
author	Xinju Zhao Qingyu Niu Liangying Gan Fan Fan Hou Xinling Liang Zhaohui Ni Yuqing Chen Junhui Zhao Brian Bieber Bruce Robinson Xiaonong Chen Li Zuo
author_facet	Xinju Zhao Qingyu Niu Liangying Gan Fan Fan Hou Xinling Liang Zhaohui Ni Yuqing Chen Junhui Zhao Brian Bieber Bruce Robinson Xiaonong Chen Li Zuo
author_sort	Xinju Zhao
title	Baseline data report of the China Dialysis Outcomes and Practice Patterns Study (DOPPS)
title_short	Baseline data report of the China Dialysis Outcomes and Practice Patterns Study (DOPPS)
title_full	Baseline data report of the China Dialysis Outcomes and Practice Patterns Study (DOPPS)
title_fullStr	Baseline data report of the China Dialysis Outcomes and Practice Patterns Study (DOPPS)
title_full_unstemmed	Baseline data report of the China Dialysis Outcomes and Practice Patterns Study (DOPPS)
title_sort	baseline data report of the china dialysis outcomes and practice patterns study (dopps)
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/4cf632d75c2a420ea4809d76b245bca0
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Baseline data report of the China Dialysis Outcomes and Practice Patterns Study (DOPPS)

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