Global Dialysis Perspective: Thailand

Kanjanabuch, Talerngsak; Takkavatakarn, Kullaya

doi:10.34067/kid.0000762020

Cited by 46 publications

(59 citation statements)

References 7 publications

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“…The Thai government provides universal healthcare to all Thai citizens through 3 health insurance schemes. One of them is the universal coverage scheme which covers more than 70% of the Thai population who are self-employed and do not work as government officials, as well as state enterprise and private establishment employees [41]. Initially, this scheme only offered basic and comprehensive healthcare while KRT was not included due to its high cost.…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

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Anemia Management in Peritoneal Dialysis: Perspectives From the Asia Pacific Region

Choy

Bavanandan

et al. 2021

Kidney Medicine

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Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

“…As of 2016, there were 26,450 active PD patients in 231 PD centers in 13 healthcare regions in Thailand, which has increased 10-fold over the past decade while more than 150 new PD centers have been operated in the last decade. PD penetration in 2016 was 31% compared with <10% prior to 2008 [41,42].…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

Anemia Management in Peritoneal Dialysis: Perspectives From the Asia Pacific Region

Choy

Bavanandan

et al. 2021

Kidney Medicine

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“…With the “PD‐first” policy of the government since 2008, the incident PD patients comprise 46% of all dialysis patients. The 5‐year survival of PD patients was 54% in 2016 42 …”

Section: Measuring and Reporting Of Dialysis Adequacy Indicators Acromentioning

confidence: 99%

“…41 A nationwide survey demonstrated patients to be receiving adequate hemodialysis as per an average spKt/V urea of 1.7. 42 Hemodiafiltration is practised, but is restricted to urban private dialysis centers. With the "PD-first" policy of the government since 2008, the incident PD patients comprise 46% of all dialysis patients.…”

Section: Asiamentioning

confidence: 99%

“…India-The Indian dialysis market is estimated to be growing at the rate of 31% per annum, compared to 8% in the rest of the world.Observational studies have compared twice-a-week to thrice-a-week HD and found no between-group differences in short-term mortality and nutritional status 41. A nationwide survey demonstrated patients to be receiving adequate hemodialysis as per an average spKt/V urea of 1.7 42. Hemodiafiltration is practised, but is restricted to urban private dialysis centers.…”

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confidence: 99%

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Achieving dialysis adequacy: A global perspective

Bharati

Jha

2020

Seminars in Dialysis

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Attempts to quantify the performance of dialysis therapy had started even before maintenance dialysis became widely available. Initial efforts in 1950s were centered around measuring the ability of a dialyzer to remove the solute mass, leading to coinage of the terms "clearance" and "dialysance". 1 The concept of adequacy, or the understanding that patient outcome was linked to performance of dialyzer, gathered pace in the 1970s on the basis of work by Babb and Scribner (square-meter hour hypothesis), Kopp (liter-kilogram concept) and Kjellstrand (time/ kg or liter). 1 It is interesting to note that all of these early models include time on dialysis as an important component, with the understanding that removal of "middle molecules" had important bearing on outcomes. The relative importance of, and interaction between, diffusion and ultrafiltration was also starting to be understood in the 1970s. The decades of 1980s and 1990s were heavily influenced by work of Gotch and Sargent who used mathematical modeling of urea kinetics on data from the National Cooperative Dialysis Study (NCDS) and that popularized the concept Kt/V urea (originally articulated by Babb-Scribner) of an adequate normalized dialysis dose (ie, dialyzer clearance of urea (K) and treatment time (t) with respect to its distribution volume (V)). 2 Daugirdas and Tattersall created simple equations that lent themselves to automatic calculation. In parallel, Lowrie came up with an alternate metric-urea reduction ratio (URR), but all of these continued to highlight the primacy of small solute clearance. The term "dialysis adequacy" was mostly used to denote "an appropriate dialysis dose" reflecting urea clearance. 3,4 The inadequacy of this measure was recognized relatively early, in particular from the work of Teschan and colleagues that led to the currently accepted standard dialysis frequency-thrice a week. They also

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The added value of superb microvascular imaging for renal cortical thickness measurement in chronic kidney disease

Limpisook,

Waongenngarm,

Siripongsakun

et al. 2024

J of Clinical Ultrasound

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PurposeThe aim of this study was to evaluate renal parenchymal thickness and renal cortical thickness measurements on brightness mode ultrasound (B‐mode US) and B‐mode US + Superb Microvascular Imaging (SMI) technique, comparing with computed tomography (CT) or magnetic resonance imaging (MRI) serving as a reference standard.MethodsRenal parenchymal thickness and renal cortical thickness measurements were obtained from B‐mode US, B‐mode US + SMI, and CT/MRI in a group of healthy subjects and a group of patients with chronic kidney disease (CKD). The mean differences and correlations of renal parenchymal thickness and renal cortical thickness were analyzed using dependent pair t‐test and Pearson's correlation, respectively.ResultsThe mean difference in renal cortical thickness measurements between B‐mode US + SMI and CT/MRI was lower than the mean difference between B‐mode US alone and CT/MRI. Additionally, renal cortical thickness measured using B‐mode US + SMI showed a stronger correlation with values obtained from CT/MRI than values measured using standard B‐mode US alone.ConclusionThe measurement of renal cortical thickness by B‐mode US + SMI is more accurate than that by B‐mode US alone.

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Global Dialysis Perspective: Thailand

Cited by 46 publications

References 7 publications

Anemia Management in Peritoneal Dialysis: Perspectives From the Asia Pacific Region

Anemia Management in Peritoneal Dialysis: Perspectives From the Asia Pacific Region

Achieving dialysis adequacy: A global perspective

The added value of superb microvascular imaging for renal cortical thickness measurement in chronic kidney disease

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