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Cancer in Patients on Chronic Dialysis in Korea

Authors
 Jung Eun Lee  ;  Seung Hyeok Han  ;  Byoung Chul Cho  ;  Jung Tak Park  ;  Tae Hyun Yoo  ;  Beom Seok Kim  ;  Hyeong Cheon Park  ;  Shin-Wook Kang  ;  Ho Yung Lee  ;  Dae-Suk Han  ;  Sung Kyu Ha  ;  Kyu Hun Choi 
Citation
 Journal of Korean Medical Science, Vol.24(suppl 1) : 95-101, 2009 
Journal Title
 Journal of Korean Medical Science 
ISSN
 1011-8934 
Issue Date
2009
MeSH
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Kidney Failure, Chronic/complications* ; Kidney Failure, Chronic/epidemiology ; Kidney Failure, Chronic/therapy* ; Korea ; Male ; Middle Aged ; Neoplasms/complications* ; Neoplasms/epidemiology ; Peritoneal Dialysis* ; Registries ; Renal Dialysis* ; Time Factors
Keywords
Gastrointestinal tract ; Kidney Failure, Chronic ; Neoplasms ; Urinary Tract
Abstract
The study of cancer in patients treated with dialysis in Korea has not been reported. The aim of this study was to investigate the incidence and mortality of cancer among patients on dialysis in Korea. The study subjects were 106 cancer patients (2.3%) out of 4,562 end-stage renal disease (ESRD) patients maintained on hemodialysis (HD) or peritoneal dialysis (PD) at Yonsei University Health System from 1996 to 2005. We excluded patients in whom the diagnosis of cancer preceded dialysis or those who received renal allograft or started dialysis after renal allograft. Seventy- three (69%) of our subjects were male and 33 (31%) were female. The mean age at the time of cancer diagnosis was 57.9+/-11.7 yr. The mean time from the start of dialysis to the diagnosis of cancer was 75.2+/-63.9 months. The most common cancer site was gastrointestinal tract (GIT) (51%) followed by urinary tract (20%), lung (8%), and thyroid (7%). Sixty nine percent of the total mortality was due to cancer. The mean time from diagnosis to death was 2.9+/-2.5 yr. In ESRD patients with cancer, there were no significant differences in mortality rates by dialysis modality. In ESRD patients, the most common cancer was GIT cancer followed by urinary tract cancer. Therefore, careful surveillance of these cancers in ESRD patients is highly recommended.
Files in This Item:
T200900676.pdf Download
DOI
10.3346/jkms.2009.24.S1.S95
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Shin Wook(강신욱) ORCID logo https://orcid.org/0000-0002-5677-4756
Kim, Beom Seok(김범석) ORCID logo https://orcid.org/0000-0002-5732-2583
Park, Jung Tak(박정탁) ORCID logo https://orcid.org/0000-0002-2325-8982
Park, Hyeong Cheon(박형천) ORCID logo https://orcid.org/0000-0002-1550-0812
Yoo, Tae Hyun(유태현) ORCID logo https://orcid.org/0000-0002-9183-4507
Lee, Jung Eun(이정은) ORCID logo https://orcid.org/0000-0003-0917-2872
Lee, Ho Yung(이호영)
Cho, Byoung Chul(조병철) ORCID logo https://orcid.org/0000-0002-5562-270X
Choi, Kyu Hun(최규헌) ORCID logo https://orcid.org/0000-0003-0095-9011
Ha, Sung Kyu(하성규)
Han, Dae Suk(한대석)
Han, Seung Jin(한승진)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103626
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