TY - JOUR
T1 - A massive natural disaster, the Great East Japan Earthquake, and the incidence of dialysis due to end-stage kidney disease
AU - Abe, Michiaki
AU - Akaishi, Tetsuya
AU - Ishizawa, Koto
AU - Shinano, Hirohisa
AU - Ohtomo, Hiroshi
AU - Orikasa, Kazuhiko
AU - Takayama, Shin
AU - Masaura, Atsuko
AU - Miyazaki, Mariko
AU - Abe, Takaaki
AU - Yokota, Kenichi
AU - Ishii, Tadashi
N1 - Funding Information:
We are particularly grateful to Dr. Kiyoshi Azumi, emeritus director of Kesennuna City Hospital, and Nrs. Michiyo Sato and Yuri Ogata, former chief nurses of the nephrology and dialysis units. We would also like to thank Editage (http://www.editage.com) for their English language editing services.
Publisher Copyright:
© 2021, The Author(s).
PY - 2022/4
Y1 - 2022/4
N2 - Background: Disaster-related stress can increase blood pressure and the incidence of cardiovascular diseases. However, the role of massive disasters in the development of end-stage kidney disease (ESKD) remains unknown. We investigated the incidence and different causes of dialysis initiation in patients with chronic kidney disease in a city affected by the Great East Japan Earthquake. Methods: This was a single-center, retrospective observational study. All patients who initiated or were treated with dialysis at Kesennuma City Hospital between 2007 and 2020 were enrolled. The year of dialysis initiation was retrospectively determined based on the initiation date. The causative renal diseases that led to the need for dialysis initiation were divided into four groups: diabetic nephropathy, hypertensive renal disease, glomerulonephritis, and others. Results: Age at dialysis initiation differed significantly among the four groups (p = 0.0262). There was a significant difference in the numbers of the four groups before and after the Great East Japan Earthquake (p = 0.0193). The age of hypertensive renal disease patients was significantly higher than those of patients with diabetic nephropathy (p = 0.0070) and glomerulonephritis (p = 0.0386) after the disaster. The increasing number of dialysis initiations after the Great East Japan Earthquake appeared to be associated with changes in hypertensive renal diseases; the number peaked after 10 years. Conclusions: There was an increase in the number of dialysis initiations, especially caused by hypertensive renal diseases, for up to 10 years after the Great East Japan Earthquake. Graphic abstract: [Figure not available: see fulltext.]
AB - Background: Disaster-related stress can increase blood pressure and the incidence of cardiovascular diseases. However, the role of massive disasters in the development of end-stage kidney disease (ESKD) remains unknown. We investigated the incidence and different causes of dialysis initiation in patients with chronic kidney disease in a city affected by the Great East Japan Earthquake. Methods: This was a single-center, retrospective observational study. All patients who initiated or were treated with dialysis at Kesennuma City Hospital between 2007 and 2020 were enrolled. The year of dialysis initiation was retrospectively determined based on the initiation date. The causative renal diseases that led to the need for dialysis initiation were divided into four groups: diabetic nephropathy, hypertensive renal disease, glomerulonephritis, and others. Results: Age at dialysis initiation differed significantly among the four groups (p = 0.0262). There was a significant difference in the numbers of the four groups before and after the Great East Japan Earthquake (p = 0.0193). The age of hypertensive renal disease patients was significantly higher than those of patients with diabetic nephropathy (p = 0.0070) and glomerulonephritis (p = 0.0386) after the disaster. The increasing number of dialysis initiations after the Great East Japan Earthquake appeared to be associated with changes in hypertensive renal diseases; the number peaked after 10 years. Conclusions: There was an increase in the number of dialysis initiations, especially caused by hypertensive renal diseases, for up to 10 years after the Great East Japan Earthquake. Graphic abstract: [Figure not available: see fulltext.]
KW - Diabetic nephropathy
KW - Dialysis initiation
KW - End-stage kidney disease
KW - Hypertensive renal disease
KW - Massive natural disaster
UR - http://www.scopus.com/inward/record.url?scp=85116881634&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85116881634&partnerID=8YFLogxK
U2 - 10.1007/s40620-021-01140-9
DO - 10.1007/s40620-021-01140-9
M3 - Article
C2 - 34642850
AN - SCOPUS:85116881634
VL - 35
SP - 719
EP - 724
JO - Journal of Nephrology
JF - Journal of Nephrology
SN - 1121-8428
IS - 3
ER -