A massive natural disaster, the Great East Japan Earthquake, and the incidence of dialysis due to end-stage kidney disease

Author:

Abe MichiakiORCID,Akaishi Tetsuya,Ishizawa Koto,Shinano Hirohisa,Ohtomo Hiroshi,Orikasa Kazuhiko,Takayama Shin,Masaura Atsuko,Miyazaki Mariko,Abe Takaaki,Yokota Kenichi,Ishii Tadashi

Abstract

Abstract 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

Funder

individual fund from tohoku university hospital discretionary research on 2019

Publisher

Springer Science and Business Media LLC

Subject

Nephrology

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Disasters and kidney care: pitfalls and solutions;Nature Reviews Nephrology;2023-07-21

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