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ORIGINAL RESEARCH article

Front. Med.
Sec. Nephrology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1418075
This article is part of the Research Topic Disparities in Nephrotic Syndrome Outcomes View all articles

Epidemiological characteristics, complications of haemodialysis patients with end-stage diabetic nephropathy in a tertiary hospital in Guizhou, China: a cross-sectional survey

Provisionally accepted
Xu X. xiu Xu X. xiu 1,2Yang n. yuan Yang n. yuan 1,2Da j. jing Da j. jing 1,2Li qian Li qian 1,2Yan Zha Yan Zha 1,2*
  • 1 Other, Guiyang, China
  • 2 Other, Guiyang, Guizhou, China

The final, formatted version of the article will be published soon.

    Introduction In China, diabetes mellitus (DM) significantly contributes to end-stage renal disease (ESRD), necessitating treatments like hemodialysis. This study investigates hemodialysis outcomes in diabetic nephropathy patients in Guizhou Province, aiming to enhance care for this high-risk group. Methods The cross-sectional survey design to screen haemodialysis patients with end-stage diabetic nephropathy， A structured questionnaire was designed.The collected data were collated and coded and analysed using GraphPad Prism 9.5.0(730). Results Patients with end-stage diabetic nephropathy undergoing dialysis are primarily concentrated in the middle-aged and elderly population, with a higher proportion of males than females. Male patients also have a higher history of smoking and alcohol consumption compared to females. The disease progression from diabetes to diabetic nephropathy and from nephropathy to end-stage renal disease varies, with a lower dialysis vintage. Hemodialysis is the most commonly chosen treatment modality, with the highest proportion of patients selecting non-tunneled catheters. However, among patients receiving dialysis, the proportion of autogenous arteriovenous fistula (AVF) is the highest. With the increase in the duration of diabetes, the prevalence of multiple complications also increases. Conclusions Early intervention and management strategies are crucial for diabetic nephropathy patients in Guizhou, considering the rapid disease progression to ESRD and high complication rates. The study underscores the need for targeted healthcare policies to address the unique challenges of this population, with future research required to deepen the understanding of disease mechanisms and improve patient outcomes. Keywords:Diabetes mellitus；Diabetic nephropathy; End-stage diabetic nephropathy;Vascular access;multiple complications.

    Keywords: End-stage diabetic nephropat hy, vascular access, Multiple complications, Diabetes Mellitus, diabetic nephropathy

    Received: 16 Apr 2024; Accepted: 07 Oct 2024.

    Copyright: © 2024 xiu, yuan, jing, qian and Zha. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Yan Zha, Other, Guiyang, Guizhou, China

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