Thailand Renal Replacement Therapy Registry 2023: Epidemiological Insights Into Dialysis Trends and Challenges
Year: 2025
Type: article
Study design: Observational Study
Abstract: INTRODUCTION: The Thailand Renal Replacement Therapy (TRT) Registry is a vital database tracking patient demographics, treatment modalities, and outcomes across hemodialysis centers nationwide. METHODS: This study analyzes TRT Registry data from 2000 to 2023 to identify trends and challenges in managing end-stage kidney disease (ESKD). RESULTS: Among 152 827 patients, 129 113 received hemodialysis, and 23 714 underwent peritoneal dialysis. Diabetic nephropathy and hypertension accounted for over 80% of cases, with IgA nephropathy as the most common biopsy-confirmed glomerulonephritis. Most patients had a primary school education or lower. The Universal Coverage Scheme (46.2%) was the primary funding source. Thrice-weekly dialysis was the most common regimen (65.0%), while 34.3% of patients received twice-weekly dialysis. Key challenges included anemia, malnutrition, vascular access issues, and disparities in dialysis adequacy. Cardiac disease (34.7%), infections (19.7%), and cerebrovascular disease (7.7%) were the leading causes of death. CONCLUSION: Thailand's growing ESKD burden demands improved renal replacement therapy (RRT) strategies. The TRT Registry offers essential insights to guide policy and healthcare improvements.
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4411332335