How and who manage hemodialysis inpatients at national university hospitals in Japan? Based on questionnaire survey

Abstract Background More than three hundred thousand hemodialysis (HD) patients exist in Japan. The average of vintage Japanese was longer Western country. Longer and older tend to have various complications be hospitalized treated by departments. However, the clinical management practices for HD inpatients are not well-known. In this study, we investigated national university hospitals Methods questionnaire-based survey conducted among specialists 42 Japan via online correspondence or letters. This their other responses were obtained from 173 (69%) 249 37 (90%) facilities. Results majority (87%) aware importance medical intervention inpatients. only approximately 20% regularly ordered blood examination chest X-ray Dialysis physicians with less experience faced more difficulty managing departments, experienced specialists. main reason poor communication attending physicians, lack rules, short duration hospital stay Conclusions study indicated that department different each affected experience. Good established inter-departmental rules would necessary.