SUN-184 Database Construction for Hemodialysis Patients in Sichuan Province

Abstract

The incidence of hemodialysis(HD) is escalating dramatically in recent years, which brings about great challenge and also opportunities for Sichuan Quality Control Center of Renal Disease. In order to acquire general information, patient distribution, medical staff, medical equipments and the principle clinical indexes of HD patients, basing on previous experience in software designing, we initiated a provincial renal database, providing free HD software for the whole province. The provincial database was a web-based database, which was set up with free connections to the HD software. In order to help dialysis center in Sichuan. We provided a free software (Jiangsu Huibang Information Technology Co., Ltd.), which could pack the data and upload to the provincial database. We also provide a connection protocol for other HD software that was already installed in HD facilities. The provincial database did not open manually input function in order to reduce the tasks for HD staff. The database was set up in May 2018. The free HD software was open for application from May 2018. Survey and visit interview was carried out to help setting up the database. There were 171 HD centers (around 1/2 of HD centers in Sichuan Province) completing the installation of free HD software by April 2019, among which, 77 HD centers begun to upload data to provincial database. There were 11583 HD patients in the database, accounting for about 1/3 of the HD patients in the whole province. The mean age was 55 years for the reported patients with a female proportion of 41.46%. The proportion of HD patients within treatment target for hemoglobin, serum calcium level, serum phosphorus level and serum albumin was 37%, 52% and 58% and 84% in year 2018. A new strategy for setting up a provincial database from providing software in dialysis centers is an efficient way, which is not only good for dialysis quality control, but also is important for registry based studies.