This publication is a record of some of the outstanding presentations given at the 63rd Annual
Meeting of the Japanese Society for Dialysis Therapy (JSDT). The meeting was held in Kobe in
2018 celebrating the 50-year anniversary of the founding of the JSDT as a voluntary academic
association. Therapy for end-stage kidney disease (ESKD) now faces vital issues besides the
management of renal anemia and chronic kidney disease-mineral and bone disorder and the
selection of the optimal treatment modality for each patient. These issues include the
increasing incidence of malnutrition and frailty in the elderly fragile vascular access and
the balance between medical costs and budgets. Expert members of the JSDT present 15 articles
that address these issues. This book serves to promote further progress in understanding the
pathogenesis of complications associated with ESKD and providing optimal therapy for patients.
