Objective The purpose of this study was to survey the dialysis status of maintenance hemodialysis(MHD)patients in Jiujiang area,and to provide data support for the further development of hemodialysis in Jiujiang area.Methods The gender,age,dialysis age,primary disease diagnosis and vascular access of end-stage renal disease(ESRD)patients in Jiujiang area in June 2021 were retrospectively selected for a cross-sectional survey.Results A total of 3 818 MHD patients were investigated in this study,including 2 237 males and 1 581 females.The main age was 18-59 years old(58.64%),and the dialysis age was mainly 1-4 years(43.27%).The top three primary renal diseases in dialysis patients were chronic glomerulonephritis(51.49%),diabetic nephropathy(18.07%)and hypertensive nephropathy(17.84%).In terms of composition of dialysis pathway,arteriovenous fistula(AVF)accounted for 82.77%,arteriovenous graft(AVG)accounted for 2.02%,tunneled cuff catheter(TCC)accounted for 12.13%,and non-cuffed catheter(NCC)accounted for 3.09%,AVF and TCC were mainly used for 1-4 years,and the first-time dialysis AVF usage rate was 16.95%.The use of AVF and TCC were related to patients′educational level and economic level.Conclusion The prevalence of MHD and the proportion of MHD patients in elderly groups are high in Jiujiang.The composition of renal disease is similar to most studies in China.The utilization rate of AVF at the first dialysis and the proportion of TCC and AVG in the MHD pathway still lag behind the target.