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Haemodialysis in an emerging centre in a developing country: a two year review and predictors of mortality.

Ekrikpo UE, Udo AI, Ikpeme EE, Effa EE - BMC Nephrol (2011)

Bottom Line: Males and females had similar characteristics at baseline except for a higher median serum urea in the males.This study has highlighted the unchanging demographics of our advanced kidney failure patients.Efforts should be aimed at subsidizing the cost of dialysis for our teeming population of dialysis dependent chronic kidney disease patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Haemodialysis Unit, Department of Medicine, University of Uyo Teaching Hospital, Uyo, Nigeria. udekrikpo@yahoo.com

ABSTRACT

Background: Haemodialysis is the most common form of renal replacement therapy in Nigeria. The high cost of haemodialysis has made optimal therapy of end-stage renal disease difficult in Nigeria. This paper is a review of data collected over two years of provision of dialysis services in a new tertiary hospital in Southern Nigeria.

Methods: This retrospective analysis is done on data obtained from the patient case files and dialysis records in the first two years of provision of dialysis services in our centre. A gender comparison of the patients' baseline sociodemographic, clinical and biochemical was performed and a logistic regression model used to assess the predictors of mortality.

Results: A total of 98 patients had 471 sessions in the two years under review. Males and females had similar characteristics at baseline except for a higher median serum urea in the males. The commonest causes of end-stage renal disease were chronic glomerulonephritis (34.5%), hypertension (32.1%) and diabetes mellitus (17.9%). The main predictor of mortality was under treatment with haemodialysis due to inability to pay for more than a few dialysis sessions.

Conclusions: This study has highlighted the unchanging demographics of our advanced kidney failure patients. Efforts should be aimed at subsidizing the cost of dialysis for our teeming population of dialysis dependent chronic kidney disease patients.

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Related in: MedlinePlus

Map of Nigeria showing the distribution of dialysis centres.
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Figure 1: Map of Nigeria showing the distribution of dialysis centres.

Mentions: Haemodialysis is the most commonly used modality of Renal Replacement Therapy (RRT) worldwide.3 A global survey of RRT options showed that 24% of all haemodialysis patients are treated in the United States and 19% in the European Union [3]. In Sub-Saharan Africa including Nigeria, haemodialysis is the most common modality of RRT [4-6]. The other options (peritoneal dialysis and renal transplantation) are largely uncommon due to the extremely exorbitant cost, lack of facilities and manpower, and the predominantly urban location of the renal care centres [4,6,7]. The distribution of dialysis centres in Nigeria with concentration of the centres in the south western part of the country and the Federal Capital territory is as shown in Figure 1.


Haemodialysis in an emerging centre in a developing country: a two year review and predictors of mortality.

Ekrikpo UE, Udo AI, Ikpeme EE, Effa EE - BMC Nephrol (2011)

Map of Nigeria showing the distribution of dialysis centres.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3198883&req=5

Figure 1: Map of Nigeria showing the distribution of dialysis centres.
Mentions: Haemodialysis is the most commonly used modality of Renal Replacement Therapy (RRT) worldwide.3 A global survey of RRT options showed that 24% of all haemodialysis patients are treated in the United States and 19% in the European Union [3]. In Sub-Saharan Africa including Nigeria, haemodialysis is the most common modality of RRT [4-6]. The other options (peritoneal dialysis and renal transplantation) are largely uncommon due to the extremely exorbitant cost, lack of facilities and manpower, and the predominantly urban location of the renal care centres [4,6,7]. The distribution of dialysis centres in Nigeria with concentration of the centres in the south western part of the country and the Federal Capital territory is as shown in Figure 1.

Bottom Line: Males and females had similar characteristics at baseline except for a higher median serum urea in the males.This study has highlighted the unchanging demographics of our advanced kidney failure patients.Efforts should be aimed at subsidizing the cost of dialysis for our teeming population of dialysis dependent chronic kidney disease patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Haemodialysis Unit, Department of Medicine, University of Uyo Teaching Hospital, Uyo, Nigeria. udekrikpo@yahoo.com

ABSTRACT

Background: Haemodialysis is the most common form of renal replacement therapy in Nigeria. The high cost of haemodialysis has made optimal therapy of end-stage renal disease difficult in Nigeria. This paper is a review of data collected over two years of provision of dialysis services in a new tertiary hospital in Southern Nigeria.

Methods: This retrospective analysis is done on data obtained from the patient case files and dialysis records in the first two years of provision of dialysis services in our centre. A gender comparison of the patients' baseline sociodemographic, clinical and biochemical was performed and a logistic regression model used to assess the predictors of mortality.

Results: A total of 98 patients had 471 sessions in the two years under review. Males and females had similar characteristics at baseline except for a higher median serum urea in the males. The commonest causes of end-stage renal disease were chronic glomerulonephritis (34.5%), hypertension (32.1%) and diabetes mellitus (17.9%). The main predictor of mortality was under treatment with haemodialysis due to inability to pay for more than a few dialysis sessions.

Conclusions: This study has highlighted the unchanging demographics of our advanced kidney failure patients. Efforts should be aimed at subsidizing the cost of dialysis for our teeming population of dialysis dependent chronic kidney disease patients.

Show MeSH
Related in: MedlinePlus