Problems with a renal replacement programme in a developing country
Date
1988Author
McLigeyo, SO
Otieno, LS
Kinuthia, DM
Ongeri, SK
Mwongera, FK
Wairagu, SG
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Since August 1984 patients with end-stage renal disease in Kenya have been started on haemodialysis with a view to renal transplantation. In a two year period (August 1984-August 1986) 77 patients mean age 29.6 years (49 males), have been dialysed. The mean duration on dialysis prior to death or transplantation was 2.9 months (range 1 day to 11 months). Fifty patients (65%) died while on dialysis, including 2 who had had unsuccessful transplantation. Fourteen patients were still on dialysis, 11 had discharged themselves to peripheral hospitals for conservative management, and 2 had had successful renal transplantation. The possible causes of this abysmal experience include admission of critically ill patients, shortage of trained staff, over-dependence on arteriovenous shunts for vascular access, lack of centralization of patient management, recurrent shortage of essential equipment and reagents and a slow pace of transplantation.
URI
http://hinari-gw.who.int/whalecomwww.ncbi.nlm.nih.gov/whalecom0/pubmed/3076664http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15485
Citation
Postgrad Med J. 1988 Oct;64(756):783-6.Publisher
Department of Medicine, University of Nairobi Renal Unit, Kenyatta National Hospital, Nairobi.
Collections
- Faculty of Health Sciences (FHS) [10387]