Chronic hemodialysis in a Nigerian teaching hospital: practice and costs.

摘要: The incidence of end-stage renal disease (ESRD) is on the rise in developing countries. To identify issues related to replacement therapy ESRD patients world, we analyzed practice and costs hemodialysis Nigerian patients. Ten were dialyzed at Jos University Teaching Hospital, Jos, Plateau State, Nigeria, between June 15 July 15, 2003. In these patients, initiation, vascular access issues, frequency, duration, adequacy economics chronic hemodialysis. referred nephrologist for first time only when they had developed frank uremia. No patient a permanent dialysis was initiated. Only two functioning fistula, while other eight through temporary femoral vein catheters that removed after each dialysis. Frequency three times weekly 2 twice 1 once or less frequently 7 duration session prescribed be 4 hours, but sessions often lasted as long 10 hours because breakdowns antiquated machines. urea reduction ratio 45.3 +/- 8.6%. every case, cost borne by their families. Comparison dialysis, with extensive re-use supplies, monthly incomes Nigerians different professions revealed great majority cannot afford Underdialysis common caused socioeconomic factors technologic deficits. One step towards correction underdialysis could sharing public.