A cross-sectional study of dialysis practice-patterns in patients with chronic kidney disease on maintenance hemodialysis
We studied the dialysis practice-patterns with regard to various aspects of chronic kidney disease (CKD) stage 5D, like anemia, mineral bone disease, vaccination, hospitalization, hypertension and cost of therapy. Four hundred and sixty-four adult hemodialysis (HD) patients from various dialysis cen...
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Published in | Saudi journal of kidney diseases and transplantation Vol. 26; no. 5; pp. 1050 - 1056 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Riyadh, Saudi Arabia
Saudi Center for Organ Transplantation
01.09.2015
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Wolters Kluwer Medknow Publications |
Subjects | |
Online Access | Get full text |
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Summary: | We studied the dialysis practice-patterns with regard to various aspects of chronic
kidney disease (CKD) stage 5D, like anemia, mineral bone disease, vaccination, hospitalization,
hypertension and cost of therapy. Four hundred and sixty-four adult hemodialysis (HD) patients
from various dialysis centers of Mumbai were included in the study. The mean age of the study
patients was 47.2 years. Temporary dialysis catheters were the most common initial vascular
access. Thirteen percent of prevalent HD patients were on temporary catheters; 33% of patients
had history of failure of arterio-venous fistula. The most common cause of failure was access
thrombosis. About 75% of the patients had hemoglobin <11 g/dL and 35% had uncontrolled
blood pressure. The prevalence of positive hepatitis B surface antigen and anti-hepatitis C virus
antibody was 6% and 2%, respectively. The average cost of HD treatment was approximately
6100 Indian rupees (about US $100). HD is helpful in treating many of the clinical manifestations
of CKD and postpones otherwise imminent death. However, dialysis treatment is no panacea to
renal failure; HD patients have higher hospitalization rates and lower quality of life than the
general population. The therapy itself brings with it a unique set of problems, such as vascular
access-related complications, which cause significant mortality and morbidity. This study was a
study of the current HD practices. The primary goal of this cross-sectional observational study is
to understand dialysis practices and obtain data that can be used to improve care in the future. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 |
ISSN: | 1319-2442 2320-3838 |
DOI: | 10.4103/1319-2442.164607 |