Care and outcomes of end-stage kidney disease patients in times of armed conflict: recommendations for action

Isreb, Majd; Rifai, A Oussama; Murad, Lina; Al-Makki, Akram; Al-Saghir, Fahd; Sekkarie, Mohamed

doi:10.5414/cn108795

Cited by 13 publications

(8 citation statements)

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“…Regional and international renal professionals and organizations should play a major role in optimizing the provision of care, education, advocacy, and research. 4 Examples of such efforts include finding ways to get cheaper supplies, especially for peritoneal dialysis; lobbying governments and international organizations to provide protection for this vulnerable population; conducting research on cheaper alternatives, such as lower dialysis dose and low hemoglobin goals; and advocating palliative care.…”

Section: Discussionmentioning

confidence: 99%

“…3 Studies from the Syrian War and other wars showed a major negative impact on the populations with ESRD of the war-torn countries including excess death, loss of facilities, and diminution of the workforce. 4 , 5 As a result, many patients with ESRD seek refuge in other countries. The size and gravity of the problem of patients who need dialysis becoming refugees were recently highlighted in a survey of providers in Europe and the Middle East done by the Renal Disaster Relief Task Force of the International Society of Nephrology and European Renal Association/European Dialysis and Transplant Association.…”

mentioning

confidence: 99%

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The Effect of War on Syrian Refugees With End-Stage Renal Disease

Isreb

Kaysi

Rifai

et al. 2017

Kidney International Reports

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The Effect of War on Syrian Refugees With End-Stage Renal Disease

Isreb

Kaysi

Rifai

et al. 2017

Kidney International Reports

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“…Literature on best practices for continuing medical care during war is scarce [ 6 ], especially for non-communicable diseases [ 5 ]. War conflicts in Iraqi–Kuwait, Bosnia and Herzegovina, Syria, and Yemen were characterized by damaged general infrastructure, disorganization, chaos, lack of electricity, fuel and clean water, and shortages of supplies, medications, diagnostic tools and medical personnel [ 6 , 7 ]. Blockades of humanitarian aid and attacks on healthcare facilities and medical personnel were also used as a military strategy [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

War in Ukraine and dialysis treatment: human suffering and organizational challenges

Novakivskyy¹,

Shurduk²,

Grin³

et al. 2023

Clinical Kidney Journal

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In January 2021, there were 9,648 patients in Ukraine on kidney replacement therapy, including 8,717 on extracorporeal therapies and 931 on peritoneal dialysis. On 24 February 2022, foreign troops entered the territory of Ukraine. Before the war, the Fresenius Medical Care dialysis network in Ukraine operated three medical centres. These medical centres provided haemodialysis therapy to 349 end stage kidney disease patients. In addition, Fresenius Medical Care Ukraine delivered medical supplies to almost all regions of Ukraine. Even though Fresenius Medical Care's share of end stage kidney disease patients on dialysis is small, a brief narrative account of the managerial challenges that Fresenius Medical Care Ukraine and the clinical directors of the Fresenius Medical Care centres had to face, as well as the suffering of the dialysis population, is a useful testimony of the burden imposed by war on these frail, high-risk patients dependent on a complex technology such as dialysis. The war in Ukraine is causing immense suffering for the dialysis population of this country and has called for heroic efforts from the dialysis personnel. The experience of a small dialysis network treating a minority of dialysis patients in Ukraine is described. Guaranteeing dialysis treatment has been and remains an enormous challenge in Ukraine and we are confident that the generosity and the courage of Ukrainian dialysis staff and international aid will help to mitigate this tragic suffering.

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“…Moreover, the influx of Syrian refugees has already overstretched the capacity of the highly privatized health-care system in Lebanon. 5 , 6 Disruption of dialysis sessions might lead to a substantial increase in deaths; 7 however, current interventions, including our programme, are not able to cover all the needs for the management of chronic renal failure among the refugees in Lebanon. A recent survey on the medical and psychosocial challenges of 57 Syrian refugees who required dialysis in Jordan, showed that 14 patients (25% of those surveyed) had at least one period of dialysis interruption of a week or more, with financial reasons being the most common cause.…”

mentioning

confidence: 99%