Current Status and Future of End-Stage Kidney Disease in Gulf Cooperation Council Countries: Challenges and Opportunities

Jasuja, Sanjiv; Vachharajani, Tushar J.; AlSahow, Ali; Al-Ghamdi, SaeedM G.; Al-Aradi, AliH; Salmi, Issa Al; Bernieh, Bassam; Bahbahani, Yousif; Al-Ali, Fadwa; Ramachandran, Raja; Schmeißer, Alexander; Mandal, SandeepK; MALHOTRA, R.; Sahay, Manisha; Bhargava, Vinant; Jha, Vivekanand; Rana, DevendraSingh; Sagar, Gaurav; Bahl, Anupam; Kher, Vijay; Prasad, Narayan; Kumar, K P Suresh; Alrukhaimi, Mona; Ashuntantang, GloriaE; Verma, Shalini; Gallieni, Maurizio

doi:10.4103/1319-2442.338281

Cited by 5 publications

(5 citation statements)

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“…In a recent study that explored the state of kidney failure in GCC countries, it was found that the unplanned initiation of HD was threefold higher than planned starts. 7 This highlights the importance of targeting primary care clinics by setting nationwide protocols to ensure early identification of CKD, to allow for timely nephrology referral, access planning, modality education and management. It should be noted as well that a considerable proportion of HD patients may not have the chance to be educated and counselled about PD.…”

Section: The Lack Of Proper Education For Ckd Patients and The High U...mentioning

confidence: 99%

“…PD is less expensive than HD in Bahrain, Kuwait and Oman, while more expensive than HD in Qatar and UAE and of almost the same cost in Saudi Arabia. 7 There are several factors that can influence the costs of PD. Since it is a home dialysis modality, it requires lower dialysis staff and facility overhead costs.…”

Section: The Lack Of Proper Education For Ckd Patients and The High U...mentioning

confidence: 99%

“…[1][2][3][4][5][6] Currently, the mean prevalence of dialysis patients is 551 per million population (pmp), highest in Oman (1000/pmp) and lowest in Qatar (347/pmp), with a mean incidence of 132 pmp. 7 Peritoneal dialysis (PD) is an attractive and effective home dialysis modality, which provides several patientlevel and healthcare system benefits over in-centre haemodialysis (HD). Reports have shown that PD can provide some survival benefits in the first 2 years compared to in-centre HD.…”

Section: Introductionmentioning

confidence: 99%

“…[17][18][19] The rate of PD utilisation as a dialysis modality varies between GCC countries, being highest in Qatar (20%), lowest in UAE (6%) and between 8% and 11% in the remaining countries. 7 The notable wide range of PD penetration is likely related to the different policies for chronic kidney disease (CKD) patient care across GCC countries and the lack of government policy advocating for PD in some of the GCC countries. This article reviews the most common challenges around PD utilisation and practices in GCC countries to provide possible solutions to overcome these challenges (Table 1).…”

Section: Introductionmentioning

confidence: 99%

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Peritoneal dialysis in the Arabian Gulf countries: Challenges and opportunities

Al Sahlawi,

AlRukhaimi,

Al-Ghamdi

et al. 2023

Perit Dial Int

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The Gulf Cooperation Council (GCC) is a regional organisation, consisting of six Arab countries that share common objectives and cultural identities, with a total population of 57.3 million. The prevalence of patients requiring dialysis in GCC countries is increasing, with a current mean prevalence of 551 per million population. Despite the several patient-level and healthcare system benefits of peritoneal dialysis (PD) compared to in-centre haemodialysis, the growth in PD utilisation has been limited. This is related to several factors, including deficiencies in modality education for chronic kidney disease patients, nephrology training and governmental policies advocating for this dialysis modality. Establishing a detailed PD registry in GCC countries is an important step towards understanding our patients’ characteristics, outcomes, current PD practices and challenges in order to increase the use of PD and to facilitate future initiatives aimed at optimising the management of PD patients in this part of the world. This article reviews common challenges around PD practices and utilisation in GCC countries and provides possible solutions to overcome these challenges. It should be noted that the literature on PD patients, outcomes and treatment practices in GCC countries is limited, and as a result, many of our recommendations and discussion are based on clinical observations, experience and data when available.

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Section: The Lack Of Proper Education For Ckd Patients and The High U...mentioning

confidence: 99%

Section: The Lack Of Proper Education For Ckd Patients and The High U...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Peritoneal dialysis in the Arabian Gulf countries: Challenges and opportunities

Al Sahlawi,

AlRukhaimi,

Al-Ghamdi

et al. 2023

Perit Dial Int

Self Cite

View full text Add to dashboard Cite

show abstract

“…High rates of tunneled catheter usage (Table 1), which is due to a lack of adequate vascular access services, lack of dedicated CKD clinics, lack of patient cooperation, and poor vasculature due to comorbidities (10).…”

Section: Dialysis Practices and Outcomesmentioning

confidence: 99%