End‐stage kidney disease in Fiji

Abstract

The incidence of ESKD in Fiji is high. This is a substantial public health problem that is likely impacting life expectancy and quality of life. Improving screening, detection and management of kidney disease should be given more prominence in programs to address non-communicable diseases in Fiji and the Western Pacific. This article is protected by copyright. All rights reserved.

Kidney failure in Samoa

“…The younger age (mean age 56.4 years) at which Samoan people commence haemodialysis, when compared to New Zealand Europeans who commence dialysis [25] , along with reduced survival rates, of approximately 2.9 years, is of significant concern. This pattern of a younger age group of patients commencing haemodialysis is similar to that seen in other Pacific island nations [26][27][28][29] and among pacific peoples living In New Zealand and Australia [ 26 , 27 ]. However survival rates of pacific people on dialysis in New Zealand is far better with a 5 year survival rate over 60% [25] .…”

“…In conclusion, Samoa is facing an epidemic of kidney failure, similar to most other Pacific Islands [25] , [26] , [27] , [28] , [29] . The National Kidney Foundation of Samoa provides subsidised haemodialysis, and is under considerable pressure with rapidly increasing numbers of patients requiring dialysis almost certainly linked to the high incidence of other non-communicable diseases such as diabetes, hypertension and cardiovascular disease.…”

International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Oceania and South East Asia

“…17 Similarly, in 2012, a review of laboratory results and detailed audit of medical records in Fiji estimated a crude KF incidence rate of 753 pmp, indicating that CKD was a substantial public health problem, likely attributable to an increasing prevalence of obesity, diabetes, and hypertension in the Fijian population. 18 It concluded that improvement in kidney disease screening and management was warranted to mitigate adverse impacts on life expectancy and quality of life. 18 Although KRT availability, access, and quality were overall high in participating OSEA countries, they were substantially higher and more affordable for patients in high-income countries.…”

Global Dialysis Perspective: Fiji

“…6 This retrospective study also represents the first attempt to comprehensively define the incidence of ESKD in Fiji but was limited by incomplete administrative and health records. 5 Estimates suggest the overall prevalence of CKD may be the third highest in the Oceania and South East Asia region at 13.64%, 7 but limited data is available on the prevalence of milder stages of CKD in Fiji.…”