Issues of Renal Replacement Therapy in Elders Living Low-Income African Countries

Seck, Sidy Mohamed

doi:10.5812/numonthly.7077

Cited by 4 publications

(11 citation statements)

References 5 publications

(6 reference statements)

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“…Chronic kidney disease (CKD) represents one of the greatest public health challenges in the 21st century and is associated with considerable cardiovascular morbidity and mortality ( 1 , 2 ). It has a major effect on healthcare costs and world productivity, particularly in low-income countries where the young people are the most afflicted population ( 3 ). Early detection of CKD along with an adequate management of patients is the best strategy to fight this disease.…”

Section: Introductionmentioning

confidence: 99%

“…Early detection of CKD along with an adequate management of patients is the best strategy to fight this disease. In Africa, although we assist with raising awareness of health authorities about CKD burden, developing prevention and management programs are still difficult due to the scarcity of epidemiologic data at population level ( 3 , 4 ). Most of the current data come from nephrology departments in specialized hospitals in big cities and there is very little information concerning rural populations ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence ofChronic Kidney Disease and Associated Factors in Senegalese Populations: A Community-Based Study in Saint-Louis.

et al. 2014

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Background:Chronic kidney disease (CKD) is an emerging worldwide epidemic but littledata concerning African populations are available.Objectives:We aimed to assess prevalence of CKD in adult populations of Saint-Louis, northern Senegal.Patients and Methods:In a population-based survey between January and May 2012, we included 1037 adults ≥ 18 years of age who resided in Saint-Louis. Socio-demographic, clinical, and biologic data were collected during household visits. Serum creatinine was measured by Jaffé method. We estimated glomerular filtration rate (eGFR) using the four-variable Modification of Diet in Renal Disease (MDRD) equation and CKD was defined by eGFR< 60 mL/min/1.73 m2 and/or albuminuria > 1 g/L. A multivariate logistic regression was performed to identify factors associated with CKD.Results:The mean of participants’ age was 47.9 ± 16.9 years (range, 18-87) and sex ratio (male to female) was 0.52. Majority of participants lived in urban areas (55.3%) and had school education (65.6%). Hypertension, diabetes, and obesity were present respectively in 39.1%, 12.7%, and 23.4% of participants. Overall CKD prevalence was 4.9% (95% CI, 3.5-6.2) with eGFR< 30 mL/min/1.73 m2 in 0.9%. Albuminuria > 1 g/L was found in 3.5% of patients. CKD was significantly more frequent among hypertensive patients in comparison with normotensive ones. Risk factors associated with CKD were hypertension (12% of risk excess) and age (3% of risk excess).Conclusions:CKD is frequent in adult population living in Northern Senegal. Main associated factors are hypertension and age. Prevention strategies are urgently needed to raise public awareness and promote early CKD detection and treatment in both urban and rural areas.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence ofChronic Kidney Disease and Associated Factors in Senegalese Populations: A Community-Based Study in Saint-Louis.

et al. 2014

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“…Chronic renal failure and end-stage renal diseases (ESRDs) are progressive and irreversible disorders and one of the major problems around the world. [ 1 2 3 4 5 6 ] Chronic kidney disease (CKD) leads to an increased risk of cardiovascular disease. [ 7 8 9 ] The incidence of CKD in the USA, Taiwan, and some regions in Mexico is approaching 400 cases per million.…”

Section: Introductionmentioning

confidence: 99%

The effects of an interventional program based on self-care model on health-related quality of life outcomes in hemodialysis patients

Bahadori

Ghavidel

Mohammadzadeh

et al. 2014

J Edu Health Promot

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Background:Hemodialysis patients have lower quality of life and one of the ways to improve their quality of life is providing self-care education to them using some models including self-care model. This study aimed to determine and evaluate the effects of using self-care model on health and quality of life outcomes in hemodialysis patients.Materials and Methods:This was a quasi-experimental study conducted in 2012 on the patients who were referred to a military hospital in Tehran, Iran to be treated with hemodialysis. All 32 patients referred to this hospital in 2012 were selected and studied. Required data were collected using the Short Form-36 (SF-36) standard questionnaire and a researcher-made questionnaire. The educational intervention was implemented using self-care model. Collected data were analyzed using SPSS for Windows version 18.0 and some statistical tests including paired samples t-test, Wilcoxon and McNemar tests.Results:The results showed that the mean and standard deviation (SD) of patients’ parameters including weight and blood pressure improved significantly after the educational intervention compared to before the intervention (P < 0.001). Also, all dimensions of the quality of life of hemodialysis patients, including physical function, role physical, bodily pain, general health, vitality, social function, mental health, and role emotional improved compared to those before the intervention (P < 0.001).Conclusion:Implementing the self-care model increased the quality of life of hemodialysis patients. Therefore, the use of this model in hemodialysis patients is recommended.

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“…Unfortunately, most of these patients do not comply with this due to accessibility financial constrains consequently; most of these patients are rushed to these referral hospitals only at end stage. This high prevalence can further be confirmed by the WHO 2035 projection which forecast a high burden of chronic diseases on the developing nations [12].…”

Section: Discussionmentioning

confidence: 49%

“…Screening for CKD is not routinely performed in many diabetic clinics in SubSaharan Africa due to limited diagnostic resources. In particular, micro albumin testing is available in very few centres in developing countries, the delayed diagnosis of patients at end-stage renal disease (ESRD) has a limited interest because many patients at the end will not have access to renal replacement therapy [11,12] and the cost of health services for patients with CKD is 1.8 times higher compared to patients without CKD, and the average cost for a dialysis patient is 10.3 times more than that of a non-CKD patient [13].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Impaired Renal Function in the Bamenda Health District, North West Region of Cameroon

Km¹,

Thomas²,

Fomboh³

et al. 2017

J Kidney

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Impaired renal function (IRF) is a worldwide problem with adverse outcome of kidney failure, cardiovascular disease (CVD) and death. Consequently research on assessing the burden of this disease in a developing Country like Cameroon where sustainability of end-stage management cannot be guaranteed, is crucial for the adoption of better prevention strategies. The objective of this study was to describe the epidemiology of Impaired Renal Function, among adults in Bamenda health district by the end of 2015. It was a cross sectional study that lasted from March 2015 to December 2015 at the Bamenda Health District. Blood samples were collected from 512 participants through a stratified convenience sampling technique. IRF was defined as Egfr ≤ 60 ml/min/1.73m 2 . Data was analysed using Epi Info version 3.5.1 and Microsoft Excel 2010. Out of the 512 participants, there were 305 (59.6%) females and 207 (40%) males of which 294 (57.4%) were from the rural communities and 218 (42.6%) from the urban communities. The mean age of the participants was 52 years (SD=15.43). It was observed that the prevalence of new cases of the various diseases was very high; hypertension was 44.1%, IRF was 7.40% and Diabetes was 6.4%. This result could be correlated with other studies in Africa. There was also a prevalence of 0.8% of participants who were already at stage 5 but who weren't aware of their status. Prevalence of reduced eGFR was high in the entire population and predominatly dominated by the rural population while awareness was low. Factors associated to IRF were obesity (AOR=2.39; 95%CI 1.13-5.06); pre-diabetes (AOR=2.53; 95%CI 1.03-6.21) and age (AOR=1.04; 95%CI 1.01-1.07). IRF is an increasing burden in Cameroon. More research needs to be done so as to identify some of the risk factors of every community for better interventions.

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Issues of Renal Replacement Therapy in Elders Living Low-Income African Countries

Cited by 4 publications

References 5 publications

Prevalence ofChronic Kidney Disease and Associated Factors in Senegalese Populations: A Community-Based Study in Saint-Louis.

Prevalence ofChronic Kidney Disease and Associated Factors in Senegalese Populations: A Community-Based Study in Saint-Louis.

The effects of an interventional program based on self-care model on health-related quality of life outcomes in hemodialysis patients

Epidemiology of Impaired Renal Function in the Bamenda Health District, North West Region of Cameroon

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