Outcome and complications of permanent hemodialysis vascular access in Nigerians: A single centre experience

Alhassan, Sani Usman; Adamu, Bappa; Abdu, Aliyu; Aji, SA

doi:10.4103/1596-3519.112410

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…9,11 In majority of patients (n=17) the cause of renal failure was not identified when referred for AVF and among those diagnosed, the most common cause of renal failure was chronic glomerulonephritis (n=9).…”

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confidence: 99%

Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit

Lamichhane

Paudyal

Maskey

et al. 2017

J. Soc. Surg. Nepal

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confidence: 99%

Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit

Lamichhane

Paudyal

Maskey

et al. 2017

J. Soc. Surg. Nepal

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“…The higher rates of temporary catheter use may also reflect the higher rates of late presenting patients in LICs. Patients in lower income countries more often present late with advanced chronic kidney disease (CKD) and acute kidney injury thereby necessitating the immediate use of dialysis with no time for AVF/AVG creation or maturation [ 40 , 43 , 44 ]. The high rates of late presenting diseases in resource strained countries are further compounded by issues surrounding: (1) disproportionality high rates of incidence and prevalence of non-communicable diseases, such as CKD in lower income countries; (2) significant workforce shortages for the growing population of patients with CKD [ 13 ]; (3) a lack of access to laboratory tools (such as serum creatinine and urine protein quantification) that enables early CKD identification and treatment [ 45 ]; and (4) limited public funding and government sponsored financial aid for healthcare expenditures [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Global variations in funding and use of hemodialysis accesses: an international report using the ISN Global Kidney Health Atlas

Ghimire,

Shah,

Chauhan

et al. 2024

BMC Nephrol

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Background There is a lack of contemporary data describing global variations in vascular access for hemodialysis (HD). We used the third iteration of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) to highlight differences in funding and availability of hemodialysis accesses used for initiating HD across world regions. Methods Survey questions were directed at understanding the funding modules for obtaining vascular access and types of accesses used to initiate dialysis. An electronic survey was sent to national and regional key stakeholders affiliated with the ISN between June and September 2022. Countries that participated in the survey were categorized based on World Bank Income Classification (low-, lower-middle, upper-middle, and high-income) and by their regional affiliation with the ISN. Results Data on types of vascular access were available from 160 countries. Respondents from 35 countries (22% of surveyed countries) reported that > 50% of patients started HD with an arteriovenous fistula or graft (AVF or AVG). These rates were higher in Western Europe (n = 14; 64%), North & East Asia (n = 4; 67%), and among high-income countries (n = 24; 38%). The rates of > 50% of patients starting HD with a tunneled dialysis catheter were highest in North America & Caribbean region (n = 7; 58%) and lowest in South Asia and Newly Independent States and Russia (n = 0 in both regions). Respondents from 50% (n = 9) of low-income countries reported that > 75% of patients started HD using a temporary catheter, with the highest rates in Africa (n = 30; 75%) and Latin America (n = 14; 67%). Funding for the creation of vascular access was often through public funding and free at the point of delivery in high-income countries (n = 42; 67% for AVF/AVG, n = 44; 70% for central venous catheters). In low-income countries, private and out of pocket funding was reported as being more common (n = 8; 40% for AVF/AVG, n = 5; 25% for central venous catheters). Conclusions High income countries exhibit variation in the use of AVF/AVG and tunneled catheters. In low-income countries, there is a higher use of temporary dialysis catheters and private funding models for access creation.

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“…Arterio-venous (AV) fistulae is considered common in the sub-region especially with chronic renal failure that will necessitate the creation of AV fistulae using the peripheral vein as the patients wait long on this procedure for dialysis before possibly getting kidney transplant [38] [39].…”

Section: Epidemiologymentioning

confidence: 99%

Epidemiology and Pathophysiology of Acquired Heart Failures Amenable to Surgical Interventions in the Sub-Saharan Africa

Okonta¹

2014

WJCS

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Heart failure (HF) is an important cause of morbidity and mortality in sub-Saharan Africa and indeed worldwide. The management of this condition has largely been thought to be within the domain of the Physician with the Surgeon having little or no role to play. The commonest cause of HF that may require surgical intervention is rheumatic valvular heart disease especially in the young age group while ischaemic heart disease still remains at the low rung of the ladder and interestingly, hypertrophic cardiomyopathy is becoming common. Most of the literatures reviewed failed to identify pericardial diseases, though it ranked topmost in the face of tuberculosis and HIV infections in the sub-region, and the other non-cardiac structures as important causes of HF which is amenable to surgical intervention. Equally, what have not been clearly identified are the surgical aspects; indeed its sub-classifications into heart and non-heart causes have hitherto not been documented. Even though these lists from this review are not exhaustive of the numerous unidentified causes of surgical HF, this would act as stimulus for further and extensive documentation of guideline for the recognition of these sub-classifications of HF amenable to surgery.

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Outcome and complications of permanent hemodialysis vascular access in Nigerians: A single centre experience

Abstract: The outcome of permanent vascular access is favorable in our patient population with a one-year patency rate of 63.2%. The first choice of vascular access in our maintenance dialysis population should be AVF.

Cited by 6 publications

References 11 publications

Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit

Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit

Global variations in funding and use of hemodialysis accesses: an international report using the ISN Global Kidney Health Atlas

Epidemiology and Pathophysiology of Acquired Heart Failures Amenable to Surgical Interventions in the Sub-Saharan Africa

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