Peritoneal Dialysis in Africa

Abu‐Aisha, Hassan; Elamin, Sarra

doi:10.3747/pdi.2008.00226

Cited by 64 publications

(72 citation statements)

References 7 publications

(5 reference statements)

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“…The technical simplicity of peritoneal dialysis (PD) and the potential to reduce costs if consumables can be made locally present an opportunity to establish cost-effective programs for managing AKI. However, to date, PD is not routinely available across sub-Saharan Africa because of cost and a lack of clinical expertise (6,7).…”

mentioning

confidence: 99%

Outcome of Acute Peritoneal Dialysis in Northern Tanzania

et al. 2012

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mentioning

confidence: 99%

Outcome of Acute Peritoneal Dialysis in Northern Tanzania

et al. 2012

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“…The total dialysis population of Africa was estimated at 69,800 patients in 2007, indicating a rate of 74 patients per million population compared to a global average of 250 per million (1). Of these patients, only 2,050 (2.9%) were treated by PD.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment for ESRD in Africa is often limited and the availability of dialysis is variable. In almost half of African countries, no dialysis patients are reported and no kidney transplants are being done (1).…”

mentioning

confidence: 99%

Pilot Experience in Senegal with Peritoneal Dialysis for End-Stage Renal Disease

Niang¹,

Cissé²,

Mahmoud³

et al. 2014

Perit Dial Int

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“…The cost ratio of HD to CAPD is much lower in LMICs (Table 2). [17][18][19][20][21][22][23][24][25] Also, dialysis availability in LMICs has thus been challenging given the double burden of communicable and noncommunicable diseases (NCDs) that many LMICs are faced with along with the added pressure to distribute health care resources to attend to all health challenges. The high cost of dialysis arises from the different components of service provision.…”

Section: Role Of Cost and Availability Of Capd Servicesmentioning

confidence: 99%

Continuous ambulatory peritoneal dialysis: perspectives on patient selection in low- to middle-income countries

Wearne¹,

Kilonzo²,

Effa³

et al. 2017

IJNRD

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Abstract:Chronic kidney disease is a major public health problem that continues to show an unrelenting global increase in prevalence. The prevalence of chronic kidney disease has been predicted to grow the fastest in low-to middle-income countries (LMICs). There is evidence that people living in LMICs have the highest need for renal replacement therapy (RRT) despite the lowest access to various modalities of treatment. As continuous ambulatory peritoneal dialysis (CAPD) does not require advanced technologies, much infrastructure, or need for dialysis staff support, it should be an ideal form of RRT in LMICs, particularly for those living in remote areas. However, CAPD is scarcely available in many LMICs, and even where available, there are several hurdles to be confronted regarding patient selection for this modality. High cost of CAPD due to unavailability of fluids, low patient education and motivation, low remuneration for nephrologists, lack of expertise/experience for catheter insertion and management of complications, presence of associated comorbid diseases, and various socio-demographic factors contribute significantly toward reduced patient selection for CAPD. Cost of CAPD fluids seems to be a major constraint given that many countries do not have the capacity to manufacture fluids but instead rely heavily on fluids imported from developed countries. There is need to invest in fluid manufacturing (either nationally or regionally) in LMICs to improve uptake of patients treated with CAPD. Workforce training and retraining will be necessary to ensure that there is coordination of CAPD programs and increase the use of protocols designed to improve CAPD outcomes such as insertion of catheters, treatment of peritonitis, and treatment of complications associated with CAPD. Training of nephrology workforce in CAPD will increase workforce experience and make CAPD a more acceptable RRT modality with improved outcomes.

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Peritoneal Dialysis in Africa

Cited by 64 publications

References 7 publications

Outcome of Acute Peritoneal Dialysis in Northern Tanzania

Outcome of Acute Peritoneal Dialysis in Northern Tanzania

Pilot Experience in Senegal with Peritoneal Dialysis for End-Stage Renal Disease

Continuous ambulatory peritoneal dialysis: perspectives on patient selection in low- to middle-income countries

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