Renal replacement therapy for stage 5 chronic kidney disease in the Cayman Islands

Abstract

There has been no documentation on the epidemiology of end stage renal disease (ESRD) in the Cayman Islands. We retrospectively surveyed all facilities providing renal replacement therapy in the Cayman Islands in order to define the epidemiology of kidney failure in this setting. The prevalence of ESRD in this population was 0.975 persons per 1,000 population. There were 48 patients with kidney failure who received replacement therapy either by chronic hemodialysis (36) or kidney transplants (12). The method of access for maintenance hemodialysis was tunneled internal jugular catheter access (3), native arteriovenous fistulae (13) and prosthetic arteriovenous grafts (20). Currently, there is a low prevalence of maintenance hemodialysis by native fistulae (36.1%). A directed effort to increase the use of native fistulae is now necessary to meet the goals set by the National Kidney Foundation and Center for Medicaid Services. Otherwise, renal replacement therapy for patients with ESRD in the Cayman Islands exceeds the standards recommended by the National Kidney Foundation. In order to ensure continued delivery of modern quality care, further audits of the local practice will be required at regular intervals.

Epidemiological profile and perception of patients on chronic hemodialysis through a Moroccan prospective cohort study

“…The most affected age group was between 45 and 64 years and the same result had been reported earlier in Oman (10). Male subjects were more frequently affected, in agreement with previous work (11,12). However, a female predominance was reported in some studies conducted in Cayman Islands (13).…”

Access surgery for hemodialysis in the Cayman Islands: Preliminary results of a vascular access service

“…T he prevalence of end-stage renal disease (ESRD) in the Cayman Islands has been reported to be 0.975 cases per 1000 people (1). This is similar to the prevalence of ESRD in other developing Caribbean nations (2).…”

Upper Limb Ischemic Gangrene as a Complication of Hemodialysis Access

“…Hemodialysis is the commonest form of renal replacement therapy for patients with chronic kidney disease in the Caribbean [1, 2]. With an increasing number of persons being diagnosed with chronic kidney disease and more hemodialysis accesses being created, we have noticed a concomitant rise in access-related complications [3, 4].…”