A Single-Center 7-Year Experience with End-Stage Renal Disease Care in Nigeria—A Surrogate for the Poor State of ESRD Care in Nigeria and Other Sub-Saharan African Countries: Advocacy for a Global Fund for ESRD Care Program in Sub-Saharan African Countries
Identifieur interne : 003546 ( Main/Merge ); précédent : 003545; suivant : 003547A Single-Center 7-Year Experience with End-Stage Renal Disease Care in Nigeria—A Surrogate for the Poor State of ESRD Care in Nigeria and Other Sub-Saharan African Countries: Advocacy for a Global Fund for ESRD Care Program in Sub-Saharan African Countries
Auteurs : Datonye Dennis Alasia [Nigeria] ; Pedro Emem-Chioma [Nigeria] ; Friday Samuel Wokoma [Nigeria]Source :
- International Journal of Nephrology [ 2090-214X ] ; 2012.
Abstract
Url:
DOI: 10.1155/2012/639653
PubMed: 22811906
PubMed Central: 3395225
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Single-Center 7-Year Experience with End-Stage Renal Disease Care in Nigeria—A Surrogate for the Poor State of ESRD Care in Nigeria and Other Sub-Saharan African Countries: Advocacy for a Global Fund for ESRD Care Program in Sub-Saharan African Countries</title><author><name sortKey="Alasia, Datonye Dennis" sort="Alasia, Datonye Dennis" uniqKey="Alasia D" first="Datonye Dennis" last="Alasia">Datonye Dennis Alasia</name><affiliation wicri:level="1"><nlm:aff id="I1">Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001</wicri:regionArea><wicri:noRegion>Port Harcourt 50001</wicri:noRegion></affiliation></author><author><name sortKey="Emem Chioma, Pedro" sort="Emem Chioma, Pedro" uniqKey="Emem Chioma P" first="Pedro" last="Emem-Chioma">Pedro Emem-Chioma</name><affiliation wicri:level="1"><nlm:aff id="I1">Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001</wicri:regionArea><wicri:noRegion>Port Harcourt 50001</wicri:noRegion></affiliation></author><author><name sortKey="Wokoma, Friday Samuel" sort="Wokoma, Friday Samuel" uniqKey="Wokoma F" first="Friday Samuel" last="Wokoma">Friday Samuel Wokoma</name><affiliation wicri:level="1"><nlm:aff id="I1">Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001, Nigeria</nlm:aff><country 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wicri:step="Checkpoint">001F87</idno><idno type="wicri:Area/Ncbi/Merge">001843</idno><idno type="wicri:Area/Ncbi/Curation">001843</idno><idno type="wicri:Area/Ncbi/Checkpoint">001843</idno><idno type="wicri:doubleKey">2090-214X:2012:Alasia D:a:single:center</idno><idno type="wicri:Area/Main/Merge">003546</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Single-Center 7-Year Experience with End-Stage Renal Disease Care in Nigeria—A Surrogate for the Poor State of ESRD Care in Nigeria and Other Sub-Saharan African Countries: Advocacy for a Global Fund for ESRD Care Program in Sub-Saharan African Countries</title><author><name sortKey="Alasia, Datonye Dennis" sort="Alasia, Datonye Dennis" uniqKey="Alasia D" first="Datonye Dennis" last="Alasia">Datonye Dennis Alasia</name><affiliation wicri:level="1"><nlm:aff id="I1">Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001</wicri:regionArea><wicri:noRegion>Port Harcourt 50001</wicri:noRegion></affiliation></author><author><name sortKey="Emem Chioma, Pedro" sort="Emem Chioma, Pedro" uniqKey="Emem Chioma P" first="Pedro" last="Emem-Chioma">Pedro Emem-Chioma</name><affiliation wicri:level="1"><nlm:aff id="I1">Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001</wicri:regionArea><wicri:noRegion>Port Harcourt 50001</wicri:noRegion></affiliation></author><author><name sortKey="Wokoma, Friday Samuel" sort="Wokoma, Friday Samuel" uniqKey="Wokoma F" first="Friday Samuel" last="Wokoma">Friday Samuel Wokoma</name><affiliation wicri:level="1"><nlm:aff id="I1">Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001</wicri:regionArea><wicri:noRegion>Port Harcourt 50001</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Nephrology</title><idno type="ISSN">2090-214X</idno><idno type="eISSN">2090-2158</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Background</italic>. A single-center ESRD care experience in a Nigerian teaching hospital is presented as a surrogate case to demonstrate the prevailing ESRD care situation in Nigeria and most SSA countries. <italic>Methods</italic>. The data of 320 consecutive ESRD patients undergoing maintenance haemodialysis treatment during a seven-year period were retrospectively analyzed. <italic>Results</italic>. Over 80% of the subjects funded dialysis treatments from direct out of pocket payment. The mean duration on dialysis before dropout was 5.2 ± 7.6 weeks, with majority 314 (98.1%) of the patients unable to sustain dialysis above 12 weeks. Total dialysis sessions during the 7-year period was 1476 giving an average weekly dialysis session of 0.013 (0.05 hour/week) per patient per week. One hundred and twenty-eight (40%) patients died within 90 days of entry into dialysis care. <italic>Conclusions</italic>. ESRD care in this single centre was characterized by gross dialysis inadequacy and case fatality due to the inability to access and afford care. The opportunities for kidney transplantation are also very low. Poverty and the absence of government support for ESRD care are responsible for the poor outcomes. A global focus on ESRD care in SSA countries has thus become imperative.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Barsoum, Rs" uniqKey="Barsoum R">RS Barsoum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sumaili, Ek" uniqKey="Sumaili E">EK Sumaili</name></author><author><name sortKey="Cohen, Ep" uniqKey="Cohen E">EP Cohen</name></author><author><name sortKey="Zinga, Cv" uniqKey="Zinga C">CV Zinga</name></author><author><name sortKey="Krzesinski, Jm" uniqKey="Krzesinski J">JM Krzesinski</name></author><author><name sortKey="Pakasa, Nm" uniqKey="Pakasa N">NM Pakasa</name></author><author><name sortKey="Nseka, Nm" uniqKey="Nseka N">NM Nseka</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Akinsola, W" uniqKey="Akinsola W">W Akinsola</name></author><author><name sortKey="Odesanmi, Wo" uniqKey="Odesanmi W">WO 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