Peritoneal dialysis in Iraq: Past and the modern era

Abstract

Background: The peritoneal cavity, a region of the abdomen, receives dialysate, a cleansing solution, via a catheter tube. The dialysate removes waste from blood vessels in the peritoneum; subsequently, the fluid is removed from the body and disposed of. Benefits of chronic PD include reduced costs, home-based therapy, single access, a decreased need for highly skilled workers and large infrastructure. Aim: This study aimed to assess the prevalence and outcomes of acute and chronic PD in the Iraqi population Methods: We have gathered data regarding every patient who received acute and chronic peritoneal dialysis in Iraq in period between 2016-2024 to know the prevalence and mortality rate.450 patients with end stage renal disease undergo chronic peritoneal dialysis in AL-Najaf center. 950,459,74,23 patients have acute peritoneal dialysis in children welfare teaching hospital. Mosul,AL-Nasyrea and AL-Basra centers respectively. Results: Among the subjects, 450 patients underwent chronic dialysis at the Al-Najaf center, with a mortality rate of 41%. Sepsis and cardiac disease were the most common causes of death. Four percent underwent kidney transplant, and 18% were transferred to hemodialysis. Regarding acute pediatric PD, a high rate of complete recovery was observed at the Children Welfare Teaching Hospital and Mosul, Al-Nasyrea, and Al-Basra centers, with rates of 72%, 83%, 70%, and 48%, respectively. The death rates in these centers were 25.7%, 16.7%, 29.7%, and 26%, respectively. Conclusions: The findings demonstrate that infection and cardiovascular diseases are the most common causes of death in adult CAPD patients; a high recovery rate can be achieved from acute peritoneal dialysis in children; and limited access to CAPD solutions complicates practice.