Patients Journey to hemodialysis centers: Multi-center study

Main Article Content

Ali Jasim Alsaedi https://orcid.org/0009-0001-0171-1627
Dalia Ali
Anas Saad Kalaf Aljboori
Anas Nouri Mansour
Zahraa Haider Mahdi
Dalya Sameer Faeq
Riyam Khailed Mahsoob

Keywords

hemodialysis centers, quality of life, transportation

Abstract

Background: Hemodialysis is used to restore electrolyte balance (sodium levels, potassium in the body, bicarbonate, chloride, as well as magnesium, calcium, and phosphate) and filters the waste products and excess fluid. Unfortunately, developing nations continue to have a severe shortage of resources, which makes it difficult to provide highly technical and costly care like dialysis. Aim: The study's objective is to reveal and trace the journey of patients with end stage kidney disease who are on regular hemodialysis program and how they reach to dialysis centers. Methods: the study was to be conducted in many dialysis centers in different regions in Iraq to trace the patients journey to dialysis centers and how they reach the place. Results: The study population consisted of 400 participants, 60.2% of them were males and 39.8% were females. The majority were between 50-69 years old. Baghdad constituted the greater part of the participant’s province (88.3%). 56.00% of the patients went to dialysis sessions three times per week, 42.25% of them went twice times. (24.75%) of patient get to dialysis center by private car, (68.00%) by Taxi and (6.25%) by bus. 42.75% spent 30 mins-1hr to get to dialysis center, 41.75% spent 10 mins-30 mins .54.61% spend 10,000IQD to 20,000IQD to get to dialysis center. Conclusion: transportation-related issues seem to have an impact on the provision of in-center hemodialysis. This could have an impact on the dialysis provider as well as the particular patient.

Abstract 70 | Full Text PDF Downloads 10

References

1. Kwabena T. Awuah, Susan H. Finkelstein, Fredric O. Finkelstein, Quality of life of chronic kidney disease patients in developing countries, Kidney International Supplements (2013) 3, 227–229.
2. Moeller S. Gioberge S, Brown G. ESRD patients in 2001: Global overview of patients. treatment modalities and development trends: Nephrol Dial Transplant 2002;17(12):2071-6.
3. [8]Betjes, M. 2013. Immune cell dysfunction and inflammation in end‐stage renal disease. Nat. Rev. Nephrol. 9:255–265. [PubMed] [Google Scholar]
4. [9]1 Stenvinkel, P. 2010. Chronic kidney disease: a public health priority and harbinger of premature cardiovascular disease. J. Intern. Med. 268:456–467. [PubMed] [Google Scholar]
5. Heine, G. H. , Ortiz A., Massy Z. A., Lindholm B., Wiecek A., Martines‐Castelao A., et al. 2012. Monocyte subpopulations and cardiovascular risk in chronic kidney disease. Nat. Rev. Nephrol. 8:362–369. [PubMed] [Google Scholar]
6. Jager KJ, et al. Nephrol Dial Transplant 2019;34:1803–1805; 2. American Society of Nephrology. ASN Kidney News 2018. Available at: https://www.kidneynews. org/kidneynews/10_8/4/4.pdf (Accessed January 2021); 3. United States Renal Data System. USRDS Annual Data Report 2017; 4. Vanholder R, et al. J Am Soc Nephrol 2012;23:1291–1298 5. AstraZeneca. Data on file REF-75059
7. Szczech LA, et al. PLoS One 2014;9:e110535; 2. Fraser SDS, Blakeman T. Pragmat Obs Res 2016;7:21–32; 3. Vaidya SR, Aeddula NR. Chronic Renal Failure 2019. Available at: https://knowledge.statpearls.com/chapter/0/28357 (Accessed October 2019).
8. Finkelstein FO, Wuerth D, Finkelstein SH. Health related quality of life and the CKD patient: challenges for the nephrology community. Kidney Int 2009; 76: 946–952
9. 9-Vivekanand Jha, Kirpal S. Chugh. The Practice of Dialysis in the Developing Countries. Hemodialysis International. Volume 7, Issue 3 p. 239-249
10. Vivekanand Jha, M.D., D.M. End-Stage Renal Care in Developing Countries: The India Experience. RENAL FAILURE. Vol. 26, No. 3, pp. 201–208, 2004.
11. Jha V, Chugh S, Chugh KS. The approach to dialysis in developing countries. In: N Lamiere, RL Mehra, eds. Complications of Dialysis. New York: Dekker, 2000; 811–822.
12. Steven A. Iacono, LMSW, FMCNA Midtown Dialysis Center, Columbia, South Carolina, Transportation Issues and Their Impact Upon In-Center Hemodialysis. Journal of Nephrology Social Work, Volume 23, 2004.
13. Vivekanand Jha, Kirpal S. Chugh. The Practice of Dialysis in the Developing Countries. Hemodialysis International. Volume 7, Issue 3 p. 239-249
14. Hailemariam Tadesse,1 Hordofa Gutema,2 Yosef Wasihun ,2 Samuel Dagne ,2 Yonatan Menber,2 Pammela Petrucka,3 and Netsanet Fentahun2. Lived Experiences of Patients with Chronic Kidney Disease Receiving Hemodialysis in Felege Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia. Hindawi, International Journal of Nephrology Volume 2021, Article ID 6637272, 8 pages, https://doi.org/10.1155/2021/6637272.

Similar Articles

1-10 of 22

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)