The program has recorded data on 364 cases with an estimated 40-50 cases yet to be submitted. The mean age of patients was 11.6 years, and the commonest cause for AKI was malaria (48%). Survival to hospital discharge was 75.5%, however some patients were found to have chronic kidney disease and therefore not expected to survive (10.5%). This equates to overall survival in 65% of cases. During the past seven years there have been a number of challenges which have had to be overcome, the most significant of which has been difficulty in sourcing commercially produced PD solutions. This has been overcome by teaching units to prepare solutions locally using Ringers lactate solution with the addition of dextrose. One of the SYL sites has published data recently demonstrating this to be a safe practice with no significant difference in peritonitis rates. Conclusions: The SYL program has successfully proven the principle of developing effective acute PD programs in low resource environments through education and mentorship. With continued expansion into Asia and South America it is envisaged that the success demonstrated in Africa will be replicated around the world.
The advancement of information technology (IT) observed during the last years, in parallel with important changes in the epidemiology of diseases, with the increase of non-communicable diseases, including chronic kidney disease (CKD). Patients and their families need to better understand the disease, to develop selfcare skills and adhere to treatment. The aim of this study is to describe the use of IT strategies in the context of CKD.
Conclusions: The LKDPI demonstrated very low ability to discriminate the transplant outcomes of living kidney donors in Australia and New Zealand. Caution must be used when seeking to use this score to choose between potential living kidney donors.
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