Demographics and key clinical characteristics of hemodialysis patients from the Gulf Cooperation Council countries enrolled in the dialysis outcomes and practice patterns study phase 5 (2012-2015)

AlSahow, Ali; Alrukhaimi, Mona; Wakeel, Jamal Al; Al-Ghamdi, Saeed; AlGhareeb, Sumaya; Al-Ali, Fadwa; Salmi, Issa Al; Al-Helal, Bassam; Alghonaim, Mohammed; Bieber, Brian; Pisoni, Ronald L.

doi:10.4103/1319-2442.194885

Cited by 26 publications

(27 citation statements)

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“…(DOPPS) results reported on patients in Gulf countries in general and specifically in the UAE [4]. As for the reasons for initiation of HD, diabetes and hypertension were the most common causes in our sample; a similar finding was reported from DOPPS [4].…”

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confidence: 75%

“…As for the reasons for initiation of HD, diabetes and hypertension were the most common causes in our sample; a similar finding was reported from DOPPS [4]. Finally, hypertension as a comorbidity was prevalent in more than 90% of the patients in both our sample and the representative sample of DOPPS UAE [4]. Moreover, more than half of the patients did not work and 43.9% had university degrees; the former figure is comparable to DOPPS results where Behavior, attitude and knowledge of HD patients regarding exercise are detailed in Table 3.…”

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confidence: 71%

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confidence: 70%

“…62% of HD population in the UAE were unemployed [4], and the latter one is comparable to Dubai Statistic Center results, where 74.1% of the unemployed citizens had university degrees [33]. All these factors allow us to generalize our findings to the general UAE HD population.…”

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confidence: 69%

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Intradialytic Aerobic Exercise in the United Arab Emirates: a Descriptive Study

Salhab

Karavetian

Kooman

et al. 2018

AJNE

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Aim. Intradialytic exercise (IDE) improves hyperphosphatemia management in hemodialysis (HD) patient in addition to other clinical outcomes. The aim of the study is to present the strategies needed to integrate such a protocol in an HD unit in UAE and patients' baseline characteristics. Methods. The largest HD unit in Sharjah emirate was chosen. All eligible patients (n = 57) in the unit were included. Patients were stable adults HD patients who served as their own controls. The intervention included an aerobic low intensity IDE of 45 minutes per HD session, tailored to each patient's fitness scale (BORG scale) for 6 months. Patients were educated on the importance of exercise. Outcome measures were barriers to exercise, serum phosphorus (P), urea reduction ratio (URR), malnutrition inflammation score, quality of life (QOL using euroqol5) collected at baseline and post intervention. Results. A total of 41 patients completed the study, 61% were males and 90.2%, 53.7% and 14.6% suffered from hypertension, diabetes and cardiovascular disease, respectively. Hyperphosphatemia was prevalent among 75% of the patients with a mean of 5.76 ± 1.66 mg/dl. The mean age was 48 ± 14.37 years, BMI 24.98 ± 6.09 kg/m 2 , URR 71.88 ± 8.52%, and Kt/v 1.32 ± 1.09.The main barrier to exercise was identified to be fatigue on HD days by 58.5% of patients, followed by fear of getting hurt (36.6%). Finally, 80.4% of patients were mildly malnourished and QOL scale was 65.02% ± 18.54. Conclusion. Our study highlighted the widespread of hyperphosphatemia and malnutrition in our sample. The IDE regimen, if proven effective in future studies, could be integrated in the routine practice and may improve patients'outcomes.

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confidence: 75%

Section: N (%) N (%)supporting

confidence: 71%

Section: N (%) N (%)supporting

confidence: 70%

Section: N (%) N (%)supporting

confidence: 69%

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Intradialytic Aerobic Exercise in the United Arab Emirates: a Descriptive Study

Salhab

Karavetian

Kooman

et al. 2018

AJNE

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“…The median age of patients enrolled in our study was lower than what was reported by some countries stated in the Dialysis Outcomes and Practice Patterns Study )DOPPS( of the GCC such as Kuwait and UAE, quite similar to median age reported in Saudi Arabia. 16 This study, young age group might justify the good adherence as it decreased the chances for the presence of polypharmacy among patients. Polypharmacy has been identified as a geriatric-related syndrome.…”

Section: Discussionmentioning

confidence: 75%

Phosphate binders usage, patients knowledge, and adherence

Aleidi

Alayed

Alduraibi

et al. 2020

SMJ

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To assess phosphate binders' usage, knowledge regarding their utilization, and adherence among hemodialysis patients in Qassim, Saudi Arabia. Methods: A prospective cross-sectional study conducted at 4 dialysis centers in Qassim, Saudi Arabia with inclusion of 237 patients' undergoing hemodialysis between November 2018 to January 2019. The study involved interviewing the patients, reviewing their Original Article medical records for biomarkers used to assess kidney function, and assessing the patients' knowledge-based regarding dietary phosphate control, as well as adherence to phosphate binders' usage. Results: Out of 237 included patients, male to female ratio was 54:46. The prevalence of prescribing noncalcium phosphate binders was 82.7% whereas prescribing calcium phosphate binders was 73.8%. A total of 63% of patients showed a medium level of adherence to phosphate binders. Although adherence level was not poor, therapeutic efficacy was affected by other factors such as administration time adherence positively correlated with the serum phosphate level)p=0.00(. Conclusion: Phosphate binders usage is frequent among hemodialysis patients in Qassim centers. Circulating phosphate level was affected by the extent of patients' knowledge of dietary control and adherence to the usage of phosphate binders. Thus, we recommend enhancing patient education in reference to high-and lowphosphate-rich diet to take wise dietary decisions, lower pill burden, and improve adherence toward the control of hyperphosphatemia

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