Epidemiology and aetiology of dialysis-treated end-stage kidney disease in Libya

Abstract

Background The extent and the distribution of end stage kidney disease (ESKD) in Libya have not been reported despite provision of dialysis over 4 decades. This study aimed to develop the first comprehensive description of the epidemiology of dialysis-treated ESKD in Libya. Methods Structured demographic and clinical data were obtained regarding all adult patients treated at all maintenance dialysis facilities (n=39) in Libya from May to September 2009. Subsequently data were collected prospectively on all new patients who started dialysis from September 2009 to August 2010. Population estimates were obtained from the Libyan national statistics department. The age and gender breakdown of the population in each region was obtained from mid-2009 population estimates based on 2006 census data. Results The prevalence of dialysis-treated ESKD was 624 per million population (pmp). 85% of prevalent patients were aged <65 years and 58% were male. The prevalence of ESKD varied considerably with age with a peak at 55–64 years (2475 pmp for males; 2197 pmp for females). The annual incidence rate was 282 pmp with some regional variation and a substantially higher rate in the South (617 pmp). The most common cause of ESKD among prevalent and incident patients was diabetes. Other important causes were glomerulonephritis, hypertensive nephropathy and congenital or hereditary diseases. Conclusions Libya has a relatively high prevalence and incidence of dialysis-treated ESKD. As the country prepares to redevelop its healthcare system it is hoped that these data will guide strategies for the prevention of CKD and planning for the provision of renal replacement therapy.

Epidemiological profile of patients with end stage renal disease in a referral hospital in Cameroon

“…In this study patients were relatively young, compared with reports from developed countries were ESRD affects more elderly people [ 27 ]; but our results are in agreement with many reports from developing countries [ 11 - 17 , 28 ]. This young age can be explain at least in part by differences in the etiologic profile of CKD, with conditions of young age such as glomerulonephritis and HIV infections playing an important part in our setting.…”

Effectiveness of an Instructional Program on Knowledge of Patients Undergoing Hemodialysis Related to Fatigue at Habib Ibn Mudahir Al-Asadi Centre in Holy Karbala.

“…This result agree with Amy et al , that show the majority of study sample with mean age (52) (5) .and agree with Vajihe et al , that show the majority of study sample with mean age (54) (6) . This might because of prevalence of diabetes type 2 and long standing uncontrolled hypertension among these age group ( researcher), this result supported by Alashek et al, who sated that diabetes and hypertensive nephropathy were more common causes of end stage renal disease (ESRD) in patients mean age (49) years (7) . Regarding to gender it is noticed that (56%) of the study sample are male and the remaining are female.…”

Out-of-pocket payments of End-stage Renal Disease Patients on Regular Hemodialysis: Cost of illness analysis, Experience from Sudan

“…Based on these statistics, the dialysis population was expected to exceed three million patients by the end of the year 2016. Glomerular diseases, hypertension, and diabetes mellitus are driving factors of ESRD cases (2,12). In Sudan, hypertension is the leading cause of ESRD, followed by glomerular diseases and diabetes mellitus (13,14).…”