Global Dialysis Perspective: Egypt

Farag, Youssef M.K.; El-Sayed, Enass

doi:10.34067/kid.0007482021

Cited by 17 publications

(9 citation statements)

References 16 publications

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“…Demographically, the centralization of dialysis services in urban areas was anticipated, reflecting Al-Baha’s population distribution. Notably, the predominance of middle-aged adults (ages 46 to 55 years) undergoing dialysis mirrors global trends [ 24 , 25 ], and the higher incidence of ESRD in men in our study is consistent with global patterns [ 26 ]. These demographic insights are critical for targeted interventions and resource allocation within the healthcare system.…”

Section: Discussionsupporting

confidence: 87%

Leading Causes of Chronic Kidney Disease Among Dialysis Patients in Al-Baha Region, Saudi Arabia

Alhazmi,

Alghamdi,

Alzahrani

et al. 2023

Cureus

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Introduction Chronic kidney disease (CKD) and its progression to end-stage renal disease (ESRD) represent a growing health concern globally, with hypertension and diabetes commonly identified as primary etiological factors. This study evaluates the demographic and health profiles of individuals undergoing dialysis treatment in the Al-Baha region of Saudi Arabia, aiming to identify the predominant causes of ESRD and the associated socioeconomic and healthcare-related factors. Methodology This cross-sectional study analyzed data from patients receiving dialysis in Al-Baha. We assessed variables including etiology of ESRD, demographic data, presence of comorbid conditions, initial symptoms, and pre-dialysis health care engagement. Statistical analysis focused on the prevalence and correlations between the different variables and ESRD. The study also examined patients’ educational background and employment status to ascertain ESRD’s socioeconomic impact. Results The study found hypertension and diabetes as the leading causes of ESRD. Unknown etiologies accounted for 10.1% of cases, highlighting an area for further research. Notably, coronavirus disease 2019 (COVID-19) and cardiogenic shock emerged as potential new contributors, each representing 1.7% of cases. Most patients resided in urban areas, with the largest age group being 46 to 55 years. Men had a higher prevalence of ESRD than women. Low educational attainment was significant among patients, and unemployment due to ESRD was prevalent, pointing towards the need for vocational support. Clinical findings revealed late referrals to nephrologists, with a substantial proportion of diagnoses occurring in emergency settings. Family history suggested a higher-than-expected genetic component of CKD in the region. Conclusion The study confirms hypertension and diabetes as principal contributors to ESRD in Al-Baha while also pointing to the emergence of COVID-19 as a potential risk factor. Socioeconomic factors, including educational and employment status, are critical to patient management and outcomes. The high percentage of unknown etiologies and familial CKD prevalence warrants additional research. Improving early detection, enhancing patient education, and fostering timely nephrology consultations could mitigate the progression to ESRD and enhance patient quality of life.

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Section: Discussionsupporting

confidence: 87%

Leading Causes of Chronic Kidney Disease Among Dialysis Patients in Al-Baha Region, Saudi Arabia

Alhazmi,

Alghamdi,

Alzahrani

et al. 2023

Cureus

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“… 17 In Egypt, for example, 42% of patients receiving dialysis in 2020 were females, despite the prevalence of CKD (albeit all stages) being 20% higher among females. 4 , 18 However, given that this gender imbalance in KRT recipients is not unique to Egypt or the other countries listed, 17 other factors will also be at play and most likely relate to stark gender inequalities that exist. Indeed, with the exception of Malaysia, all of these countries ranked among the lowest 20 countries of the 153 included in the 2020 Global Gender Gap Index.…”

Section: Discussionmentioning

confidence: 99%

Sex Differences in CKD-Associated Mortality From 1990 to 2019: Data From the Global Burden of Disease Study

2022

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“…The most recent available estimate for the prevalence of dialysis in Egypt in 2019 and is reported to be 0.61 per 1,000 people with an incidence estimate of 0.192 per 1,000 people. Patients undergoing dialysis in Egypt in 2020 were mostly males (58.7%) and half of them are aged 55 years and older (World Population Review, 2021; Farag, & El-Sayed, 2022) [11,15] .…”

Section: Significance Of the Studymentioning

confidence: 99%

The effect of an educational program on quality of life for patients with chronic renal failure

Ali¹,

Hassan²

2023

Int. J. Adv. Res. Nurs.

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Quality of life is regarded as a primary aim in renal failure management, approaching quality of life of patients through an educational program is fundamental and active involvement of patients in their management is an essential component to the overall improvement of their quality of life.The aim: This study aimed to evaluate the effect of an educational program on quality of life for patients with chronic renal failure. Design: Aquasi-experimental research design was utilized. Setting: the study was conducuted at the dialysis unit at 15 May hospital affiliated to ministry of health. Samples: A purposive sample of 50 adult patients from both genders diagnosed with chronic renal failure Tools: Three tools were utilized for data collection Tool (I): Structured interview questionnaire. Tool (II): Knowledge assessment questionnaire. Tool (III): Kidney Disease Quality of Life-Short Form (KDQOL-SF™1.3). Results: 52.0% of studied patient aged from 40-60 years. There were high statistically significant differences of patients' knowledge and quality of life domains as physical, emotional, social and sexual domains with P value (0.000) in comparison to preprogram implementation. There were high statistically significant positive correlations between quality of life and knowledge scores during immediate post and follow up phases (P= 0.000). Conclusions: There was an improvement of patients' level of knowledge regarding care of their disease which leads to improvement of patients' quality of life. Recommendations: The developed educational program should be implemented on a wider scale and evaluated for further improvement.

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Global Dialysis Perspective: Egypt

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Cited by 17 publications

References 16 publications

Leading Causes of Chronic Kidney Disease Among Dialysis Patients in Al-Baha Region, Saudi Arabia

Leading Causes of Chronic Kidney Disease Among Dialysis Patients in Al-Baha Region, Saudi Arabia

Sex Differences in CKD-Associated Mortality From 1990 to 2019: Data From the Global Burden of Disease Study

The effect of an educational program on quality of life for patients with chronic renal failure

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