Nephrology in the Tropical Setting

Oo, Akinkugbe

doi:10.1159/000181456

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…The peculiar features of CKD in the tropical areas have been highlighted by Hutt, by Akinkugbe and by Kadiri in independent articles [17,36,37]. In tropical Africa, malaria nephropathy, urinary tract schistosomiasis and other parasite-related causes of chronic glomerulonephritis as well as sickle cell disease contribute significantly to the incidence of CKD [36].…”

Section: The Distribution Of Primary Renal Diseases In Ckdmentioning

confidence: 99%

The epidemiology of end-stage renal disease in Nigeria: the way forward

2011

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The incidence of CKD (Chronic kidney disease) in Nigeria has been shown by various studies to range between 1.6 and 12.4%. We have shown that the burden of renal disease in Nigeria is probably significantly higher than any previous study on end-stage renal disease (ESRD) has documented, as most studies are hospital-based and fail to include the many patients who do not have access to hospital care. The increased prevalence of ESRD among blacks in the United States and South Africa compared with other races also suggests that ESRD may be more prevalent in Africa than in the United States and other developed nations. Common causes of CKD in Nigerian adults are glomerulonephritis and hypertension, while common causes in children are glomerulonephritis and posterior urethral valves. In the United States, diabetes and hypertension are the commonest causes of CKD and glomerulonephritis plays a less important role. Access to renal replacement therapy (RRT) in Nigeria is limited, and mortality rates are very high, ranging between 40 and 50%. Important steps towards improving the situation are the development of prevention programmes and increased funding to ensure increased availability of RRT. To achieve this, health policies concerning CKD must be formulated, and the lack of a renal registry makes it difficult for this to be done. There is need for the development of a functional organizational structure for the reporting of CKD in Nigeria, the Nigerian Renal Registry.

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Section: The Distribution Of Primary Renal Diseases In Ckdmentioning

confidence: 99%

The epidemiology of end-stage renal disease in Nigeria: the way forward

2011

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Practical Use of Peritoneal Dialysis

Mion¹

1989

Replacement of Renal Function by Dialysis

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Hemodialysis: Management problems in developing countries, with Nigeria as a surrogate

Bamgboye

2003

Kidney International

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The incidence of end-stage renal failure is increasing worldwide at an annual growth rate of 8%. Data for much of the developing world are often unavailable, but given the prevalence of poor socioeconomic factors, the incidence is likely to be greater. In Sub-Saharan Africa, economic and manpower factors dictate a conservative approach to therapy in most instances. The majority of those with end-stage renal disease (ESRD) perish because of the lack of funds, as very few can afford regular maintenance dialysis and renal transplantation is often not available. Hemodialysis (HD) remains the most common modality of management, with a very few units offering peritoneal dialysis (PD). Limitations to regular maintenance HD include the paucity of dialysis units, restriction of those units to urban centers, and the absence of government funding or subsidy and health insurance to cover the relatively high costs of dialysis. The few available units are bedeviled with multiple problems: old machines frequently break down, absence of adequate maintenance technical support and spare parts, and frequent power outages. Staff motivation and remuneration are equally poor with consequent disruption of services due to industrial action and emigration of trained staff to the Middle East and Western world. Present avenues for improvements include: focusing on prevention to stem the high prevalence of ESRD, greater government involvement to better fund units and thus enhance the quality of services rendered, and the wider availability of transplantation.

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Nephrology in the Tropical Setting

Cited by 4 publications

References 4 publications

The epidemiology of end-stage renal disease in Nigeria: the way forward

The epidemiology of end-stage renal disease in Nigeria: the way forward

Practical Use of Peritoneal Dialysis

Hemodialysis: Management problems in developing countries, with Nigeria as a surrogate

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