Pilot Experience in Senegal with Peritoneal Dialysis for End-Stage Renal Disease

Niang, Abdou; Cissé, Mouhamadou Moustapha; Mahmoud, Sidi Mohamed Ould M.; Lemrabott, Ahmed Tall; Kâ, E.H.F.; Diouf, Boucar

doi:10.3747/pdi.2011.00327

Cited by 16 publications

(27 citation statements)

References 5 publications

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“…The annual cost of haemodialysis has been estimated at $ 87 500 in the USA [18], between $ 22 000-55 000 in Nigeria [19,20] when the state subsidizes dialysis, the cost covered by patients is high and the majority cannot afford it. Morbidity and mortality are consequently high [32][33][34][35][36][37][38][39][40][41].…”

Section: Discussionmentioning

confidence: 99%

Cost of care for patients on maintenance haemodialysis in public facilities in Cameroon

Halle

Jimkap

Kaze

et al. 2017

AJN

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Background: The management of end-stage kidney disease constitutes a heavy burden on communities worldwide due to the high cost of renal replacement therapy (RRT). Data on the cost of RRT are scanty in low-income countries. This study aimed to evaluate the global cost of haemodialysis in Cameroon, an emerging economy in Central Africa. This will provide data to help healthcare planners develop more cost-effective strategies for the care of these patients. Methods: A prospective cost analysis of chronic haemodialysis care in three public-sector facilities was conducted in Cameroon. Both incident and prevalent patients were enrolled and followed up for 6 months. Patient data and costs were collected from patient interviews, medical records, bills, hospital price-lists and the procurement departments of the hospitals. Direct medical costs included outpatient consultation fees, dialysis consumables, dialysis session fees, drugs, laboratory and radiological tests. Non-medical direct costs included the cost of transport, feeding, water and electricity. Indirect costs related to the monthly loss of productivity for patients and their caretakers. The annual costs were calculated as the median costs for 6 months multiplied by 2 and were expressed in the local currency, the Central African franc (XAF), and US dollars ($). results: A total of 154 patients (62.3% males), mean age of 46.8 ± 15.2 years, were included, with 6 130 dialysis sessions completed during the study period. The annual median cost of haemodialysis per patient was XAF 7 988 800 ($ 13 581). Out-of-pocket payments amounted to XAF 2 420 300 ($ 4 114), accounting for 30% of the total cost. The median direct cost was XAF 7 458 200 ($ 12 679) and indirect cost XAF 530 600 ($ 902). Direct medical costs accounted for 88%, mainly due to dialysis consumables. In the initiation phase, additional costs of $ 754 were incurred. The cost of hospitalization, laboratory and radiology tests, feeding, consultation fees and some drugs varied significantly among facilities. conclusions: Compared to the national gross domestic product per capita in Cameroon, the cost of care of patients on haemodialysis is high. Out-of-pocket payments are out of the reach of most patients and there is a need for implementing other cost-effective strategies to prevent and manage end-stage kidney disease in our setting.

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Section: Discussionmentioning

confidence: 99%

Cost of care for patients on maintenance haemodialysis in public facilities in Cameroon

Halle

Jimkap

Kaze

et al. 2017

AJN

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“…The centre was inaugurated in March 2004 with different modalities (continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD)) [7]. Forty-six patients are currently treated with this modality (35 CAPD and 11 APD).…”

Section: The Peritoneal Dialysis Centrementioning

confidence: 99%

“…The costs associated with PD are borne by the state, but patients pay the associated costs, such as antibiotics, antihypertensive drugs, and erythropoietin. Advocacy efforts have been directed towards the promotion of domestic manufacture which could significantly reduce the cost of dialysis, and translate into substantial financial gain with a larger number of patients receiving treatment [7].…”

Section: The Peritoneal Dialysis Centrementioning

confidence: 99%

Global Dialysis Perspective: Senegal

Niang

Lemrabott

2020

Kidney360

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“…Chronic peritoneal dialysis is not available in Ghana, and children rarely obtain chronic dialysis [61]. In Senegal, 600 patients receive chronic dialysis, of whom 60 receive peritoneal dialysis (automated and ambulatory) [63]. Among the dialysis patients, 53% are supported by the government including those on peritoneal dialysis, which is entirely covered.…”

Section: Extension Of Coverage For Dialysis In Lowerresource Settingsmentioning

confidence: 99%

Hemodialysis versus peritoneal dialysis in resource-limited settings

Niang

Iyengar

Luyckx

2018

Current Opinion in Nephrology and Hypertension

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Access to both hemodialysis and peritoneal dialysis remains highly inequitable in lower-resource settings. Although challenges associated with dialysis in low-resource settings are similar, and there are more adults who require dialysis in low-resource settings, addressing hemodialysis and peritoneal dialysis needs of children in low-resource settings requires attention as the global inequities are greatest in this area. Lower-income countries are increasingly seeking to improve access to dialysis through various strategies, but meeting the costs of the entire dialysis population continues to be a major challenge.

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Pilot Experience in Senegal with Peritoneal Dialysis for End-Stage Renal Disease

Cited by 16 publications

References 5 publications

Cost of care for patients on maintenance haemodialysis in public facilities in Cameroon

Cost of care for patients on maintenance haemodialysis in public facilities in Cameroon

Global Dialysis Perspective: Senegal

Hemodialysis versus peritoneal dialysis in resource-limited settings

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