Quality of life of patients with end-stage renal disease in Guinea

Bah, Alpha Oumar; Nankeu, Nestor; Balde, Mamadou Cellou; Kaba, Mohamed Lamine; Bah, Bah Kadiatou-Hadiatou; Rostaing, Lionel

doi:10.4103/1319-2442.144322

Cited by 11 publications

(13 citation statements)

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“…Ka EHF, et al reported an average of 50.2 in Cotonou [7]. It was 48.8 years and 40.3 years respectively in Conakry [8] and Bamako [9]. The average age of our patients was broadly comparable to that of patients living in capitals of the countries of the sub-region.…”

Section: Resultssupporting

confidence: 56%

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Quality of Life in Chronic Hemodialysed Patients: Observational Study in Three Hemodialysis Units in Semi-Urban Areas of Senegal (West Africa)

Kane¹,

Brenner²,

Faye³

et al. 2019

J Clin Nephrol Ren Care

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Introduction: End-stage renal failure has a significant impact on patients' daily lives, which can be measured by quality of life questionnaires. The objective of this study was to assess the health condition related to quality of life in hemodialysed patients in three semi-urban hospitals of Senegal and to determine the factors associated with it. Materials and methods: During an observational, transversal, descriptive and analytical study conducted for 2 months, between March 1 st and April 30 th , 2016, the patients' records, in 3 cities, maintained under regular hemodialysis for at least 3 months and at least 18-years-old, have been analysed. The health-related quality of life assessment was executed by an interview with patients using the French version of the KDQOL-SF-1.3 questionnaire. Association levels between health domain values and sociodemographic, clinical and paraclinical criteria were investigated using non-parametric Wilcoxon or Kruskal-Wallis tests where 2 or more groups are compared. Results: We included 79 out of 94 chronic hemodialysed patients during the study period. Sixty-four patients (64) effectively participated in the study. The average age was 43.3 ± 14.9 years. The KDQOL-SF-36 questionnaire was completed by 64 patients. Among them eight patients did not answer the question which assesses the quality of sexual activity. In Saint Louis, the field that had the lowest score was "General Health" (54.9), and the one with the highest score was "Limitations due to mental state" with 92.8. In the Tambacounda's unit, the lowest score was in the "Limitations due to physical condition" side (41.0), and the highest score was in the "Life and relationships with others" field at 68.0. According to the KDQOL, the "Professional Status" dimension had the lowest score and the "Encouragements received from the dialysis team" the highest score in Kaolack and Saint-Louis whereas in Tambacounda the "Professional Status" dimension had the lowest score (16.0) and that "Quality of the entourage" the highest score (87.7). Women were significantly better (93.8) than men (83.3) compared to the "Dialysis Staff Incentives" category (p = 0.02). Married patients scored significantly lower, compared to unmarried patients, in the "Sexual Function" field (55.8 versus 96.1, p = 0.006) and "Patient's Satisfaction" (74.8 vs. 87.2; p = 0: 01). Conclusion: Studies of the hemodialysed patients' quality of life in semi-urban settings are rare in sub-Saharan Africa. This allows us to note a diversity of quality of life according to geographical areas.

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Section: Resultssupporting

confidence: 56%

“…This result seems to be corroborated by that of Cisse MM, et al [6] in Dakar (sex ratio H/F = 0.9). On the other side, in the studies of Bah AO, et al and Diallo D, et al in Conakry and Bamako, men were more numerous with a respective sex ratio of 1.15 and 2 [8,9]. The DOPPS' study also reported a male predominance [10].…”

Section: Resultsmentioning

confidence: 88%

Quality of Life in Chronic Hemodialysed Patients: Observational Study in Three Hemodialysis Units in Semi-Urban Areas of Senegal (West Africa)

Kane¹,

Brenner²,

Faye³

et al. 2019

J Clin Nephrol Ren Care

View full text Add to dashboard Cite

show abstract

“…Ka et al reported an average of 50.2 in Cotonou [7]. It was 48.8 years and 40.3 years respectively in Conakry [8] and Bamako [9]. The average age of our patients was broadly comparable to that of patients living in capitals of the countries of the sub-region.…”

Section: Discussionsupporting

confidence: 55%

“…This result seems to be corroborated by that of Cisse et al [6] in Dakar (sex ratio H/F=0.9). On the other side, in the studies of Bah et al and Diallo et al in Conakry and Bamako, men were more numerous with a respective sex ratio of 1.15 and 2 [8,9]. The DOPPS' study also reported a male predominance [10].…”

Section: Discussionmentioning

confidence: 90%

Quality of Life in Chronic Hemodialysed Patients

Kane¹

2019

J Nephrol Ther

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Introduction: End-stage renal failure has a significant impact on patients' daily lives, which can be measured by quality of life questionnaires. The objective of this study was to assess the health condition related to quality of life in hemodialysed patients in three semi-urban hospitals of Senegal and to determine the factors associated with it. Patients and methods: During an observational, transversal, descriptive and analytical study conducted for 2 months, between March 1st and April 30th, 2016, the patients' records, in 3 cities, maintained under regular hemodialysis for at least 3 months and at least 18 years old, have been analysed. The health-related quality of life assessment was executed by an interview with patients using the French version of the KDQOL SF (Kidney Disease Quality of Life Short Form) 1.3 questionnaire. Association levels between health domain values and sociodemographic, clinical and biological criteria were investigated using non-parametric Wilcoxon or Kruskal-Wallis tests where 2 or more groups are compared. Results: We included 79 out of 94 chronic hemodialysed patients during the study period. Sixty-four patients (64) effectively participated in the study. The average age was 43.3 ± 14.9 years. The KDQOL SF 36 questionnaire was completed by 64 patients. Among them eight patients did not answer the question which assesses the quality of sexual activity. In Saint Louis, the field that had the lowest score was "General Health" (54.9), and the one with the highest score was "Limitations due to mental state" with 92.8. In the Tambacounda's unit, the lowest score was in the "Limitations due to physical condition" side (41.0), and the highest score was in the "Life and relationships with others" field at 68.0. According to the KDQOL, the "Professional Status" dimension had the lowest score and the "Encouragements received from the dialysis team" the highest score in Kaolack and Saint-Louis whereas in Tambacounda the "Professional Status" dimension had the lowest score (16.0) and that "Quality of the entourage" the highest score (87.7). Women were significantly better (93.8) than men (83.3) compared to the "Dialysis Staff Incentives" category (p=0.02). Married patients scored significantly lower, compared to unmarried patients, in the "Sexual Function" field (55.8 versus 96.1, p=0.006) and "Patient's Satisfaction" (74.8 vs. 87.2; p=0, 01). Conclusion: Studies of the hemodialysed patients' quality of life in semi-urban settings are rare in sub-Saharan Africa. This allows us to note a diversity of quality of life according to geographical areas.

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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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Quality of life of patients with end-stage renal disease in Guinea

Cited by 11 publications

References 0 publications

Quality of Life in Chronic Hemodialysed Patients: Observational Study in Three Hemodialysis Units in Semi-Urban Areas of Senegal (West Africa)

Quality of Life in Chronic Hemodialysed Patients: Observational Study in Three Hemodialysis Units in Semi-Urban Areas of Senegal (West Africa)

Quality of Life in Chronic Hemodialysed Patients

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

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