Renal Transplantation in Developing Countries

Mr, Moosa

doi:10.1016/b978-1-4160-3343-1.50040-2

Cited by 7 publications

(8 citation statements)

References 217 publications

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“…Hence, even though hemodialysis is a clear therapeutic option for acute, i.e. reversible kidney injury it is mainly a short‐term measure to support ESKD patients in developing countries where there is limited access to dialysis, and some form of rationing has always been practiced 10 . Only a minority of patients with ESKD enjoy access to renal replacement treatment; for the rest, the diagnosis of chronic renal failure is a death sentence.…”

Section: Interventionmentioning

confidence: 99%

Survival pattern of hemodialysis patients in Kumasi, Ghana: A summary of forty patients initiated on hemodialysis at a new hemodialysis unit

Eghan

Amoako-Atta

Kankam

et al. 2009

Hemodialysis International

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To evaluate the survival pattern of hemodialysis patients at a dialysis unit in Kumasi, Ghana, through a retrospective (observational) study. Patients who were placed on hemodialysis at the dialysis unit at Komfo Anokye teaching hospital from October 25, 2006 to December 2007. The patients were followed from initiation of dialysis until December 31, 2007. The overall mortality was 14 (35.9%) on the incident population for the period and that for the first 90 days was 12 (32.4%) patients. Chronic glomerulonephritis was the underlying kidney disease in 35.9%. This was followed by hypertension (19.1%) and diabetes mellitus (15.4%), respectively. Cardiovascular diseases accounted for 42% of mortality. This was followed by septicemia (25%) from the access site and anemia (25%). Fifty percent of the patients were able to afford 20 sessions of hemodialysis before stopping. The most powerful predictors of survival were the duration of hemodialysis (P=0.05) and the number of hemodialysis sessions (P=0.02). Age at initiation of hemodialysis was not significant. First 90-day mortality of patients on hemodialysis is high in poor African countries. This is due partially to the late referral of patients and also the cost of the dialysis treatment. Efforts will have to be made to reduce the cost of the dialysis treatment. Reuse technology (of dialyzer, etc.) should be introduced to cut down the cost of hemodialysis. Peritoneal dialysis should also be introduced for highly motivated patients. Efforts should also be made to reduce the increasing incidence of kidney disease, and finally third-world countries should consider establishing kidney transplantation, that is cost effective.

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Section: Interventionmentioning

confidence: 99%

Survival pattern of hemodialysis patients in Kumasi, Ghana: A summary of forty patients initiated on hemodialysis at a new hemodialysis unit

Eghan

Amoako-Atta

Kankam

et al. 2009

Hemodialysis International

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“…In terms of feasibility of implementation, it should be noted that almost all Asian, Latin American, and some African countries already carry out organ transplantation [ 21 ], and that certain regenerative medicine therapies, such as cell therapy, may be technically much simpler than traditional transplantation.…”

Section: Feasibility Of Building Capacity In Regenerative Medicine Inmentioning

confidence: 99%

Regenerative Medicine and the Developing World

Greenwood

Сингер²,

Downey³

et al. 2006

PLoS Med

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“…Generally, wound site infection, central catheter-induced bacteraemia, urinary tract infection or pneumonia is observed [21]. In India, the incidence rate of pneumonia in the early period after renal transplantation was reported to be 18% [22]. In our study, the incidence of infection in patients was 23.8% in the post-transplant period until discharge from the hospital; 70% of these were urinary tract infections and in 30% of them, urinary tract infection was accompanied by respiratory tract infection.…”

Section: Discussionmentioning

confidence: 99%

Analysis of outcomes of anesthesia management in renal transplant patient

2020

Ann Clin Anal Med

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Aim: This study aimed to investigate the effects of anesthesia on organ functions in patients undergoing renal transplantation in our center. Material and Methods: Data of patients undergoing renal transplantation at Ankara Numune Training and Research Hospital between 2011 and 2014 were retrospectively reviewed. Data of patients were accessed through the analysis of organ transplant follow-up charts, anesthesia follow-up forms and their electronic records at the system. Results: Of the 42 renal transplantation patients, 17 (40%) had living donors and 25 (60%) had a transplant from a cadaver. None of the patients had complications at the time of anesthesia induction; sevoflurane was the most commonly used anesthetic gas, and no statistically significant relationship was found between types of anesthetic gas and postoperative renal functions. Cold ischemia time was found to be statistically longer in patients with delayed graft function, and the incidence of delayed graft function was higher in cadaveric renal transplant recipients than in patients receiving living donor renal transplant. The development of delayed graft function was not found to be statistically related to the administered anesthetic gases. There was no significant difference for patients in terms of anesthetic agent with regard to post-renal transplant laboratory values. Discussion: In this patient group, where many factors play a role in the survival of the renal graft and the kidney recipient, there is no single proven technique for anesthesia management. The anesthesia and surgery management techniques in our study had no adverse effect on patient and graft survival.

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Renal Transplantation in Developing Countries

Cited by 7 publications

References 217 publications

Survival pattern of hemodialysis patients in Kumasi, Ghana: A summary of forty patients initiated on hemodialysis at a new hemodialysis unit

Survival pattern of hemodialysis patients in Kumasi, Ghana: A summary of forty patients initiated on hemodialysis at a new hemodialysis unit

Regenerative Medicine and the Developing World

Analysis of outcomes of anesthesia management in renal transplant patient

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