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Mode of renal replacement therapy in a single center of Bangladesh

Version 3 2024-06-06, 11:00
Version 2 2024-06-04, 12:36
Version 1 2019-10-14, 08:40
journal contribution
posted on 2024-06-06, 11:00 authored by S Islam, HU Rashid, MH Rahman, MR Alam
There are various modes of Renal Replacement Therapy (RRT), like Kidney Transplantation (Tx), Maintenance Haemodialysis (MHD), Continuous Ambulatory Peritoneal Dialysis (CAPD). Mode of renal replacement therapy differs from: country to country, primary causes of renal failure, availability of the facilities and over all economic condition of the state as well as the patient. We have studies 264 end stage renal failure patients who attended the department of Nephrology, BSMMU, for a period of one year (Jan. 06 to Dec. 06) to evaluate their initial and subsequent mode of renal replacement therapy. Among the primary causes of ESRF Glomerulonephritis (GN) 123(46.5%) was the highest followed by diabetic nephropathy (DN) 69 (26.2%), obstructive uropathy 29 (10.9%), hypertension including polycystic kidney diseases 19(7.2%), chronic pyelonephritis 13 (4.9%) and 13(4.9%) cases cause was undetermined. Intermittent Peritoneal Dialysis (IPD) was the initial mode of renal replacement therapy in 98(79.7%) patients of GN, followed by 45(65.2%), 17(58%), 14(74.7%), 9(69.2%) of DN, obstructive uropathy, hypertension and CPN respectively. Maintenance haemodialysis (MHD) was the initial mode of renal replacement therapy in 20(16.3%) and 15(21.7%) patients of GN and DN respectively. Subsequent RRT were kidney transplantation in 13 (4.9%) patients, MHD in 25(9.4%) and CAPD in 4(1.5%) patients. About 85% of ESRF patients were dropped out from subsequent RRT. In conclusion majority of our patients failed to continue RRT in long run. Attention should be given to increase the facilities and availability of different modes of RRT all over the country at a reduced and affordable cost.

History

Journal

Bangladesh Renal Journal

Volume

27

Pagination

8-10

Location

Dhaka, Bangladesh

ISSN

1015-0889

Language

eng

Publication classification

CN.1 Other journal article

Issue

1

Publisher

Bangladesh Renal Association

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