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Colleague's E-mail is Invalid. Your message has been successfully sent to your colleague. Save my selection. Panday, V. Nannan 1 ; Diemer, F. The high hypertension and diabetes burden in low and middle income countries is expected to lead to an increase in chronic kidney disease CKD and the need of renal replacement therapy. We aimed to estimate the prevalence of CKD and end stage renal disease ESRD , and assess the availability of kidney transplantation in Suriname, a middle income country with a current population size of nearly The number of patients on hemodialysis has starkly increased in the past years.

In , patients were on maintenance dialysis. There was no health care facility to provide renal transplants or predialysis care. Although all patients had health insurance, patients experienced difficulties in accessing dialysis. In particular transportation to the clinic and out-of-pocket expenses for drugs were unaffordable for low-income patients.

The high cardiovascular risk burden in Suriname creates a challenge for the health-care system to provide and sustain renal replacement therapy.

Kidney transplantation is not available in Suriname. A previous study showed this to be mainly due to the lack of technical means to perform the procedure and the lack of eligible donors. Thus, our results highlight the need for effective population-based strategies to reduce the cardiovascular disease burden of hypertension and diabetes, and prevent kidney failure. You may be trying to access this site from a secured browser on the server.

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End Note. Reference Manager.


Approach to the management of end-stage renal disease

Colleague's E-mail is Invalid. Your message has been successfully sent to your colleague. Save my selection. Panday, V. Nannan 1 ; Diemer, F.


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Identify and refer patients at risk of end-stage renal disease ESRD. Renal transplantation is the best and most cost-effective renal replacement therapy for suitable patients. Create an arteriovenous fistula in preparation for haemodialysis to avoid using central line access. The two terms end-stage renal disease ESRD and failure ESRF are used to describe the irreversible loss of kidney function which, without treatment by dialysis or kidney transplantation, is likely to lead to fatal complications such as hyperkalaemia or pulmonary oedema over a period of days or weeks. Early recognition of patients destined for ESRF is also necessary to allow time for them to become fully informed about their treatment options and to institute therapy electively.

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