Abstract
Background
There is a gap between evidence base and current practice in hemodialysis pattern which is different from a country to another due to different economic levels and organization of health. these gaps include many things such as causes and co-morbidity modality of hemodialysis medication given.
Methods
This cross sectional study was carried out on 500 end Stage renaldisease (ESRD)in Egypt
All patients selected were subjected to full history, examination, medical record which included iron study HGB, bone study, erythropoietin. vitamins,HD prescription, causes and complications of HD.
Results
HD pattern in Egypt agrees with the international guidelines and other countries except age(less than USA), bicarbonate as buffer for HD (acetate still used) HGB level is 9.2 gm./dl(target 11-12), using sevelamer as phosphate binder less than usual percent of others, work status for HD pts., is higher than others, routine iron investigations and routine adequacy of HD
Conclusion
there are increased prevalence of dialysis patients in Egypt and few difference in the pattern of HD with international guidelines