scholarly journals Providers’ View on the First Kidney Transplantation Center in Ethiopia: Experience From Past to Present

2021 ◽  
Vol 8 ◽  
pp. 233339282110183
Author(s):  
Tariku Shimels ◽  
Abrham Getachew ◽  
Mekdim Tadesse ◽  
Alison Thompson
Keyword(s):  
Kidney Transplantation ◽  
Renal Transplant ◽  
Health Care Providers ◽  
Study Data ◽  
Care Providers ◽  
Transplant Center ◽  
Transplantation Center ◽  
Stage Renal Disease ◽  
End Stage

Introduction: Transplantation is the optimal management for patients with end-stage renal disease. In Ethiopia, the first national kidney transplantation center was opened at St. Paul’s Hospital Millennium Medical College in September 2015. The aim of this study was to explore providers’ views and experiences of the past to present at this center. Methods: A qualitative study design was employed from 1st November to 15th December, 2019. To ensure that appropriate informants would provide rich study data, 8 health care providers and top management members were purposefully chosen for in-depth interviews. A maximum variation sampling method was considered to include a representative sample of informants. Interviews were digitally audio-recorded, and transcribed verbatim. Transcribed data was coded and analyzed using Qualitative Data Analysis (QDA) Minor Lite software and Microsoft-Excel. Result: The participants (5 males and 3 females) approached were from different departments of the renal transplant center, and the main hospital. Eight main themes and 18 sub-themes were generated initially from all interviews totaling to 109 index codes. Further evaluation and recoding retained 5 main themes, and 14 sub-themes. The main themes are; challenges experienced during and after launching the center, commitment, sympathy and satisfaction, outcomes of renal transplant, actions to improve the quality of service, and how the transplant center should operate. Providers claim that they discharge their responsibilities through proper commitment and compassion, paying no attention to incentive packages. They also explained that renal transplantation would have all the outcomes related to economic, humanistic and clinical facets. Conclusion and Recommendation: A multitude of challenges were faced during and after the establishment of the first renal transplant center in Ethiopia. Providers discharge their responsibility through a proper compassion for patients. Concerned stakeholders should actively collaborate to improve the quality of renal transplant services in the center.

scholarly journals Pilot Experience in Senegal with Peritoneal Dialysis for End-Stage Renal Disease

2014 ◽  
Vol 34 (5) ◽  
pp. 539-543 ◽  
Author(s):  
Abdou Niang ◽  
Mouhamadou Moustapha Cisse ◽  
Sidi Mohamed Ould M. Mahmoud ◽  
Ahmed Tall Ould Lemrabott ◽  
El Hadji Fary Ka ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Renal Disease ◽  
Health Care Providers ◽  
End Stage Renal Disease ◽  
Sub Saharan Africa ◽  
Care Providers ◽  
Female Ratio ◽  
Sub Saharan ◽  
Stage Renal Disease ◽  
End Stage

IntroductionPeritoneal dialysis (PD) is occasionally used in western sub-Saharan Africa to treat patients with end-stage renal disease (ESRD). The present study is a retrospective review of the initial six years’ experience with PD for ESRD therapy in Senegal, a West African country with a population of over 12 million.Material and MethodsSingle-center retrospective cohort study of patients treated with PD between March 2004 and December 2010. Basic demographic data were collected on all patients. Peritonitis rates, causes of death and reasons for transfer to hemodialysis (HD) were determined in all patients.ResultsSixty-two patients were included in the study. The median age was 47 ± 13 years with a male/female ratio of 1.21. Nephrosclerosis and diabetic nephropathy were the main causes of ESRD. The mean Charlson score was 3 ± 1 with a range of 2 to 7. Forty five peritonitis episodes were diagnosed in 36 patients (58%) for a peritonitis rate of 1 episode/20 patient-months (0.60 episodes per year). Staphylococcus aureus and Pseudomonas aeruginosa were the most commonly identified organisms. Touch contamination has been implicated in 26 cases (57.7%). In 23 episodes (51%), bacterial cultures were negative. Catheter removal was necessary in 12 cases (26.6%) due to mechanical dysfunction, fungal or refractory infection. Sixteen patients died during the study.ConclusionPeritoneal dialysis is a suitable therapy which may be widely used for ESRD treatment in western sub-Saharan Africa. A good peritonitis rate can be achieved despite the difficult living conditions of patients. Challenges to the development of PD programs include training health care providers, developing an infrastructure to support the program, and developing a cost structure which permits expansion of the PD program.

Quality of Life in End-Stage Renal Disease Patients after Successful Kidney Transplantation: Development of the ESRD Symptom Checklist – Transplantation Module

Nephron ◽  
1999 ◽  
Vol 83 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Gabriele Helga Franke ◽  
Jens Reimer ◽  
Mathias Kohnle ◽  
Peter Luetkes ◽  
Nicole Maehner ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Kidney Transplantation ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Symptom Checklist ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals A study on knowledge of patients with end stage renal disease towards dialysis in a tertiary care hospital in Dhaka city

2017 ◽  
Vol 11 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Tufayel Ahmed Chowdhury ◽  
Sarwar Iqbal ◽  
Umme Salma Talukder ◽  
Mehruba Alam Ananna ◽  
ASM Manzur Morshed Bhuiyan ◽  
...  
Keyword(s):  
Renal Disease ◽  
Prior Knowledge ◽  
Health Care Providers ◽  
End Stage Renal Disease ◽  
Public Awareness ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Providers ◽  
Stage Renal Disease ◽  
End Stage

Background and objective: There are approximately two million patients suffering from end stage renal disease (ESRD) worldwide requiring renal replacement therapy (RRT) in the form of dialysis. There are very few statistics regarding the knowledge and attitude towards dialysis among ESRD patients in Bangladesh. The present study was undertaken to understand the existing knowledge of the patients with ESRD regarding dialysis.Methods: This cross sectional descriptive study was done on 104 patients with ESRD requiring immediate dialysis. This study was conducted in the department of Nephrology, BIRDEM General Hospital, Dhaka, Bangladesh over a period of six months. After obtaining informed consent the participants were given a self-administered questionnaire that included questions on socio-demographic status, age, gender, different aspects of knowledge about dialysis and the reasons to accept and refuse dialysis for the treatment of ESRD.Results: A total of 104 patients with ESRD were enrolled in the study. The mean age was 54.20(±11.82) years, 87.5% were more than 40 years of age, and 72.1% were male. Eighty two percent mentioned diabetes as the cause of kidney disease. About half of the respondents (52.88%) knew dialysis as an option for the treatment of ESRD followed by kidney transplant (11.54%). A few (7.3%) mentioned medicine and dietary modification as the treatment. There was no statistical association between prior knowledge and agreeing to do dialysis (?2= 0.7814; p=0.376699). Most of the patients (78%) gathered knowledge about dialysis from doctors. Seventy two patients (69.2%) agreed to do dialysis. Among them 37 patients (51.4%) agreed as they considered it as a part of treatment and 32 patients (44.4%) agreed because they were advised by doctors. Reasons for refusal to do dialysis were - fear of death (59.37%), financial constraints (31.25%) and lack of availability of dialysis centre (9.37%) Among study populations, only 20 patients (19.2%) mentioned about peritoneal dialysis (PD) and all of them (100%) were informed by doctors.Conclusion: The present study has demonstrated that prior knowledge on dialysis has no influence on the decision to do dialysis for the treatment of ESRD. Availability and access to dialysis facility and counseling on beneficial aspects of dialysis is required to motivate the patients for dialysis with ESRD. In addition to health care providers, social media may play an important role in promoting public awareness regarding dialysis as a treatment modality of ESRD.IMC J Med Sci 2017; 11(1): 11-14

Kidney Transplation: Its Enhancement by a Rehabilitation Centered Counseling Group

1980 ◽  
Vol 11 (2) ◽  
pp. 85-89 ◽  
Author(s):  
Clive O. Callender ◽  
Ardis Silverman ◽  
Beryl Rice ◽  
Geneva Green
Keyword(s):  
Renal Disease ◽  
Risk Group ◽  
High Risk Group ◽  
Rehabilitation Counselor ◽  
Howard University ◽  
Counseling Group ◽  
Transplant Center ◽  
Stage Renal Disease ◽  
End Stage

Kidney transplantation alone at the Howard University Transplant Center had been unsuccessful in restoring the quality of life to renal failure patients. Consequently, a group evolved consisting of 4-12 patients and 3 co-leaders, physician (transplant surgeon), nurse (dialysis nurse), rehabilitation counselor, and a group work consultant. This group met for one hour weekly and discussed anxiety, impotence, informed consent, death and many other topics. The group assisted patients in obtaining vocational rehabilitation, coping with end stage renal disease and hemodialysis, and improving patient to patient and patient to health care provider interaction. A particularly high risk group “heroin addicts renal disease sufferers”, were noteworthy in that 7 of 13 of them were fully rehabilitated 1-2 years after transplantation.

scholarly journals ROBOTIC-ASSISTED KIDNEY TRANSPLANTATION: A REVIEW

2018 ◽  
Vol 25 (1) ◽  
Author(s):  
Dimas Tri Prasetyo ◽  
Ponco Birowo ◽  
Agus Rizal Ardy Hariandy Hamid ◽  
Irfan Wahyudi ◽  
Arry Rodjani ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Minimally Invasive ◽  
End Stage Renal Disease ◽  
Operative Field ◽  
Graft Placement ◽  
Robotic Assisted ◽  
Hand Eye Coordination ◽  
Stage Renal Disease ◽  
End Stage

Objective: To discuss about kidney transplantation (KT), primarily on robotic-assisted kidney transplantation (RAKT) and to present the current updates on RAKT techniques performed by different centres worldwide. Material & methods: We searched and compiled various literatures on RAKT, focussing on different techniques used to perform the procedure. All the references cited in this review are indexed in PubMed or Scopus. Results: Since the first successful kidney allograft transplantation in human was performed in 1954, KT has become the preferred treatment modality for patients with end-stage renal disease (ESRD) seeking a more definitive outcome and better quality of life. Over the years, newer techniques of KT have been introduced, including minimally-invasive laparoscopic KT. However, laparoscopic KT has its own limitations, which include loss of hand-eye coordination and poor ergonomics for the surgeon. RAKT offers the same benefits as laparoscopic KT without its limitations. There are several transplantation centres worldwide performing RAKT regularly. The differences in RAKT technique between these centres are regarding patient’s position during surgery, location of incision for graft placement, use of regional hypothermia, and techniques of graft placement and ureteric reimplantation. Conclusion: The invention of RAKT as a minimally-invasive KT technique has enabled surgeon to perform surgeries when the operative field is deep and narrow and when fine dissection and microsuturing are required.

scholarly journals Evaluation of the Recipient and Donor in Living Kidney Transplantation

2020 ◽  
Vol 95 (4) ◽  
pp. 260-265
Author(s):  
Ha Yeol Park ◽  
Byung Chul Shin
Keyword(s):  
Kidney Transplantation ◽  
Supply And Demand ◽  
Deceased Donor ◽  
Good Health ◽  
Kidney Donation ◽  
Living Kidney Donation ◽  
Number Of Patients ◽  
Stage Renal Disease ◽  
End Stage

Kidney transplantation is the treatment of choice for end-stage renal disease. A successful kidney transplant improves the quality of life and reduces the mortality risk of patients, as compared to maintenance dialysis. The number of patients awaiting kidney transplantation has steadily increased, and the gap between allograft supply and demand continues to widen despite initiatives to expand the use of nonstandard deceased-donor allografts. The use of organs from living donors is one strategy to address the need for transplants. A medical, surgical, and psychosocial evaluation is mandatory prior to living kidney donation to ensure that the donor candidate is in good health and has normal kidney function, is not a risk to the recipient with respect to transmission of infections and malignancy, and will not face unacceptable risks after donation.

Sign in / Sign up

Export Citation Format

Share Document