Renal failure in Nigerian children: factors limiting access to dialysis

A 5-year clinical and laboratory study of Nigerian children with renal failure (RF) was performed to determine the factors that limited their access to dialysis treatment and what could be done to improve access. There were 48 boys and 33 girls (aged 20 days to 15 years). Of 81 RF patients, 55 were...

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Bibliographic Details
Published in:Pediatric nephrology (Berlin, West) West), 2003-12, Vol.18 (12), p.1249-1254
Main Author: OLOWU, Wasiu Adekunle
Format: Article
Language:English
Subjects:
Adolescent
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood
Child
Child, Preschool
Creatinine
Dialyzers
Edema
Emergency and intensive care: renal failure. Dialysis management
Female
Health Services Accessibility - economics
Health Services Accessibility - statistics & numerical data
Hemodialysis
Humans
Hypertension
Income
Intensive care medicine
Kidney diseases
Male
Medical sciences
Mortality
Nephrology
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Nigeria - epidemiology
Patient Discharge - economics
Patient Discharge - statistics & numerical data
Patients
Pediatrics
Peritoneal Dialysis - economics
Peritoneal Dialysis - statistics & numerical data
Plasma
Potassium
Renal Dialysis - economics
Renal Dialysis - statistics & numerical data
Renal failure
Renal Insufficiency - economics
Renal Insufficiency - epidemiology
Renal Insufficiency - therapy
Socioeconomic Factors
Survival Analysis
Treatment Outcome
Uremia
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Summary:A 5-year clinical and laboratory study of Nigerian children with renal failure (RF) was performed to determine the factors that limited their access to dialysis treatment and what could be done to improve access. There were 48 boys and 33 girls (aged 20 days to 15 years). Of 81 RF patients, 55 were eligible for dialysis; 33 indicated ability to afford dialysis, but only 6 were dialyzed, thus giving a dialysis access rate of 10.90% (6/55). Ability to bear dialysis cost/dialysis accessibility ratio was 5.5:1 (33/6). Factors that limited access to dialysis treatment in our patients included financial restrictions from parents (33%), no parental consent for dialysis (6%), lack or failure of dialysis equipment (45%), shortage of dialysis personnel (6%), reluctance of renal staff to dialyze (6%), and late presentation in hospital (4%). More deaths were recorded among undialyzed than dialyzed patients ( P
ISSN:0931-041X
1432-198X
DOI:10.1007/s00467-003-1255-5