Overcoming Challenges in Haemodialysis Insights from a Single Centre Experience in Nigeria

Introduction Haemodialysis remains the most common method of Renal Replacement Therapy (RRT) in Nigeria, providing life-sustaining treatment for patients with end-stage renal disease (ESRD). Despite advancements in nephrology, significant challenges persist in ensuring optimal dialysis care. This article explores the findings of a study conducted at Ekiti State University Teaching Hospital, highlighting key issues and the need for improved healthcare policies. Visit Clinical Nephrology Journal for more in-depth research on nephrology and related fields.

Key Findings from the Study

• Demographic Overview: The study reviewed 101 patients who underwent haemodialysis, with 64.4% being male. The average age was 49.8 years for males and 42.8 years for females.
• Causes of Chronic Kidney Disease (CKD): Chronic glomerulonephritis was identified as the leading cause (44.6%), followed by hypertensive glomerulosclerosis (25.7%) and diabetic nephropathy (14.9%).
• Financial Barriers: Due to high costs, only 1.98% of patients could afford the recommended three sessions per week for a month.
• Vascular Access Challenges: The femoral vein was the most commonly used access point (66.3%), followed by the internal jugular vein (25.7%), with only 2% utilizing arterio-venous fistula.
• Complications: Hypotension (15.8%) was the most frequent complication, alongside muscle cramps (6.9%), rigors (13.9%), and headaches (5%).
• Patient Outcomes: The study reported a high dropout rate, with 43% of patients lost to follow-up and 28% succumbing to complications.

Broader Implications for Healthcare Systems The National Kidney Foundation emphasizes that accessibility to affordable, quality dialysis is essential for improving patient outcomes. Many developing regions face similar financial and infrastructural barriers, underscoring the need for policy changes and government support in nephrology care.

Strategic Link Placement

• Read the full study at https://doi.org/10.29328/journal.jcn.1001026.
• Explore related nephrology research at Clinical Nephrology Journal.

Call to Action Improving haemodialysis accessibility requires a collaborative effort between healthcare providers, policymakers, and patient advocacy groups. Visit Clinical Nephrology Journal for more studies on renal health and share your thoughts in the comments below!

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