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End-stage kidney disease and rationing of kidney replacement therapy in the free state province, South Africa: a retrospective study by Molaoa, Thabang T (author);Bisiwe, Feziwe B (author);Ndlovu, Kwazi CZ (author) is a Medicine article available to read on EtoBox.
What is End-stage kidney disease and rationing of kidney replacement therapy in the free state province, South Africa: a retrospective study about?
## Background End-stage kidney disease (ESKD) and the required kidney replacement therapy (KRT) are significant public health challenges for low-and-middle-income countries. The South African government adopted a KRT rationing policy to balance the growing need for KRT and scarce resources. We aimed to describe the epidemiology and KRT access in patients with ESKD referred to the main public sector hospital in the Free State Province, South Africa. ## Methods A retrospective study of adult patients with ESKD admitted to Universitas Academic Hospital for KRT, was conducted between 1 January 2016 and 31 December 2018. A review of the KRT committee decisions to offer or deny KRT based on the KRT rationing policy of the Free State was undertaken. Demographic information, KRT committee outcomes, laboratory test results, and clinical details were collected from assessment tools, KRT committee meeting diaries, and electronic hospital records. ## Results Of 363 patients with ESKD referred for KRT access, 96 with incomplete records were excluded and 267 were included in the analysis. Median patient age was 40 (interquartile range, 33‒49) years, and male patients accounted for 56.2 % (150/26
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- Author
- Molaoa, Thabang T (author);Bisiwe, Feziwe B (author);Ndlovu, Kwazi CZ (author)
- Publisher
- Springer Science and Business Media LLC
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)
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