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[Structure of chronic dialysis patients in Bosnia-Herzegovina--a multicenter study]
E Mesic1, A Halilbasic, S Rasic
1Interna klinika, Odjel za nefrologiju, dijalizu i transplantaciju, UKC Tuzla.
Insights
This study provides the first summary data on chronic dialysis patients in Bosnia and Herzegovina (B&H), highlighting prevalent renal diseases and patient demographics. Findings establish a foundation for a national end-stage renal disease (ESRD) patient registry.
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Context:
- Bosnia and Herzegovina (B&H) lacks comprehensive data on chronic dialysis patients (CDP).
- This study represents a preliminary effort to establish a national system for collecting essential data on CDP in B&H.
Purpose:
- To collect and analyze initial data on chronic dialysis patients in B&H.
- To lay the groundwork for a future national registry of end-stage renal disease (ESRD) patients.
Summary:
- A retrospective study in 1999 collected data from 6 dialysis centers in B&H, covering 533 chronic dialysis patients.
- Key findings include the prevalence of glomerulonephritis (22%), pyelonephritis (16%), and endemic nephropathy (11%) as primary renal diseases. Cardiovascular comorbidities (coronary and peripheral vascular disease) were noted, along with high rates of Hepatitis C (55%).
- Mortality was 14.26%, with cardiovascular causes being predominant. Only 10 patients received peritoneal dialysis, while 46% received bicarbonate hemodialysis. Hemoglobin levels were low in half the patients, with limited erythropoietin use.
Impact:
- Provides baseline data for understanding the chronic dialysis patient population in B&H.
- Highlights the need for improved management of anemia and infectious diseases (Hepatitis C) in dialysis patients.
- Establishes a precedent for a national ESRD patient registry to improve patient care and public health strategies.
Introduction:
In BiH there are no summary data about chronic dialysis patients (CDP). With this study we tray to make first step to establish B&H system for collecting necessary data.
Methods:
This is a retrospective study for 1999 years. We collect data with question form which have been distributed to dialysis centers (DC) in BiH.
Results:
We got answer from 6 (37.5%) DC: Tuzla, Sarajevo, Bihac, Odzak, Travnik and Tesanj. Totally number of CDP was 533, 256 female (48%) and 277 male (52%), and 79% of them are between 26-65 yrs. Leading primary renal diseases were: glomerulonephritis 22%, pyelonephritis 16%, endemic nephropathy 11%, unknown ESRD 10%, polycystic renal disease 9% and diabetes 9%. Peritoneal dialysis have ben performed in 10 patients only, and bicarbonat HD in 46% of CDP. Half of the patients had serum haemoglobin lower than 7 mmol/1 and only 12% received erythropoietin. 17% of the patients had coronary disease, and 7% peripheral vascular disease. We registered 43 (8%) HBsAg, but 294 (55%) antiHCV positive patients. 52% of the CDP have been vaccinated against B hepatitis. Last year died 76 patients (14.26%), mostly caused by coronary diseases (21%), cardial failure (20%), cerebrovascular accidents (15%) and sepsis (11%). 53% of patients are on dialysis between 1-5 yrs.
Conclusion:
In this study participated 6 DC only, but we think that data we collect are good basis for establishing B&H system for registration and follow-up of the ESRD patients.