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Published on: May 31, 2022
Epidemiology and cost of haemodialysis in Jordan
A Batieha1, S Abdallah, M Maghaireh
1Department of Epidemiology and Public Health, Jordan University of Science and Technology, Irbid, Jordan.
Insights
This study reveals a significant burden of haemodialysis in Jordan, with high costs and a 20% fatality rate within one year. Diabetes mellitus is the primary cause of kidney failure requiring this treatment.
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Background:
- Haemodialysis is a critical treatment for end-stage renal disease.
- Understanding its epidemiology and burden is essential for healthcare planning.
- Jordan faces unique challenges in managing chronic kidney disease.
Purpose of the Study:
- To assess the epidemiology and burden of haemodialysis in Jordan.
- To determine the prevalence, incidence, and associated factors of haemodialysis.
- To estimate the economic impact of haemodialysis in the country.
Main Methods:
- A survey of 1711 haemodialysis patients in Jordan during September/October 2003.
- Data collection included patient demographics, socioeconomic status, and treatment details.
- Calculation of prevalence, incidence, seroconversion rates, and fatality rates.
Main Results:
- The prevalence of haemodialysis was 312 per million population, with an incidence of 111 per million in 2002.
- The leading cause of haemodialysis was diabetes mellitus (29.2%).
- The one-year fatality rate was 20%, with significant socioeconomic challenges including unemployment (86.8%) and poverty (92%).
Conclusions:
- Haemodialysis in Jordan is associated with a substantial burden, characterized by high fatality rates and significant socioeconomic challenges.
- Diabetes mellitus is the predominant driver of end-stage renal disease requiring haemodialysis.
- Urgent public health interventions are needed to address the rising prevalence and impact of chronic kidney disease in Jordan.
Abstract:
To assess the epidemiology and burden of haemodialysis in Jordan, all patients on haemodialysis (1711 patients) were surveyed during September/October 2003. Mean age was 48.9 years, 56% were male, 86.8% were unemployed and 92% were poor. Mean distance to the haemodialysis service was 13.6 km. Annual hepatitis B and C seroconversion for patients negative before dialysis was 0.34% and 2.6% respectively. Prevalence of haemodialysis was 312 per million population; the incidence in 2002 was 111 per million population. Fatality rate at 1 year was 20%. Diabetes mellitus was the leading cause of haemodialysis, 29.2% of cases. Total estimated cost of haemodialysis in 2003 was US$ 29.7 million.
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