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Autodialysis in Morocco: how much longer can we wait?
Béfa Noto-Kadou-Kaza1, Hissein Ali Mahamat1, Naoufal Mtioui1
1Departement of Nephrology, Dialysis and Renal Transplantation of University Teaching Hospital Ibn Rochd of Casablanca, Casablanca, Morocco.
The Pan African Medical Journal
|October 1, 2019
Summary
Moroccan hemodialysis patients show high medical fitness and willingness for autodialysis. This indicates a strong potential for implementing self-dialysis programs in Morocco, improving patient care.
Area of Science:
- Nephrology
- Public Health
- Patient Care
Background:
- Hemodialysis has been practiced in Morocco since 1970.
- Autodialysis, or self-dialysis, is not yet established in the country.
- Assessing patient suitability for autodialysis is crucial for program implementation.
Purpose of the Study:
- To evaluate the medical fitness of Moroccan hemodialysis patients for autodialysis.
- To determine patient adherence and willingness to participate in an autodialysis program.
Main Methods:
- A multicenter descriptive and analytical study was conducted in Casablanca, Morocco.
- Involved 556 patients for medical potential assessment.
- Surveyed 383 eligible patients regarding their interest in autodialysis.
Main Results:
- The average patient age was 54.63 years, with an average hemodialysis duration of 85.9 months.
- Diabetic nephropathy was the leading cause of kidney disease (22.7%).
- Over 93% of patients were in good condition, 81% independent, and 76.5% expressed willingness for autodialysis.
Conclusions:
- Moroccan hemodialysis patients possess suitable profiles for autodialysis.
- Younger patients, in good general condition, autonomous, and without major comorbidities are ideal candidates.
- Implementation of autodialysis in Morocco is feasible and recommended.
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