대한신장학회

Skip Navigation: Skip to contents

KOR
ENG
전체메뉴보기

간행물 검색

현재 페이지 경로

HOME
간행물
간행물 검색

논문분류	춘계학술대회 초록집
제목	Extreme Poverty and CAPD: Challenges and 5 year outcomes from India’s first PPP Peritoneal Dialysis Programme
저자	Mayoor Prabhu, Jayarama P
출판정보	2018; 2018(1):
키워드	Peritoneal Dialysis \| , Public Private Partnership \| , CAPD \| RRT \| Extreme Poverty
초록	Objectives: In India, extreme poverty (Below Poverty Line , BPL) is defined by the Govt as subsistence on less than Rs 32( < 50 Cents) a day. In India, about 90 % of such patients never see a nephrologist, and about 60% of those who initiate RRT are lost to follow up in 3 months. Poor socioeconomic and literacy status has often been thought to preclude successful PD. Considering these factors, the Govt of Karnataka, a state in Southern India, embarked upon a pilot project to evaluate the efficacy of a PPP model CAPD project in providing cost effective and adequate RRT to its ESRD population. Methods: 20 pts were part of this project, all BPL card holders. The Govt provided fluids, catheters, transfer sets, mini caps, drainage bags and other consumables. Catheterisation was done within hospital utilizing existing set up. Extensive attention was given to break in, training, catheter care, and technique perfection-training period extended upto 10 days in some cases. Subsequently patients were discharged and followed up by remote monitoring/in centre visits once monthly for upto 36 months Results: All pts had successful catheterization and uneventful break in. Peritonitis rate was 1 in 33.4 pt months, with 2 resistant peritonitis leading to catheter loss. 3 patients were lost to follow up. 12 patients died during the course 5 years follow up. Overall technique survival was 40% at 72 months with good patient satisfaction.We were able to achieve these results inspite of upto 75% of these patients being illiterate Conclusions: With due attention to detail and focused training we were able to achieve good results on CAPD in a particularly tough patient subset, over a long term follow up.This should encourage PPP model CAPD programmes to help provide RRT in developing countries
원문(PDF)	PDF 원문보기

목록

위로가기