ABSTRACT
Background: The incidence of end stage renal disease [ESRD] is between 100-150 new cases per million per year, with a disease burden of 27000 new cases each year in Pakistan. The treatment of first choice for these patients is renal transplantation, which is available to only 5% of patients, rest have no other option except to resort to dialysis to sustain their life
Objective: The objective of the study was to critically review and analyze the data of patients on the basis of etiology, dialysis type and outcome during the last three years so as to improve the patient care
Patients and Methods: In this descriptive study, all the patients, who underwent dialysis during three years [2009-2011] was retrieved from the statistics department. Variables of interest were identified. Data was collected, entered and analyzed in SPSS version 15. The results were then compared with national and international studies on the subject
Results: In this study, a total of 457 patients under went dialysis at the centre and 14687 dialysis sessions were performed during the period under study. Male to female ratio was 1.6:1 and mean age was 44.15 years. Hypertension [70%] was the major cause of ESRD. Fifty three percent patients had an arterio-venous fistula and 23.63% were suffering from hepatitis [C] before the first dialysis. Average survival was 7.7 months and 46.17% deaths were recorded
Conclusion: The management of ESRD being very expensive, government alone with a less than 0.5 to 0.8 percent of the GDP allocation for health cannot extend this facility to all the sufferers. The society should follow healthy life style practices so as the preventable causes of ESRD such as hypertension and DM can be controlled. Social groups should be formed in which these patients should actively participate, encourage and guide each other to improve their quality of life