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Peritoneal dialysis in developing countries

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Textbook of Peritoneal Dialysis

Abstract

The incidence of new end-stage renal disease (ESRD) is gradually increasing because of increasing awareness about renal problems and greater availability of treatment facilities for this condition. In India itself it is reported that the incidence of new ESRD patients varies between 80 and 100/1 million population every year. However, the choice of treatment of ESRD depends on various non-medical factors such as the financial situation of the family, availability of a family donor for transplant, social and cultural habits, availability of facilities for dialysis and last but not least on the preference of the treating nephrologist. In most developing countries facilities for maintenance haemodialysis are limited and a cadaveric transplantation programme is yet to become a reality. There are only 0.3 haemodialysis centred/million population in India for maintenance haemodialysis [1]. The socioeconomic statuses of the various regions of the world are diverse and the gross domestic product (GDP) and per-capita income is low in the developing countries. In India the average per-capita income is US$500 per year. Even today 75% of the dialysis resources are reserved for only 15% of the world’s poulation, and in many countries the sole alternative to dialysis or transplantation is death [2]. In large areas of Africa, Latin America, the Indian subcontinent and Southeast Asia, renal replacement therapy for renal failure is poorly developed and is affordable for only a small minority. The policies for treatment of patients with ESRD vary greatly from the developed to the developing world. This is largely based on government and medical insurance reimbursement policies, type of renal replacement therapy (RRT) done, and physician incentive to introduce peritoneal dialysis as an equal or better alternative form to haemodialysis.

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Authors
  1. G. Abraham
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  2. A. Gupta
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Editor information

Editors and Affiliations

  1. Department of Renal Medicine, Manchester Royal Infirmary, Oxford Road, M13 9WL, Manchester, UK

    R. Gokal

  2. Division of Nephrology, Department of Medicine, MA 436 Health Services Centre, University of Missouri-Columbia, 65212, Columbia, MO, USA

    R. Khanna

  3. Academisch Medisch Centrum, Amsterdam, The Netherlands

    R. Th. Krediet

  4. Department of Internal Medicine, MA 436 Health Sciences Center, University of Missouri-Columbia, 65212, Columbia, MO, USA

    K. D. Nolph

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© 2000 Springer Science+Business Media Dordrecht

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Abraham, G., Gupta, A. (2000). Peritoneal dialysis in developing countries. In: Gokal, R., Khanna, R., Krediet, R.T., Nolph, K.D. (eds) Textbook of Peritoneal Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-3225-3_29

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  • DOI: https://doi.org/10.1007/978-94-017-3225-3_29

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-3227-7

  • Online ISBN: 978-94-017-3225-3

  • eBook Packages: Springer Book Archive

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