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alliedacademies
Archives of General Internal Medicine | Volume 2
&
April 04-05, 2018 | Miami, USA
International Conference on
Internal Medicine & Practice and Primary Care
International Meeting on
Breast Pathology & Cancer Diagnosis
Background & Objective: We compared the adequacy of the
management of hemodialysis patients in different health
sectors in a major city in Saudi Arabia.
Design & Setting: Cross-sectional analytic study conducted
in three different health sectors in Jeddah, Saudi Arabia.
Methods: Data was collected from nine hemodialysis
centers, which represent three sectors: Ministry of Health,
governmental (but not health ministry) hospitals, and
charity centers. A simple random sampling technique was
employed for gathering data from the participating centers.
Medical records were reviewed, and all the relevant data
were retrieved using a pre-designed form.
Results: In the 587 subjects, hypertension, diabetes mellitus
and an idiopathic etiology accounted for 85.3% of end-stage
renal disease. Only 25.4% of the patients had a hemoglobin
level of 110-120g/L and 12.1% achieved target levels of
ferritin and transferrin saturation. The percentage of patients
meeting targeted levels of calcium (2.1-2.38mmol/L),
phosphorous (1.13-1.78mmol/L) and albumin (≥40g/L)
were 54.2%, 38.7% and 23.5%, respectively. The variation
between different health sectors was statistically significant
(P<0.001). Arteriovenous fistula was used for 84% of the
patients and catheter for 15.7%.
Conclusion: The quality of healthcare for hemodialysis
patients in Jeddah needs improvement to meet the
recommendations of the kidney disease outcomes quality
initiative guidelines.
Speaker Biography
Marwan A Bakarman is an Associate Professor. He has completed his MBBS from King
Abdulaziz University and Postdoctoral studies from King Faisal University, School of
Medicine. He is the Chairman of Family and Community Medicine Department, Rabigh
Faculty of Medicine. He has published more than 32 papers in reputed journals and has
been serving as an Editorial Board Member of reputed journals. His research interests
lies in obesity, chronic diseases and epidemiology.
e:
Quality of healthcare for hemodialysis patients in various health sectors in Jeddah, Saudi Arabia
Marwan A Bakarman
King Abdulaziz University, Saudi Arabia