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September 06-07, 2018 | Edinburgh, Scotland
Pathology and Surgical Pathology
International Conference on
Journal of Pathology and Disease Biology | Volume 2
Sujatha Siddappa
Institute of Nephro-Urology, India
Anemia and chronic renal failure on replacement therapy (dialysis) in a population
of patients awaiting renal transplants from a tertiary care nonprofit making
Institute Government of Karnataka, India
T
he burden of chronic renal failure on the patients with
ongoing renal replacement therapy. This observation is
dedicated to all the patients regardless of where they are who
belong to, the deep end of poverty due to the disease per say
in a gradual process every cycle means depletion of resources.
This is story of a group of 94 patients who enrolled for renal
replacement therapy after being diagnosed as chronic renal
failure. These patients have gone through various modalities
of renal replacement therapy from haemodialysis to repeated
graft failures to peritoneal dialysis. Their age varies from 9
to 70 odd years. These patients have a had haemoglobin
on arrival as low as 4.5. These patients were then started on
erythropoietin stimulating agents on weekly basis or fortnightly
basis. The legacy of chronic anaemia and their mortality. The
question is is low haemoglobin the only mortality indicator?
Over a period of 5 to 6 years we have seen that the mortality
is 50% predominantly low haemoglobin, infection and the
causal factor being non compliance due to the burden of
economics on the patients. Lack of education has also been the
second leading factor which has lead to block of fistulas loss
of access for haemodialysis then opted for peritoneal dialysis.
The other causes have been pulmonary oedema, palliative
approach of the patient not wanting to burden the family
of its resources 2 patients have succumbed to death after
transplant 85% of these patents come from rural background.
We have also seen that patients with nuclear family and joint
family and emotional support structure has not improved their
overall smile curve.
Speaker Biography
Sujatha Siddappa has qualified in Pathology, pain and palliative care, human resource
management, law regarding fundamental rights, waste management currently pursuing
masters in hospital management. Over the last 2 decades and more of pathology practice
she has gradually swerved towards renal pathology and GU pathology in the last 10 years.
Her forte of interest includes clinical pathology, cytology histopathology, with focus on renal
and GU pathology. She has had a good innings in her publication related to GU pathology
which have reached out to highly engaged audience with Google scholar and research gate
credits nearing 500 reads in the last couple of years and citations
e:
sujathasiddappa@gmail.comNotes: