2017, Number 2
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Rev Esp Med Quir 2017; 22 (2)
Factors associated to permanence in intermittent hemodialysis of incident patients with chronic kidney disease without social security and in extreme poverty
Cantú-Quintanilla G, Hueda-Morales DL, Raña-Custodio A, Gómez-Guerrero I, Barragán-Sánchez A, Netzahualcóyotl-Hernández YS, Silva-García CG, Valdez-Ortiz R
Language: Spanish
References: 17
Page: 53-60
PDF size: 964.67 Kb.
ABSTRACT
Background: Chronic kidney disease (CKD) is a public
health problem in Mexico. Social and economic inequalities
have an impact on access to health services. Currently, the
Mexican health system does not guarantee a full coverage of
patients with kidney disease requiring substitutive therapy
and its integral handling. In recent years, chronic diseases in
Mexico have been growing, favoring the development of
CKD and mainly affecting economically unprotected sectors
of population.
Objective: Research on factors associated to permanence
under high-density lipoprotein of patients with CKD without
social security coverage. Patients in intermittent hemodialysis
(IH) are those who are not in a fixed shift of chronic hemodialysis
and incidentally come to the hospital to receive
treatment.
Methodology: A survey was applied to patients with CKD
under IHD at the Nephrology Service of Hospital General de
México. Sociodemographic data, clinical and laboratory variables,
and potential reasons to remain in IHD were
acquired.
Results: 64 questionnaires were obtained, with average age
of 44 years; 60% were male. Among reasons studied to remain
under IHD, 50% admitted to being not willing to have
a co-responsibility in handling and learning of a peritoneal
dialysis; 39% mentioned economic reasons.
Conclusions: Results show a population of patients with
CKD without social security coverage under IHD, with a low
sociocultural level, and with a poverty level. Admission of 39
patients (76 5%) is less than 3,500 pesos per month.
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