Outcome of permanent vascular access for haemodialysis in patients with end-stage renal disease in Cameroon: results from the pilot experience of the Douala general hospital. Issue 1 (2nd January 2016)

• Record Type: Journal Article
• Authors: Ngatchou, William; Ngbwa Evina, Achille; Halle, Marie Patrice; Massom, Annie; Ekane, Samuel; Basile, Essola; Origer, Pierre; Haquebard, Jean Pierre; Olinga Olinga, Alain; Jansens, Jean Luc; Watel, Alain; Lecain, Antoine; Bol Alima, Maimouna; Van Uytvanck, Alexandra; Segers, Bernard; Haentjens, Lionel; Berre, Jacques; Bal, Ousmane; Preumont, Nicolas; Kana, Justin; Kamdem, Félicité; Hentchoya, Romuald; Etori, Pauline; Ndofor, Brown; Ngote, Henri; Kasum, Adamo; Coulibaly, Aminata; Doualla, Marie Solange; Luma, Henry; Cogan, Elie; Lebrun, Eric; Gamela, Gauthier; Germay, Olivier; Mouelle, Albert; Belley Priso, Eugène; Dzudie, Anastase; Lemogoum, Daniel; Dehon, Philippe;
• Is Part Of: Acta chirurgica belgica. Volume 116:Issue 1(2016)
• Page Start: 36
• Page End: 40
• Publication Date: 2016-01-02
• Subjects: Africa -- haemodialysis -- kidney disease -- vascular access; Surgery -- Periodicals; General Surgery; Chirurgie -- Périodiques; Surgery; Chirurgie (geneeskunde); Periodicals; Periodicals; 617.005
• DOI: Http://www.tandfonline.com/doi/10.1080/00015458.2015.1136496
• Languages: English
• ISSNs: 0001-5458

Abstract

Abstract: Background Chronic Kidney disease is a major health problem in the world. Native arteriovenous Fistula (AVF) is well established as the best vascular access for haemodialysis. Little is known about the outcome of AVF in sub-Saharan Africa. We aim to analyze the outcome of patients undergoing AVF creation during the pilot program established at the Douala general hospital (DGH). Method This was hospital-based, longitudinal study with a retrospective phase (April 2010–January 2014) and a prospective phase (January 2014–April 2014). All consecutive patients operated for AVF creation were included in this study. Socio-demographics data, functionality, and complications were analyzed. Results Eighty-one patients including 52 men were enrolled in this study (49 prospectively and 32 retrospectively). The mean age was 52, 3 years (range 18–81 years). Hypertension (66, 7%), diabetes (17, 3%), and HIV (8, 6%) were the most observed co-morbidities. About 96.3% of AVF were native and 3.7% were prosthetic graft. Radiocephalic AVF was performed at a rate of 77.8%. The primary function rate was 97.7% and the mean follow-up period 43.4 weeks. The overall rate of complications was 44.4% of whom 30.5% were early, 30.5% secondary, and 39% lasted. The treatment of these complications was conservative in 48.7% of cases. Conclusions The results of the pilot program of AVF creation at the DGH are encouraging. However, the sustainability of this project requires human capacity building.