Abstract
The economic development of Qatar alongside the resultant lifestyle changes in the last few decades has contributed to increasing rates of obesity, diabetes mellitus and hypertension with consequent increased incidence and prevalence of chronic kidney disease and end-stage-renal-disease (ESRD). This article describes renal replacement therapy (RRT) services in Qatar and their evolution in response to challenges posed by the growth of ESRD with reference to regional and international data. It covers the history of RRT, highlighting significant advances in chronological order, as well as providing an overview of the current status of RRT in the multicultural and socioeconomically diverse society that inhabits Qatar. Finally, it casts a glance into the future, predicting how RRT services will further evolve to address the current limitations.
Highlights
Qatar is a peninsula extending north from Saudi Arabia into the Arabian Gulf, covering an overall area of 11,627 km, with a population of 2.5 million [1]
This article describes the evolution of renal replacement therapy (RRT) services in Qatar, a multi-cultural society with substantial socioeconomic diversity, to combat the challenges posed by the growth of ESRD into an international perspective using information from different renal registries
Qatar participates in the Gulf Cooperation Council-Dialysis Outcomes and Practice Patterns Study (GCC-DOPPS); the recently published results of the phase 5 (2012-2015) study reveal that 92% of the in-center HD patients dialyze three times per week with mean treatment time of 230 minutes, yielding an average single pool Kt/V of 1.5
Summary
Qatar is a peninsula extending north from Saudi Arabia into the Arabian Gulf, covering an overall area of 11,627 km, with a population of 2.5 million [1]. The economic boom experienced by Qatar in recent years has been associated with a surge in international migration of workers from developing countries, evidenced by an annual population growth of 11.8% in 2004 and 18.9% in 2008. This article describes the evolution of renal replacement therapy (RRT) services in Qatar, a multi-cultural society with substantial socioeconomic diversity, to combat the challenges posed by the growth of ESRD into an international perspective using information from different renal registries. It is important to appreciate that prevalence of RRT modalities in a country depends on underlying burden of ESRD, and on access to treatment, healthcare infrastructure, treatment outcomes, and in case of kidney transplantation—organ availability, and cultural beliefs
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