Refusal of hemodialysis by hospitalized chronic kidney disease patients in Pakistan
Joint Authors
Salim, Muhammad
Shafi, Salman Tahir
Anjum, Roshina
Abd Allah, Wajid
Shafi, Tahir
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 29, Issue 2 (30 Apr. 2018), pp.401-408, 8 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2018-04-30
Country of Publication
Saudi Arabia
No. of Pages
8
Main Subjects
Abstract EN
In Pakistan, patients with chronic kidney disease (CKD) are commonly diagnosed at a late stage.
There is little information about the refusal of hemodialysis by hospitalized CKD patients who need hemodialysis (HD) and reasons for acceptance and refusal among these patients.
All patients with Stage V CKD who had medical indications to undergo HD and were hospitalized at a tertiary care facility over a six-month period were invited to participate in this study.
Patients were surveyed regarding acceptance or refusing of HD and reasons for their decisions.
Demographic, socioeconomic, and clinical characteristics of patients were compared between patients who accepted or refused HD.
A total of 125 patients were included in the study.
The mean age of the patients was 47.9 ± 12.1 years.
The mean duration of diagnosis of CKD was 2.5 ± 0.6 months.
Of all patients, 72 (57.6%) agreed to do HD and 53 (42.4%) refused HD.
Patients with arteriovenous fistula in place (27.1 vs.
9.1%, P 0.02) and those in the middle- or higher-income group (64.4% vs.
38.6%, P = 0.03) were more willing to undergo HD.
Trust in doctor’s advice (86.1%) was the most common reason for acceptance of HD.
Frequency of HD per week (52.8%), lifelong and permanent nature of HD (50.9%), advice by family members or friends (37.7%), perception of poor quality of life on HD (35.8%), and fear of HD needles and complications during HD (33.9%) were the most common reasons for refusal.
Refusal of HD is common among hospitalized CKD patients with medical indications to undergo HD, especially in lower income group
American Psychological Association (APA)
Shafi, Salman Tahir& Salim, Muhammad& Anjum, Roshina& Abd Allah, Wajid& Shafi, Tahir. 2018. Refusal of hemodialysis by hospitalized chronic kidney disease patients in Pakistan. Saudi Journal of Kidney Diseases and Transplantation،Vol. 29, no. 2, pp.401-408.
https://search.emarefa.net/detail/BIM-838534
Modern Language Association (MLA)
Shafi, Salman Tahir…[et al.]. Refusal of hemodialysis by hospitalized chronic kidney disease patients in Pakistan. Saudi Journal of Kidney Diseases and Transplantation Vol. 29, no. 2 (Mar. / Apr. 2018), pp.401-408.
https://search.emarefa.net/detail/BIM-838534
American Medical Association (AMA)
Shafi, Salman Tahir& Salim, Muhammad& Anjum, Roshina& Abd Allah, Wajid& Shafi, Tahir. Refusal of hemodialysis by hospitalized chronic kidney disease patients in Pakistan. Saudi Journal of Kidney Diseases and Transplantation. 2018. Vol. 29, no. 2, pp.401-408.
https://search.emarefa.net/detail/BIM-838534
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 407-408
Record ID
BIM-838534