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Dialysis capacity and nutrition care across Bangladesh: A situational assessment

Hemodialysis (HD) is a treatment for ensuring the survival of end-stage kidney disease (ESKD) patients, and nutrition care is integral to their management. We sent questionnaires to evaluate the total dialysis service capacity and nutrition services across all dialysis facilities (DF) in Bangladesh,...

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Autores principales: Ripon, Md. Sajjadul Haque, Ahmed, Shakil, Rahman, Tanjina, Rashid, Harun-Ur, Karupaiah, Tilakavati, Khosla, Pramod, Daud, Zulfitri Azuan Mat, Arefin, Shakib Uz Zaman, Osmani, Abdus Salam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513204/
https://www.ncbi.nlm.nih.gov/pubmed/37733829
http://dx.doi.org/10.1371/journal.pone.0291830
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author Ripon, Md. Sajjadul Haque
Ahmed, Shakil
Rahman, Tanjina
Rashid, Harun-Ur
Karupaiah, Tilakavati
Khosla, Pramod
Daud, Zulfitri Azuan Mat
Arefin, Shakib Uz Zaman
Osmani, Abdus Salam
author_facet Ripon, Md. Sajjadul Haque
Ahmed, Shakil
Rahman, Tanjina
Rashid, Harun-Ur
Karupaiah, Tilakavati
Khosla, Pramod
Daud, Zulfitri Azuan Mat
Arefin, Shakib Uz Zaman
Osmani, Abdus Salam
author_sort Ripon, Md. Sajjadul Haque
collection PubMed
description Hemodialysis (HD) is a treatment for ensuring the survival of end-stage kidney disease (ESKD) patients, and nutrition care is integral to their management. We sent questionnaires to evaluate the total dialysis service capacity and nutrition services across all dialysis facilities (DF) in Bangladesh, with responses from 149 out of 166 active DFs. Survey results revealed that 49.7% of DFs operated two shifts, and 42.3% operated three shifts daily, with 74.5% holding between one and ten dialysis machines. Sixty-three percent of DFs served between one and 25 patients per week, and 77% of patients received twice-weekly dialysis. The average cost for first-time dialysis was 2800 BDT per session (range: 2500–3000 BDT), but it was lower if reused dialyzers were used (2100 BDT, range: 1700–2800 BDT). Nutritionists were available in only 21% of the DFs. Parameters related to nutritional health screening (serum albumin, BMI, MIS-malnutrition inflammation assessment, and dietary intakes) were carried out in 37.6%, 23.5%, 2%, and 2% of the DFs, respectively, only if recommended by physicians. Nutrition education, if recommended, was provided in 68.5% of DFs, but only in 17.6% of them were these delivered by nutritionists. The recommendation for using renal-specific oral nutrition supplements (ONS) is not a familiar practice in Bangladeshi DFs and, therefore, was scarcely recommended. Dialysis capacity across Bangladesh is inadequate to meet current or projected needs and nutrition education and support across the DFs to benefit improving patients’ quality of life is also inadequate.
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spelling pubmed-105132042023-09-22 Dialysis capacity and nutrition care across Bangladesh: A situational assessment Ripon, Md. Sajjadul Haque Ahmed, Shakil Rahman, Tanjina Rashid, Harun-Ur Karupaiah, Tilakavati Khosla, Pramod Daud, Zulfitri Azuan Mat Arefin, Shakib Uz Zaman Osmani, Abdus Salam PLoS One Research Article Hemodialysis (HD) is a treatment for ensuring the survival of end-stage kidney disease (ESKD) patients, and nutrition care is integral to their management. We sent questionnaires to evaluate the total dialysis service capacity and nutrition services across all dialysis facilities (DF) in Bangladesh, with responses from 149 out of 166 active DFs. Survey results revealed that 49.7% of DFs operated two shifts, and 42.3% operated three shifts daily, with 74.5% holding between one and ten dialysis machines. Sixty-three percent of DFs served between one and 25 patients per week, and 77% of patients received twice-weekly dialysis. The average cost for first-time dialysis was 2800 BDT per session (range: 2500–3000 BDT), but it was lower if reused dialyzers were used (2100 BDT, range: 1700–2800 BDT). Nutritionists were available in only 21% of the DFs. Parameters related to nutritional health screening (serum albumin, BMI, MIS-malnutrition inflammation assessment, and dietary intakes) were carried out in 37.6%, 23.5%, 2%, and 2% of the DFs, respectively, only if recommended by physicians. Nutrition education, if recommended, was provided in 68.5% of DFs, but only in 17.6% of them were these delivered by nutritionists. The recommendation for using renal-specific oral nutrition supplements (ONS) is not a familiar practice in Bangladeshi DFs and, therefore, was scarcely recommended. Dialysis capacity across Bangladesh is inadequate to meet current or projected needs and nutrition education and support across the DFs to benefit improving patients’ quality of life is also inadequate. Public Library of Science 2023-09-21 /pmc/articles/PMC10513204/ /pubmed/37733829 http://dx.doi.org/10.1371/journal.pone.0291830 Text en © 2023 Ripon et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ripon, Md. Sajjadul Haque
Ahmed, Shakil
Rahman, Tanjina
Rashid, Harun-Ur
Karupaiah, Tilakavati
Khosla, Pramod
Daud, Zulfitri Azuan Mat
Arefin, Shakib Uz Zaman
Osmani, Abdus Salam
Dialysis capacity and nutrition care across Bangladesh: A situational assessment
title Dialysis capacity and nutrition care across Bangladesh: A situational assessment
title_full Dialysis capacity and nutrition care across Bangladesh: A situational assessment
title_fullStr Dialysis capacity and nutrition care across Bangladesh: A situational assessment
title_full_unstemmed Dialysis capacity and nutrition care across Bangladesh: A situational assessment
title_short Dialysis capacity and nutrition care across Bangladesh: A situational assessment
title_sort dialysis capacity and nutrition care across bangladesh: a situational assessment
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513204/
https://www.ncbi.nlm.nih.gov/pubmed/37733829
http://dx.doi.org/10.1371/journal.pone.0291830
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