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Saudi Journal of Kidney Diseases and Transplantation
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LETTER TO THE EDITOR Table of Contents   
Year : 1996  |  Volume : 7  |  Issue : 1  |  Page : 42-43
Incidence of ESRD: Magnitude of the Problems and Implications


Nephrology Section, King Fahd Central Hospital, P.O. Box 204, Gizan, Saudi Arabia

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How to cite this article:
Subramanian P T. Incidence of ESRD: Magnitude of the Problems and Implications. Saudi J Kidney Dis Transpl 1996;7:42-3

How to cite this URL:
Subramanian P T. Incidence of ESRD: Magnitude of the Problems and Implications. Saudi J Kidney Dis Transpl [serial online] 1996 [cited 2020 Sep 20];7:42-3. Available from: http://www.sjkdt.org/text.asp?1996/7/1/42/39543
To the Editor:

The informative and thought-provoking editorial by Aziz deserves appreciation, as the problems of chronic renal failure (CRF) and end-stage renal disease (ESRD) have been looked into from the point of early detection, health-care planning including prevention, financial aspects, research priorities and futurology [1] . With reference to this article, the following comments are submitted.

It is essential to establish a national registry wherein new cases of CRF/ESRD that are diagnosed in the designated health­care centers are registered. The Saudi Center for Organ Transplantation can provide uniform guidelines to maintain the registry and to identify the possible cause(s) of CRF/ESRD. This will help in assessing the magnitude of the problem as well as the financial burden and facilitate proper planning.

Imparting health education to patients with CRF/ESRD and their families using audiovisual tools made in the regional language is important. This will help not only in getting their co-operation and co­ordination but also in creating awareness of the disease.

Along with existing national health programmes, efforts should be made to undertake preliminary screening for renal involvement/disease especially among the susceptible population in order to facilitate early detection and institute appropriate therapy.

In view of the enormity of the socioeconomic and financial implications in the management of CRF/ESRD, the time has come to organize preventive nephrology programs incorporating primary, secondary and tertiary prevention. As the causes of renal disease are multiple viz., inborn, inherited, infection, immunologic, iatrogenic, injury, industrial chemicals, idiopathic, metabolic, etc., preventive nephrology should have a multi-disciplinary approach involv­ing all specialities.

Aziz stresses the need for simple and less expensive therapy for patients with CRF/ ESRD [1] . The role of Rhubarb therapy, the usefulness of which has been brought out earlier may be considered at this juncture [2],[3],[4] .

Future efforts should concentrate on 3stablishing the causative aspects of CRF in Saudi Arabia, community intervention programs, assessment of intervention programs in terms of efficiency and implementability and guidelines for monitoring patients with CRF.

 
   References Top

1.Aziz KMS. Incidence of end stage renal disease: magnitude of the problem and its implications, Saudi J Kidney Dis Transplant 1995;6:271-74.  Back to cited text no. 1    
2.Bi ZQ, Zheng FL, Kong ZQ, Shen J. Non­dialysis therapy and prolongation of the survival time of renal failure patients. Chin J Nephrol 1986;2:58-60.  Back to cited text no. 2    
3.Yokazawa T, Fujioka K, Oura H, onaka G, Nishioka I. Effects of rhubarb tannins on uremic toxins. Nephron 1991;58:155-60.  Back to cited text no. 3    
4.Bi ZQ, Zheng FL. Effect of Rhizoma Rhei on chronic renal failure. Proc 4th APCN. International Academic Publisher Beijing, 1991;67-70.  Back to cited text no. 4    

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Correspondence Address:
P T Subramanian
Nephrology Section, King Fahd Central Hospital, P.O. Box 204, Gizan
Saudi Arabia
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PMID: 18417919

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