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Saudi Journal of Kidney Diseases and Transplantation
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COUNTRY REPORT Table of Contents   
Year : 1999  |  Volume : 10  |  Issue : 1  |  Page : 64-65
Renal Replacement Therapy in Jordan


Department of Medicine, Jordan Hospital, Amman, Jordan

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How to cite this article:
Said R. Renal Replacement Therapy in Jordan. Saudi J Kidney Dis Transpl 1999;10:64-5

How to cite this URL:
Said R. Renal Replacement Therapy in Jordan. Saudi J Kidney Dis Transpl [serial online] 1999 [cited 2019 Nov 15];10:64-5. Available from: http://www.sjkdt.org/text.asp?1999/10/1/64/37304
Jordan is an Arab country in the north western corner of the Arab Peninsula. It has an area of 89,206 square kilometers and a population of four million. It is a developing country and has limited natural resources. This has a considerable effect on the health services including renal replacement therapy.

The estimated incidence of end-stage renal failure is 110-120 cases per million popu­lations per year. The most common causes of renal failure among adults are chronic glomerulonephritis and diabetes mellitus. The latter may be responsible for 30-35% of patients on dialysis.

Most of the centers of renal replacement therapy are governmental, however, few are private.

Hemodialysis

Hemodialysis was started in 1969 in the military hospital in Amman, the capital of Jordan. Currently, there are 22 hemodialysis centers equipped with a total of 150 dialysis machines. There are 900 hemodialysis patients on chronic hemodialysis therapy with a ratio of six patients to one machine. The average hemodialysis hours are 10-12 per patient per week.

Thirty to forty percent of the hemodialysis patients are dialyzed using bicarbonate dialysate. The arteriovenous fistula is the most common vascular access used for hemodialysis. Currently, 50-60% of the hemo­dialysis patients are on erythropoietin therapy 25.5% of the hemodialysis patients have positive anti-hepatitis C antibodies, while 3­5% of them are carriers of hepatitis B antigen.

The estimated mortality rate of chronic hemodialysis patients is around 10% annually. The most common causes of mortality among hemodialysis patients continues to be coronary artery disease.

Peritoneal Dialysis

The first intermittent peritoneal dialysis (IPD) was performed at Jordan University (IPD) was performed at Jordan University Hospital in 1979, Later, when continuous ambulatory peritoneal dialysis (CAPD) became popular, the first CAPD was performed in Al-Bashir Hospital in 1986. However, CAPD has not gained popularity in Jordan. Currently, there are nearly twenty-five patients on CAPD (most pediatrics) and 30 IPD patients are followed up in Jordan. It is difficult with this small number to give a satisfactory report about morbidity and mortality in this group of patients.


   Renal Transplantation in Jordan Top


This service started at the Military hospital in Amman in the year 1972. It is interesting that the first operation was from a cadaveric donor. At present, there are six renal transplant centers in Jordan, all in Amman, which performed approximately 900 renal transplants from living related donors and close to 40 renal transplants from cadaveric donors.

Commercial transplantation is not practiced in Jordan, and to my knowledge there has not been any operation using living unrelated donor since the start of transplantation in this country. However, most than 250 such operations were performed aboard. Some of the kidney transplants carried out in Jordan on non­Jordanians from other Arab states was by using living related kidney donors. The most common regimen used for immunosuppression in the transplanted patients involves prednisolone, cyclosporine and azathioprine. Currently, a trial of FK506 has begun. There is less than 10% mortality rate in the transplant population. This is due mainly to infection.


   Prospective Top


Jordan Still looks forward to that establishment of a national kidney foundation, which would supervise and promote cadaver organ donation. There is a hope for such an organization, which is still debated in the medical community. There is an urgent need to settle all debates in order to launch this project, which may result in decreasing the number of patients awaiting renal transplantation. This will have a favorable impact on patients and health budget as well.

Top
Correspondence Address:
Riyad Said
Department of Medicine, Jordan Hospital, P.O. Box 13132, Amman 11942
Jordan
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PMID: 18212416

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