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2018 ; 2018
(ä): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Treatment of end-stage renal disease with continuous ambulatory peritoneal
dialysis in rural Guatemala
#MMPMID29705734
Moore J
; Garcia P
; Rohloff P
; Flood D
BMJ Case Rep
2018[Apr]; 2018
(ä): ä PMID29705734
show ga
A 42-year-old indigenous Maya man presented to a non-profit clinic in rural
Guatemala with signs, symptoms and laboratory values consistent with uncontrolled
diabetes. Despite appropriate treatment, approximately 18 months after
presentation, he was found to have irreversible end-stage renal disease (ESRD) of
uncertain aetiology. He was referred to the national public nephrology clinic and
subsequently initiated home-based continuous ambulatory peritoneal dialysis. With
primary care provided by the non-profit clinic, his clinical status improved on
dialysis, but socioeconomic and psychological challenges persisted for the
patient and his family. This case shows how care for people with ESRD in low- and
middle-income countries requires scaling up renal replacement therapy and
ensuring access to primary care, mental healthcare and social work services.