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10.1136/bcr-2017-223641

http://scihub22266oqcxt.onion/10.1136/bcr-2017-223641
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C5931272!5931272!29705734
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suck abstract from ncbi


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pmid29705734      BMJ+Case+Rep 2018 ; 2018 (ä): ä
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  • 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[]; 2018 (ä): ä PMID29705734show 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.
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