Ball John T
Clin Nephrol. 2020 Supplement-Jan;93(1):17-20. doi: 10.5414/CNP92S103.
The percentage of the population in low-middle-income countries (LMIC) with hemodialysis availability has gradually increased over the last 8 years. Note that only 3% of the treatments of these countries are done as peritoneal dialysis, which is the more cost-effective modality. The best current estimate of hemodialysis access for Africa is 25%, Southeast Asia 35%, and South America 65% [1]. The main issues that impede hemodialysis access remain poverty, the unaffordability of treatment, the substantial cost of setting up a dialysis unit as well as the lack of options to purchase dialyzers, tubing, and unit supplies at reasonable costs. This article presents cost-saving approaches for providing hemodialysis in LMIC along with words of caution on how to determine the sustainability of the project in areas with high levels of need and limited resources.
在过去8年里，中低收入国家（LMIC）中可进行血液透析的人口比例逐渐上升。需要注意的是，这些国家只有3%的治疗采用腹膜透析，而腹膜透析是更具成本效益的方式。目前对非洲血液透析可及率的最佳估计为25%，东南亚为35%，南美洲为65%[1]。阻碍血液透析可及性的主要问题仍然是贫困、治疗费用负担不起、建立透析单元的成本高昂以及缺乏以合理成本购买透析器、管路和单元耗材的选择。本文介绍了在中低收入国家提供血液透析的成本节约方法，并就如何在需求高且资源有限的地区确定项目的可持续性提出了警示。
