India’s death rate after dialysis is twice that of the world: study

Recently published research papers lancet The medical journal, led by the George Institute for Global Health, examines survival outcomes for patients undergoing hemodialysis, and its geographic scope includes India. Studies show that in India, about 7 out of 10 patients survive after undergoing dialysis for more than six months. According to the study, this is the benchmark for survival of dialysis patients in India, with 28 per cent (6,637 people) of the total sample of patients undergoing hemodialysis dying within 10 months of receiving treatment. It means what you did. The study, titled ‘Dialysis Outcomes and Practice Patterns’, suggests that India’s mortality rate in this regard is twice the global mortality rate.

“What we need is a good infrastructure that can supplement the care provided to dialysis patients,” says Dr. Ramesh Shah, a Mumbai-based treating physician in the nephrology department at Bhatia Hospital. says. “The basic dialysis infrastructure in most rural health centers and public hospitals in satellite cities and smaller talukas is severely dysfunctional. So how can survival rates be increased?” he asks.

Dialysis is a medical treatment that allows people with kidney failure to filter waste and excess fluid from their blood. According to lancet According to the report, India treated the most patients worldwide in 2018, at around 175,000 people.

Researchers looked at 23,601 patients at 193 NephroPlus centers (a network of private dialysis centers in India) across 20 states in India and found that “there was an inverse association between mortality and dialysis vintage, with at least one year “For patients receiving dialysis, there is an inverse relationship between mortality and dialysis vintage.” “Those who started dialysis one year before joining the center had a 17 percent lower mortality rate than those who started dialysis within 30 days before joining,” the researchers said.

Furthermore, according to a paper published in Lancet Community Health – Southeast Asia, those who covered their own costs without health insurance or government subsidies had higher mortality rates. Diabetes and hypertension also contribute significantly to dialysis mortality. “We have observed an increase in diabetes cases leading to kidney failure. Uncontrolled diabetes is one of the main causes and needs to be addressed,” Shah said.

Thirty-one percent of patients in the group the researchers studied were over 60 years old. “We need more data on kidney disease in India and this is a welcome step in that regard,” he said. “It is also equally important to take supplemental medications and proper nutrition alongside dialysis under the supervision of a doctor or dietitian.”