title: Dialysis services in the hurricane-affected areas in 2005: lessons learned.
abstract: BACKGROUND
  Hurricane Katrina resulted in partial or complete devastation of dialysis services throughout the Gulf Coast, including the New Orleans metropolitan area. In the immediate aftermath, dialysis had to be provided to patients by surrounding communities in Louisiana, and ultimately by dialysis programs throughout the nation. Peritoneal dialysis patients, though typically more independent, also endured challenges in continuing dialysis following Hurricane Katrina. Hurricane Rita caused similar damage to the western Gulf Coast at Lake Charles, Louisiana and Beaumont, Texas and further delayed recovery of dialysis services in the New Orleans metropolitan area.
  
  
  METHODS
  A review of the problems created by the disaster provided many opportunities to improve healthcare delivery and to prepare for recovery from the event. Understanding what happened to the delivery of dialysis and chronic kidney disease services allows the opportunity to develop better systems to support this particularly vulnerable population of patients.
  
  
  CONCLUSIONS
  Many lessons can be learned from these events to minimize future interruption of dialysis services in the face of natural disasters such as hurricanes.
authors.affiliation: Tulane University Health Sciences Center, New Orleans, LA 70112, USA. mkleinp@tulane.edu
authors.forename: Myra A
authors.initials: MA
authors.lastname: Kleinpeter
authors.forename: Lisa D
authors.initials: LD
authors.lastname: Norman
authors.forename: N Kevin
authors.initials: NK
authors.lastname: Krane
mesh_terms: D003153:Community Health Services / Q000458:organization & administration; D003695:Delivery of Health Care / Q000458:organization & administration*; D004189:Disaster Planning; D004190:Disasters; D006801:Humans; D008145:Louisiana; D008922:Mississippi; D012066:Relief Work / Q000458:organization & administration*; D006435:Renal Dialysis / Q000379:methods*; D018635:Rescue Work / Q000458:organization & administration