title: Assessment of dialysis adequacy guidelines implementation in a developing country.
abstract: Dialysis adequacy has been shown to have a significant impact on patient survival, but there are few data concerning the adequacy of the delivered hemodialysis dose in developing countries. To describe the level of implementation of dialysis practice guidelines in a dialysis center in Morocco, we retrospectively reviewed our 1-year experience of managing chronic hemodialysis patients (CHP), from May 2009 to May 2010. Demographic and biochemical data were collected, and the percentage of patients achieving targets recommended by the NKF-KDOQI guidelines were calculated. Our data suggests that dialysis units in a developing country can achieve current guidelines targets for dialysis adequacy, however, our results are not generalizable to all dialysis centers in Morocco.
authors.affiliation: Department of Nephrology Dialysis and Renal Transplantation, Mohammed V Military Hospital, Faculty of Medicine, Mohammed V-Souissi University, Rabat, Morocco. maoujoud@gmail.com
authors.forename: Omar
authors.initials: O
authors.lastname: Maoujoud
authors.forename: Abdelali
authors.initials: A
authors.lastname: Bahadi
authors.forename: Yassir
authors.initials: Y
authors.lastname: Zajjari
authors.forename: Samir
authors.initials: S
authors.lastname: Ahid
authors.forename: Taoufiq
authors.initials: T
authors.lastname: Aatif
authors.forename: Zouhir
authors.initials: Z
authors.lastname: Oualim
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D003906:Developing Countries; D005260:Female; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009018:Morocco; D017410:Practice Guidelines as Topic / Q000592:standards*; D010818:Practice Patterns, Physicians' / Q000592:standards*; D015397:Program Evaluation; D019984:Quality Indicators, Health Care / Q000592:standards*; D006435:Renal Dialysis / Q000592:standards*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers