Quality of healthcare for hemodialysis patients in various health sectors in Jeddah, Saudi Arabia.
OBJECTIVE
We compared the adequacy of the management of hemodialysis patients in different health sectors in a major city in Saudi Arabia.


METHODS
Cross-sectional analytic study conducted in three different health sectors in Jeddah, Saudi Arabia.


METHODS
Data was collected from nine hemodialysis centers, which represent three sectors: Ministry of Health, governmental (but not health ministry) hospitals, and charity centers. A simple random sampling tech.nique was employed for gathering data from the participating centers. Medical records were reviewed and all the relevant data were retrieved using a pre-designed form.


RESULTS
In the 587 subjects, hypertension, diabetes mellitus and an idiopathic etiology accounted for 85.3% of end-stage renal disease. Only 25.4% of the patients had a hemoglobin level of 110-120 g/L and 12.1% achieved target levels of ferritin and transferrin saturation. The percentage of patients meeting targeted levels of calcium (2.1-2.38 mmol/L), phosphorous (1.13-1.78 mmol/L) and albumin (>=40 g/L) were 54.2%, 38.7% and 23.5%, respectively. The variation between different health sectors was statistically significant (P < .001). Arteriovenous fistula was used for 84% of the patients and catheter for 15.7%.


CONCLUSIONS
The quality of healthcare for hemodialysis patients in Jeddah needs improvement to meet the recommendations of the Kidney Disease Outcomes Quality Initiative guidelines.
Dr. Marwan A. Bakarman, Department of Family and Community Medicine, Rabigh Faculty of Medicine,, King Abdulaziz University,, PO Box 80205, Jeddah 21589,, Saudi Arabia, T: 966-553370470, F: 966-2-640-000000 loc. 20466, mbakarman@kau.edu.sa.
Marwan A
MA
Bakarman
Hani A
HA
Alghamdi
Rajaa M
RM
Alraddadi
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007677:Kidney Function Tests; D008297:Male; D008875:Middle Aged; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D006435:Renal Dialysis / Q000592:standards*; D051437:Renal Insufficiency / Q000097:blood / Q000209:etiology / Q000628:therapy*; D012529:Saudi Arabia; D055815:Young Adult