title: Outcome of permanent vascular access for haemodialysis in patients with end-stage renal disease in Cameroon: results from the pilot experience of the Douala general hospital.
abstract: Background Chronic Kidney disease is a major health problem in the world. Native arteriovenous Fistula (AVF) is well established as the best vascular access for haemodialysis. Little is known about the outcome of AVF in sub-Saharan Africa. We aim to analyze the outcome of patients undergoing AVF creation during the pilot program established at the Douala general hospital (DGH). Method This was hospital-based, longitudinal study with a retrospective phase (April 2010-January 2014) and a prospective phase (January 2014-April 2014). All consecutive patients operated for AVF creation were included in this study. Socio-demographics data, functionality, and complications were analyzed. Results Eighty-one patients including 52 men were enrolled in this study (49 prospectively and 32 retrospectively). The mean age was 52, 3 years (range 18-81 years). Hypertension (66, 7%), diabetes (17, 3%), and HIV (8, 6%) were the most observed co-morbidities. About 96.3% of AVF were native and 3.7% were prosthetic graft. Radiocephalic AVF was performed at a rate of 77.8%. The primary function rate was 97.7% and the mean follow-up period 43.4 weeks. The overall rate of complications was 44.4% of whom 30.5% were early, 30.5% secondary, and 39% lasted. The treatment of these complications was conservative in 48.7% of cases. Conclusions The results of the pilot program of AVF creation at the DGH are encouraging. However, the sustainability of this project requires human capacity building.
authors.affiliation: a CHU Saint Pierre, Université Libre De Bruxelles, Bruxelles , Belgium .
authors.forename: William
authors.initials: W
authors.lastname: Ngatchou
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Achille
authors.initials: A
authors.lastname: Ngbwa Evina
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Marie Patrice
authors.initials: MP
authors.lastname: Halle
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Annie
authors.initials: A
authors.lastname: Massom
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Samuel
authors.initials: S
authors.lastname: Ekane
authors.affiliation: c Fondation Derluyn, Bruxelles , Belgium .
authors.forename: Essola
authors.initials: E
authors.lastname: Basile
authors.affiliation: a CHU Saint Pierre, Université Libre De Bruxelles, Bruxelles , Belgium .
authors.forename: Pierre
authors.initials: P
authors.lastname: Origer
authors.affiliation: a CHU Saint Pierre, Université Libre De Bruxelles, Bruxelles , Belgium .
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Haquebard
authors.affiliation: a CHU Saint Pierre, Université Libre De Bruxelles, Bruxelles , Belgium .
authors.forename: Alain
authors.initials: A
authors.lastname: Olinga Olinga
authors.affiliation: a CHU Saint Pierre, Université Libre De Bruxelles, Bruxelles , Belgium .
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Jansens
authors.affiliation: a CHU Saint Pierre, Université Libre De Bruxelles, Bruxelles , Belgium .
authors.forename: Alain
authors.initials: A
authors.lastname: Watel
authors.affiliation: c Fondation Derluyn, Bruxelles , Belgium .
authors.forename: Antoine
authors.initials: A
authors.lastname: Lecain
authors.affiliation: c Fondation Derluyn, Bruxelles , Belgium .
authors.forename: Maimouna
authors.initials: M
authors.lastname: Bol Alima
authors.affiliation: a CHU Saint Pierre, Université Libre De Bruxelles, Bruxelles , Belgium .
authors.forename: Alexandra
authors.initials: A
authors.lastname: Van Uytvanck
authors.affiliation: a CHU Saint Pierre, Université Libre De Bruxelles, Bruxelles , Belgium .
authors.forename: Bernard
authors.initials: B
authors.lastname: Segers
authors.affiliation: c Fondation Derluyn, Bruxelles , Belgium .
authors.forename: Lionel
authors.initials: L
authors.lastname: Haentjens
authors.affiliation: d Hôpital Erasme De Bruxelles, Université Libre De Bruxelles, Bruxelles , Belgium.
authors.forename: Jacques
authors.initials: J
authors.lastname: Berre
authors.affiliation: d Hôpital Erasme De Bruxelles, Université Libre De Bruxelles, Bruxelles , Belgium.
authors.forename: Ousmane
authors.initials: O
authors.lastname: Bal
authors.affiliation: d Hôpital Erasme De Bruxelles, Université Libre De Bruxelles, Bruxelles , Belgium.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Preumont
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Justin
authors.initials: J
authors.lastname: Kana
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Félicité
authors.initials: F
authors.lastname: Kamdem
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Romuald
authors.initials: R
authors.lastname: Hentchoya
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Pauline
authors.initials: P
authors.lastname: Etori
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Brown
authors.initials: B
authors.lastname: Ndofor
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Henri
authors.initials: H
authors.lastname: Ngote
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Adamo
authors.initials: A
authors.lastname: Kasum
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Aminata
authors.initials: A
authors.lastname: Coulibaly
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Marie Solange
authors.initials: MS
authors.lastname: Doualla
authors.forename: Henry
authors.initials: H
authors.lastname: Luma
authors.affiliation: d Hôpital Erasme De Bruxelles, Université Libre De Bruxelles, Bruxelles , Belgium.
authors.forename: Elie
authors.initials: E
authors.lastname: Cogan
authors.affiliation: c Fondation Derluyn, Bruxelles , Belgium .
authors.forename: Eric
authors.initials: E
authors.lastname: Lebrun
authors.affiliation: c Fondation Derluyn, Bruxelles , Belgium .
authors.forename: Gauthier
authors.initials: G
authors.lastname: Gamela
authors.affiliation: c Fondation Derluyn, Bruxelles , Belgium .
authors.forename: Olivier
authors.initials: O
authors.lastname: Germay
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Albert
authors.initials: A
authors.lastname: Mouelle
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Eugène
authors.initials: E
authors.lastname: Belley Priso
authors.affiliation: b Hôpital Général De Douala, Cameroun. Université De Douala, Bruxelles , Belgium .
authors.forename: Anastase
authors.initials: A
authors.lastname: Dzudie
authors.affiliation: d Hôpital Erasme De Bruxelles, Université Libre De Bruxelles, Bruxelles , Belgium.
authors.forename: Daniel
authors.initials: D
authors.lastname: Lemogoum
authors.affiliation: d Hôpital Erasme De Bruxelles, Université Libre De Bruxelles, Bruxelles , Belgium.
authors.forename: Philippe
authors.initials: P
authors.lastname: Dehon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002163:Cameroon; D002408:Catheters, Indwelling; D003906:Developing Countries; D005260:Female; D005500:Follow-Up Studies; D006769:Hospitals, General; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D017063:Outcome Assessment, Health Care; D010530:Peritoneal Dialysis / Q000379:methods* / Q000706:statistics & numerical data; D010865:Pilot Projects; D006435:Renal Dialysis / Q000379:methods* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D018570:Risk Assessment; D062666:Vascular Access Devices; D055815:Young Adult
keywords: Africa; haemodialysis; kidney disease; vascular access