THE ZAMBIA RENAL REGISTRY; THE FIRST KIDNEY REPLACEMENT THERAPY ANNUAL REPORT

 

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THE ZAMBIA RENAL REGISTRY; THE FIRST KIDNEY REPLACEMENT THERAPY ANNUAL REPORT

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Justor
Banda
Justor Banda katusib@yahoo.co.uk Ndola Teaching Hospital Internal Medicine Ndola Zambia *
Sydney Mukumbo sydney.mukumbo@moh.gov.zm Ndola Teaching Hospital Public Health Ndola Zambia -
Tela Bulaya telabulaya@yahoo.co.uk Ndola Teaching Hospital Internal Medicine Ndola Zambia -
Natasha Chenga natashachenga@gmail.com Ndola Teaching Hospital Internal Medicine Ndola Zambia -
Aggrey Mweemba aggreymweemba@gmail.com University Teaching Hospital Internal Medicine Ndola Zambia -
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Introduction

Despite the high kidney disease burden in sub Saharan Africa, there is lack of information due to lacking renal registries. Previous studies have positively demonstrated that renal registries improve chronic kidney disease patient outcomes and support better health care planning. This study provides the first Zambia renal registry report. 

This was a descriptive cross sectional survey of 394 patients that were on kidney replacement therapy in Zambia from during the period January 1, 2024 to December 2024.  Included were KRT patients from both private and public facilities Zambia. The study was approved by the Tropical Diseases Research Centre. Results are reported in percentages and descriptive analysis was employed.

In total, 14 dialysis facilities and 3 private facilities participated in the survey. Of the 394 patients that were indexed, 227 (58.0%) were male, 35% were 50 years and older and 4% younger than 19 years. The incidence and prevalence rates of KRT were reported at 6.6 and 20.6 parts per million (pmp) respectively. All the dialysis units in the public sector participated in the study. Patients on HD, PD and transplanted were respectively 90%, 7% and 3%. The causes of ESKD were hypertension, adult polycystic kidney disease, diabetes mellitus, HIV and glomerulonephritis in 64%, 0.1%, 14.5%, 29%, 3.4% respectively. 

This first national renal registry report underscores the critical role of non-communicable diseases such as hypertension as a significance case of end stage kidney disease in Zambia.  The findings highlight the urgent need for preventive strategies and improved access to electronic medical record renal care services.

Kewords