| Dialysis in Africa: a personal perspective on a demonstration project in Cameroon. | |
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MedLine Citation:
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PMID: 17954301 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite belief to the contrary, technologically sophisticated medical care can be established in developing countries. The process requires intense effort. Preliminary work must include resolving ethical dilemmas, acquiring adequate funding, establishing supply lines, and cultivating proper political support within the host country. Our organization, WORTH (World Organization of Renal Therapies) has successfully launched and is maintaining a dialysis unit in the sub-Saharan African country of Cameroon. So far our complications rate has been trivial, and our metrics indicate that we are successfully delivering safe, effective treatment that can preserve the lives of people with end-stage renal disease in a part of the world where medical care is laboring under difficult conditions. Work is about to begin in establishing a second dialysis unit in that country. We try here to delineate our experience, and we offer a direct challenge to other nephrologists to be activists in delivering modern, advanced technology medicine to more challenging places than those where it is currently flourishing. |
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Authors:
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Wayne Trebbin; Peter Monteleone |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 50 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-10-23 Completed Date: 2007-11-27 Revised Date: 2008-07-29 |
Medline Journal Info:
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Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: United States |
Other Details:
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Languages: eng Pagination: 880-4 Citation Subset: IM |
Affiliation:
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Department of Medicine, Tufts University School of Medicine, North Shore Medical Center-Salem Hospital, Salem, MA 01970, USA. wtrebbin@partners.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cameroon Female Humans Kidney Failure, Chronic / therapy* Male Medical Missions, Official* / economics, organization & administration Middle Aged Program Development Renal Dialysis* Voluntary Workers |
| Comments/Corrections | |
Comment In:
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Am J Kidney Dis. 2008 Jun;51(6):1072-4; author reply 1074
[PMID:
18501795
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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