The direct cost of dialysis supported by families for patients with chronic renal failure in Ouagadougou (Burkina Faso)
Abstract Background Chronic renal failure can lead to dialysis and/or a kidney transplant in the final stage. The number of patients under dialysis has increased considerably in the world and particularly in sub-Saharan Africa. Dialysis is a very expensive care. This is the reason why this study on...
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Nephrology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12882-022-02847-y |
| _version_ | 1828808805437145088 |
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| author | Amadou Oury Toure Mamadou Dioulde Balde Aissatou Diallo Sadan Camara Anne Marie Soumah Alpha Oumar Sall Karifa Kourouma Bienvenu Salim Camara Fadima Yaya Bocoum Seni Kouanda |
| author_facet | Amadou Oury Toure Mamadou Dioulde Balde Aissatou Diallo Sadan Camara Anne Marie Soumah Alpha Oumar Sall Karifa Kourouma Bienvenu Salim Camara Fadima Yaya Bocoum Seni Kouanda |
| author_sort | Amadou Oury Toure |
| collection | DOAJ |
| description | Abstract Background Chronic renal failure can lead to dialysis and/or a kidney transplant in the final stage. The number of patients under dialysis has increased considerably in the world and particularly in sub-Saharan Africa. Dialysis is a very expensive care. This is the reason why this study on the costs of dialysis management was initiated in Burkina Faso. The objective of the study is to determine the direct medical and non-medical costs of managing chronic renal failure among dialysis patients in Ouagadougou in 2020. Methods An analytical cross-sectional study was conducted. Data were collected in the hemodialysis department of three public university hospitals in Ouagadougou, Burkina Faso. All dialysis patients with chronic renal failure were included in the study. Linear regression was used to investigate the determinants of the direct medical and non-medical cost of hemodialysis. Results A total of 290 patients participated in this study, including children, adults, and the elderly with extremes of 12 and 82 years. Almost half of the patients (47.5%) had no income. The average monthly total direct cost across all patients was 75842 CFA or US$134.41.The average direct medical cost was 51315 CFA or US$90.94 and the average direct non-medical cost was 24 527 CFA or US$43.47. Most of the patients (45.2%) funded their hemodialysis by their own source. The multivariate analysis showed that the presence of an accompanying person during treatment, residing in a rural area, ambulatory care, use of personal cars, and treatment at the dialysis center of Yalgado Teaching Hospital were associated with higher direct costs. Conclusion The average cost of dialysis services borne by the patient and his family is very high in Burkina Faso, since it is 2.1 times higher than the country's minimum interprofessional wage (34664 CFA or US$61.4). It appears that the precariousness of the means of subsistence increases strongly with the onset of chronic renal failure requiring dialysis. Thus, to alleviate the expenses borne by dialysis patients, it would be important to extend the government subsidy scheme to the cost of drugs and to promote health insurance to ensure equitable care for these patients. |
| first_indexed | 2024-12-12T08:46:25Z |
| format | Article |
| id | doaj.art-123bcce8098b46009f3aba4c29730384 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-12T08:46:25Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-123bcce8098b46009f3aba4c297303842022-12-22T00:30:30ZengBMCBMC Nephrology1471-23692022-06-0123111010.1186/s12882-022-02847-yThe direct cost of dialysis supported by families for patients with chronic renal failure in Ouagadougou (Burkina Faso)Amadou Oury Toure0Mamadou Dioulde Balde1Aissatou Diallo2Sadan Camara3Anne Marie Soumah4Alpha Oumar Sall5Karifa Kourouma6Bienvenu Salim Camara7Fadima Yaya Bocoum8Seni Kouanda9Center for Research in Reproductive Health/Cellule de recherche en santé de la reproduction en Guinée (CERREGUI)Center for Research in Reproductive Health/Cellule de recherche en santé de la reproduction en Guinée (CERREGUI)Center for Research in Reproductive Health/Cellule de recherche en santé de la reproduction en Guinée (CERREGUI)Center for Research in Reproductive Health/Cellule de recherche en santé de la reproduction en Guinée (CERREGUI)Center for Research in Reproductive Health/Cellule de recherche en santé de la reproduction en Guinée (CERREGUI)Center for Research in Reproductive Health/Cellule de recherche en santé de la reproduction en Guinée (CERREGUI)National Center for Training and Research in Rural Health in Maferinyah Guinea /Centre national de formation et de recherche en santé rurale à Maferinyah GuinéeNational Center for Training and Research in Rural Health in Maferinyah Guinea /Centre national de formation et de recherche en santé rurale à Maferinyah GuinéeInstitut de Recherche en Sciences de la Santé (IRSS) Burkina FasoInstitut de Recherche en Sciences de la Santé (IRSS) Burkina FasoAbstract Background Chronic renal failure can lead to dialysis and/or a kidney transplant in the final stage. The number of patients under dialysis has increased considerably in the world and particularly in sub-Saharan Africa. Dialysis is a very expensive care. This is the reason why this study on the costs of dialysis management was initiated in Burkina Faso. The objective of the study is to determine the direct medical and non-medical costs of managing chronic renal failure among dialysis patients in Ouagadougou in 2020. Methods An analytical cross-sectional study was conducted. Data were collected in the hemodialysis department of three public university hospitals in Ouagadougou, Burkina Faso. All dialysis patients with chronic renal failure were included in the study. Linear regression was used to investigate the determinants of the direct medical and non-medical cost of hemodialysis. Results A total of 290 patients participated in this study, including children, adults, and the elderly with extremes of 12 and 82 years. Almost half of the patients (47.5%) had no income. The average monthly total direct cost across all patients was 75842 CFA or US$134.41.The average direct medical cost was 51315 CFA or US$90.94 and the average direct non-medical cost was 24 527 CFA or US$43.47. Most of the patients (45.2%) funded their hemodialysis by their own source. The multivariate analysis showed that the presence of an accompanying person during treatment, residing in a rural area, ambulatory care, use of personal cars, and treatment at the dialysis center of Yalgado Teaching Hospital were associated with higher direct costs. Conclusion The average cost of dialysis services borne by the patient and his family is very high in Burkina Faso, since it is 2.1 times higher than the country's minimum interprofessional wage (34664 CFA or US$61.4). It appears that the precariousness of the means of subsistence increases strongly with the onset of chronic renal failure requiring dialysis. Thus, to alleviate the expenses borne by dialysis patients, it would be important to extend the government subsidy scheme to the cost of drugs and to promote health insurance to ensure equitable care for these patients.https://doi.org/10.1186/s12882-022-02847-yDirect costDialysisManagementChronic renal failureBurkina Faso |
| spellingShingle | Amadou Oury Toure Mamadou Dioulde Balde Aissatou Diallo Sadan Camara Anne Marie Soumah Alpha Oumar Sall Karifa Kourouma Bienvenu Salim Camara Fadima Yaya Bocoum Seni Kouanda The direct cost of dialysis supported by families for patients with chronic renal failure in Ouagadougou (Burkina Faso) BMC Nephrology Direct cost Dialysis Management Chronic renal failure Burkina Faso |
| title | The direct cost of dialysis supported by families for patients with chronic renal failure in Ouagadougou (Burkina Faso) |
| title_full | The direct cost of dialysis supported by families for patients with chronic renal failure in Ouagadougou (Burkina Faso) |
| title_fullStr | The direct cost of dialysis supported by families for patients with chronic renal failure in Ouagadougou (Burkina Faso) |
| title_full_unstemmed | The direct cost of dialysis supported by families for patients with chronic renal failure in Ouagadougou (Burkina Faso) |
| title_short | The direct cost of dialysis supported by families for patients with chronic renal failure in Ouagadougou (Burkina Faso) |
| title_sort | direct cost of dialysis supported by families for patients with chronic renal failure in ouagadougou burkina faso |
| topic | Direct cost Dialysis Management Chronic renal failure Burkina Faso |
| url | https://doi.org/10.1186/s12882-022-02847-y |
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