TY - JOUR AU - Anees, Muhammad AU - Khan, Johar Ameen AU - Basit, Abdul AU - Ibrahim, Muhammad AU - Mumtaz, Asim PY - 2015/08/03 Y2 - 2024/03/29 TI - REFUSAL OF DIALYSIS AMONGST PATIENTS OF CHRONIC KIDNEY DISEASE (CKD) JF - Annals of King Edward Medical University JA - Annals KEMU VL - 20 IS - 3 SE - Articles DO - 10.21649/akemu.v20i3.666 UR - https://annalskemu.org/journal/index.php/annals/article/view/666 SP - 228 AB - <p><strong>Abstract</strong></p> <p><strong>Objective:&nbsp;&nbsp;</strong>This study was conducted to determine the refusal of dialysis amongst patients of chronic kidney disease presenting for the first time for dialysis in ure-mic condition.</p> <p><strong>Study Design:&nbsp; </strong>Cross sectional Study.</p> <p><strong>Place and Duration of the Study:&nbsp;&nbsp;</strong>Outpatient depar-tment of<strong> </strong>Nephrology, Mayo Hospital, Lahore from 1<sup>st</sup> Jan 2012 to 31<sup>st</sup> December 2012.</p> <p><strong>Patients and Methods:&nbsp;&nbsp;</strong>Patients of CKD due to any cause presenting with uremia for the first time for dia-lysis were included in the study. History and physical</p> <p>&nbsp;</p> <p>Anees M.<sup>1</sup></p> <p>Assistant Professor Nephrology</p> <p>Chairman, Department of Nephrology</p> <p>King Edward Medical University, Lahore - Pakistan</p> <p>&nbsp;</p> <p>Khan J.A.<sup>2</sup></p> <p>Assistant Professor Gastroentrology</p> <p>Shaikh Zayed Hospital, Lahore - Pakistan</p> <p>&nbsp;</p> <p>Basit A.<sup>3</sup></p> <p>King Edward Medical University, Lahore - Pakistan</p> <p>&nbsp;</p> <p>Ibrahim M.<sup>4</sup></p> <p>Associate Professor of Statistics</p> <p>Registrar, Govt. M.A.O College, Lahore - Pakistan</p> <p>&nbsp;</p> <p>Mumtaz A.<sup>5</sup></p> <p>Professor of Pathology. Shalamar Medical and Dental College, Shalamr Hospital, Lahore - Pakistan</p> <p>examination was done<strong> </strong>and demographic data was col-lected in pre designed form. Patients were offered for dialysis while explaining to them the advantages of getting and disadvantages of not getting dialysis. Pat-ient's response on the offer was recorded and the rea-son for the refusal were noted.</p> <p><strong>Results:&nbsp;&nbsp;</strong>According to the criteria 150 patients were included in the study. Most of the patients were male 92 (61.3%) and illiterate 78 (52.0%). Major cause of CKD was diabetes mellitus 58 (38.7%) followed by hypertension 38 (25.3%). Mean age of the patients was 42.59 &plusmn; 13.72 year and income of the most of the pat-ients 126 (84%) was less than US$100/-month. Most of the patients 126 (77.0%) were asked about the need of dialysis in less than three months, 61 (41.3%) offe-red for the first time and amongst them 85 (54.0%) were offered dialysis already. Majority of the patients 101 (67.3%) refused dialysis when it was offered to them for the first time. Major reason of the refusal was fear of dialysis procedure in 76 (76%) patients follo-wed by treatment by spiritual 14 (14%) and alternative ways and others 11 (11%). Middle age persons refused dialysis significantly.</p> <p><strong>Conclusion:&nbsp;&nbsp;</strong>Diabetes mellitus is the leading cause of CKD. Most of the patients were informed about dialy-sis at very late stage. Majority of the patients refused dialysis. Major reason of the refusal was fear of dialy-sis procedure followed by treatment from some spiri-tual ways and alternative treatment.</p> ER -