Options for Dialysis Services in Rural and Remote NL
The province of Newfoundland and Labrador has the highest rate in Canada of newly diagnosed patients over the age of 65 years with end-stage renal (kidney) disease (ESRD). Here, as elsewhere in Canada, the profile of patients undergoing dialysis has changed, with a growing number of older and more medically frail patients being offered dialysis. In January, 2008, there were 380 patients on dialysis in this province, 65% of whom were being treated by hemodialysis in main hospital-based dialysis units in St. Johns, Corner Brook, and Grand Falls-Windsor. At the time of this study, hospital-based hemodialysis was the predominant modality of dialysis in the province despite the fact that it sometimes required patients to travel long distances or to relocate, and despite the fact that other modalities of dialysis were available, including home-based and satellite-based dialysis services. Making decisions about the provision of dialysis services, particularly for rural and remote populations, posed many challenges and required guidance from the available research evidence. The Contextualized Health Research Synthesis Program (CHRSP) recognized that the evidence available from health technology assessments and systematic reviews on dialysis would have to be interpreted in light of Newfoundland and Labrador's unique context, taking into account our aging population, our limited human and financial resources, and the fact that patients with ESRD may often live in remote parts of the province.
30 Nov -0001
Strategic Research Theme
Well-being, Health and Biomedical Discovery