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- W58153905 abstract "The province of Newfoundland andLabrador has the highest rate in thecountry of newly diagnosed patientsover the age of 65 years with end-stagerenal (kidney) disease (ESRD).1 Here,as elsewhere in Canada, the profile ofpatients undergoing dialysis has changed,with a growing number of older, and moremedically frail,patients beingoffered dialysis.In January, 2008,there were 380patients ondialysis in thisprovince, 65% ofwhom were being treated by hemodialysisin main hospital-based dialysis units in St.John’s and Corner Brook, and in GrandFalls-Windsor, a satellite of St. John’s thatoperates much like a main unit.Hospital-based hemodialysis is thepredominant modality of dialysis inthis province despite the fact that itsometimes requires patients to travellong distances or to relocate, and thatother modalities of dialysis are available,including home-based and satellite-baseddialysis services (see Table 1 on page 2).Making decisions about the provision ofdialysis services, particularly for rural andremote populations, poses challenges andshould be guided by research evidence.Furthermore, the evidence availablefrom health technology assessments andsystematic reviews on dialysis must beinterpreted in light of the Newfoundlandand Labrador context, taking intoaccount our aging population, our limitedhuman and financial resources, and thegeographic dispersion of small clusters ofpatients with ESRD living in remote partsof the province. Providing health decisionmakers with the best available evidencethat is attuned to the capacities andcharacteristics of the province is the goalof the Contextualized Health ResearchSynthesis Program (CHRSP)." @default.
- W58153905 created "2016-06-24" @default.
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- W58153905 date "2008-03-01" @default.
- W58153905 modified "2023-09-24" @default.
- W58153905 title "The Provision of Dialysis Services inRural and Remote Populationsin Newfoundland and Labrador" @default.
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