Clinically, worldwide, it is proven that under-treatment puts the patients at risk with most common outcome being cardiac arrest.
A pan India study has revealed that more than 72% of the dialysis patients do not undergo the prescribed treatment. According to the study, which had surveyed 1,300 end-stage kidney patients between January 2013 to July 2014, found that of the 72%, 65% choose twice a week dialysis modality instead of thrice as prescribed. The study by NephroPlus also found that the reason behind kidney patients under-treating themselves is affordability.
Kamal Shah, co-founder and director of Patient Services, NephroPlus, who himself has been on dialysis for more than 18 years, said, "With more than 2 lakh people developing kidney failure every year, kidney disease has become one of the most chronic epidemics to affect the country. But it is widely neglected. While there has been some improvement with a few state governments coming forward and subsidising the dialysis treatment, the situation calls for greater participation from state and central governments as also large employers."
Clinically, worldwide, it is proven that under-treatment puts the patients at risk with most common outcome being cardiac arrest.
"Throughout the world, dialysis is reimbursed by governments since it's a very costly chronic treatment. I have seen that the thrice a week modality has much better compliance with medications when either the employer or a government scheme pays for the dialysis treatment. Adoption of innovative models such as public private partnership can definitely make dialysis accessible, affordable and thereby improve the clinical outcome in the country," added Dr Umesh Khanna, chairman, Mumbai Kidney Foundation.
In a private hospital, a dialysis will cost Rs1,200 to 1,500. Dr Rajesh Kumar, nephrologist at Dr LH Hiranandani Hospital, said: "Affordability is a major reason for many kidney patients to skip dialysis. We need more charitable trusts like Lalbaug Mandal where presently 180 patients are treated free of cost."
He further said that the government needs to have a well placed guidelines for people.
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