Kidney patients dying in dialysis care shortage

Jeremy Laurance
Tuesday 14 January 2003 01:00 GMT
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Britain is in the grip of an epidemic of kidney failure and people are dying because hospitals do not have enough dialysis machines to keep them alive.

About 100,000 people have kidney disease but only 34,000 receive dialysis – regular treatment on a kidney machine – or have had a transplant, the National Kidney Research Fund (NKRF) says.

When the kidneys fail, patients must receive dialysis or a transplant within three months or they will die.

A survey of the 71 kidney units providing dialysis on the NHS in the UK found some were being forced to turn away patients because they could not cope with the demand.

The NKRF survey found 12 units turned away patients in 2001. Seven said they turned away between two and 20 patients each during the year. Others reported having to take emergency measures to accommodate patients by setting up temporary dialysis stations or treating them overnight.

The report says: "Some providers acknowledged that the final options for such patients are conservative management and/or death." John Bradley, director of the renal unit at Addenbrooke's Hospital, Cambridge, said: "There is concern that patients are dying because they can't get dialysis. If you talk to the units they say they don't know what happens to the patients they turn away."

Kidney failure is a growing problem in Britain, fuelled by the rise in diabetes caused by increasing obesity. The total number of sufferers is projected to double over the next decade. It is four times more common in Asians and Afro-Caribbeans. Treatment involves being connected to a kidney machine, three times a week, for dialysis that cleanses the blood of impurities. Some patients survive for decades having dialysis but it costs £30,000 a year.

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