Table 1.
Characteristics of dialysis treatment in Guatemala, as of 2019
| Characteristics | Response |
|---|---|
| Number of prevalent patients on dialysis | N=9245; 564 pmp; 0.56/1000 people |
| Patients on home dialysis (%) | |
| Total | 45 |
| CAPD | 100 |
| Are all dialysis sessions covered by insurance, or do some patients have out-of-pocket expenses? (%) | |
| UNAERC | 63 |
| IGSS | 34 |
| FUNDANIER | 2 |
| Othera | <1 |
| Are the dialysis units hospital based or freestanding? | Freestanding |
| Are the dialysis units for profit or nonprofit? | UNAERC and IGSS are both for profit (a company is hired to provide dialysis services) |
| What is the reimbursement per dialysis session in USD? | |
| HD | $14,000/yr per patient |
| CAPD | $5000–6500/yr per patient |
| Transplant | $3250/yr per patient |
| Are all of the staff who deliver dialysis nurses, or do you also use patient-care technicians? | Only dialysis technicians |
| What is the typical patient/technician ratio in the dialysis units? | |
| UNAERC | 5:1 technician |
| IGSS | 3:1 technician |
| What is the average length of a dialysis session? (min) | 180 |
| How many times per month are patients seen by a nephrologist during dialysis sessions? | |
| UNAERC | Once every 2 mo |
| IGSS | Once every month |
| What is the proportion of prevalent patients on HD in Guatemala using an AVF, AVG, and CVC? (%) | |
| AVF | |
| UNAERC | 25 |
| IGSS | 64 |
| AVG | 0 |
| CVC | |
| UNAERC | <10 |
| IGSS | 10 |
| Temporary catheter | |
| UNAERC | 75 |
| IGSS | 26 |
| Total number of kidney transplants performed in Guatemala since 1982 (n) | |
| IGSS | |
| DDKT | 101 |
| LDKT | 699 |
| Hospital San Juan de Dios | |
| DDKT | 111 |
| LDKT | 569 |
| UNAERC | |
| DDKT | 0 |
| LDKT | 308 |
| FUNDANIER | |
| DDKT | 13 |
| LDKT | 97 |
pmp, per million people; CAPD, continuous ambulatory peritoneal dialysis; UNAERC, Unidad Nacional de Atención al Enfermo Renal Crónico (National Center for Chronic Renal Disease); IGSS, Instituto Guatemalteco de Seguridad Social (Guatemalan Institute of Social Security); FUNDANIER, Fundación para el Niño Enfermo Renal (Foundation for Children with Kidney Disease); HD, hemodialysis; AVF, arteriovenous fistula; AVG, arteriovenous graft; CVC, central venous catheter; DDKT, deceased-donor kidney transplant; LDKT, living-donor kidney transplant.
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