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Healthcare 2017, 5(3), 31; doi:10.3390/healthcare5030031

End Stage Renal Disease—A Nephrologist’s Perspective of Two Different Circumstances as Typified by Kidney Transplantation Experience in a Nigerian Hospital Versus a Large US Medical School

1
Department of Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
2
Department of Nephrology, Mayo Clinic Health System, Eau Claire, WI 54702, USA
3
College of Business, University of Wisconsin MBA Consortium, Eau Claire, WI 54701, USA
Received: 28 May 2017 / Revised: 29 June 2017 / Accepted: 3 July 2017 / Published: 11 July 2017
(This article belongs to the Special Issue The Socio-Economic Impact of End Stage Kidney Disease)
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Abstract

Renal transplantation is the sine qua non consummate form of renal replacement therapy (RRT) for end stage renal disease (ESRD). Despite the increasing ESRD burden worldwide, developing countries continue to experience a gross lack of RRT options for its teeming citizens with ESRD. This report is a demonstration of a nephrologist’s experience and dilemma trying to make sense of the yawning disparity between RRT options, especially renal transplantation, as it applies to the citizens of the USA versus the citizens of Nigeria. The limited three-year experience of renal transplantation at Garki Hospital, located in Abuja, the capital of Nigeria, which is one of the very few centers carrying out renal transplantation in Nigeria, was starkly contrasted with this author’s first-hand experience at the University of Maryland Medical School, in Baltimore, Maryland, USA, as a Nephrology Fellow between 2000 and 2002. The potential role of public-private partnership (PPP) ventures in developing countries is considered as a way to help bridge this gap. View Full-Text
Keywords: end stage kidney disease; Garki Hospital; Abuja; Nigeria; hemodialysis; peritoneal dialysis; public-private partnership (PPP); quality of life; renal replacement therapy (RRT); United States of America (USA); University of Maryland Medical School (UMMS) end stage kidney disease; Garki Hospital; Abuja; Nigeria; hemodialysis; peritoneal dialysis; public-private partnership (PPP); quality of life; renal replacement therapy (RRT); United States of America (USA); University of Maryland Medical School (UMMS)
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Onuigbo, M.A.C. End Stage Renal Disease—A Nephrologist’s Perspective of Two Different Circumstances as Typified by Kidney Transplantation Experience in a Nigerian Hospital Versus a Large US Medical School. Healthcare 2017, 5, 31.

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