Minister raises concern over rise in kidney failure cases

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OUT of 2880 patients registered at all dialysis centres and renal clinics in Brunei Darussalam, 2,500 of them are categorised as chronic, where the function of both kidneys are getting minimised.

Minister of Health Yang Berhormat Pehin Orang Kaya Johan Pahlawan Dato Seri Setia Hj Adanan Begawan Pehin Siraja Khatib Dato Seri Setia Hj Md Yusof said, when launching the country’s first “Brunei Dialysis and Transplant Registry” (BDTR) yesterday, “According to statistics in 2012, the number of patients who are suffering from chronic kidney failure is critical and worrying (because) if they fail to control their illness and practise healthy living, or do not listen to their doctors or specialists’ advice, it could lead to end stage renal disease (ESRD).”

When a patient reaches ESRD stage, there is no other option but to undergo renal replacement therapy to save their life.

“Here in Brunei, therapy means dialysis treatment using dialyser or to undergo a kidney transplant operation from a donor,” he said.

YB Pehin Dato Hj Adanan said, presently the number of patients undergoing renal therapy had increased to 649, according to statistics compiled up to October this year. It is an increase of 125, from the last record of 524 patients by the ministry in 2010.

“From the total, 35 patients underwent kidney transplant operations, and the rest were on dialysis treatment. The number breakdowns are 568 undergoing haemodialysis treatment, while 46 are on peritoneal dialysis treatment,” he said.

Meanwhile in 2012, a total of 34 patients died of renal failure, he added.

The minister said reports showed that the causes of chronic kidney disease are diabetes and high blood pressure.

“In Brunei, more than 57 per cent of renal failure cases were caused by diabetes and more than 21 per cent due to high blood pressure. The number of diabetes patients also increased yearly, and it is because of the practice of unbalanced and unhealthy living, in taking foods that are high in sugar, salt, fat and cholesterol,” he said.

YB Pehin Dato Hj Adanan said the ministry is seriously concerned about the increase in numbers of chronic renal diseases, and has taken several strategic steps such as the ones taken by Renal Services, Health Promotion Clinic, Cardiology Unit, Endocrinology Unit and Diabetic Clinic, to increase understanding and awareness among the public on kidney diseases and the risk factors that can cause kidney failure caused by diabetes, high blood pressure, heart disease and obesity, along with steps to prevent and control kidney disease.

“The initiative to start Renal Registration in Brunei is timely, as it makes it easy to compile information and data systematically, and can be the base in determining the next steps, including planning, to ensure the service can be more efficient and effective. It could help in identifying procedures to improve the quality of treatment, prevention, and control of kidney diseases,” he said.

YB Pehin Dato Hj Adanan welcomed the publishing of BDTR, as it supports the ministry’s main strategy, which is to provide excellent services through evidence-based approach.

The reports from BDTR not only provide information on patients’ demographic, but will also provide information on the treatments, the monitoring products used, as well as to evaluate clinical development of patients going through haemodialysis or kidney transplant.

He went on to say that the success of publishing the book and of carrying out the first kidney transplant operation in Brunei were all because of cooperation from everybody involved, who are committed, dedicated and follow the standard operating procedure in accordance with International Health Standards.

“The professionals and those involved showed their utmost professionalism and always prayed to Allah SWT for the success and the completion of such programmes,” he said.

The Brunei Times