Kyrgyzstan to increase number of free hemadialysis procedures for patients with V stage kidney failure
The Ministry of Health submits for public discussion a draft resolution On amendments to the Government Resolution On Approval of the Procedure for Organization and Implementation of Hemodialysis Services for Patients with V Stage Chronic Kidney Failure, dated Aug. 29, 2019.
According to the document, the purpose and task of this draft resolution is to regulate the provision of hemodialysis services to patients with V stage kidney failure, taking into account the compliance with the requirements of the Standards of care for such patients.
To date, in accordance with these Standards and the requirements of the Government Resolution On Approval of the Procedure for Organization and Implementation of Hemodialysis Services for Patients with V Stage Chronic Kidney Failure, 1 thousand 116 patients receive hemodialysis services in private health care organizations.
According to the above Standards, the standard common scope of hemodialysis services for such patients is 3 times a week for 4 hours, or a total of 720 minutes per week.
Note that according to the above Standards, if necessary, the frequency and duration of hemodialysis procedures may be increased in the presence of clinical indications (hemodynamic instability during standard time, high levels of weight gain in the interdialysis period and high levels of ultrafiltration, difficulties in achieving “dry” weight, refractory arterial hypertension, poor metabolic control (disturbance of nutritional status, metabolic acidosis, hyperkalemia).
Therefore, it is proposed to replace the words depending on the severity of the disease, not more than three times a week and not more than twelve sessions per calendar month with the words in accordance with the standards approved by the authorized state body in the field of health care in paragraph 8 of the Procedure, and to invalidate paragraph 9, as the descriptions and requirements for hemodialysis services are specified in the Standards, approved by the authorized state body in the field of health care.
The current Procedure of Organization and Implementation of Hemodialysis Services for Patients with V Stage Chronic Kidney Failure came into force on Sept. 20, 2019 by the Government Resolution, and currently 1,116 patients receive hemodialysis services under the new rules
Source: Kyrgyz National News Agency