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The Hashemite Kingdom of Jordan Ministry of Health The Hashemite Kingdom of Jordan Ministry of Health Non-Communicable Diseases Directorate National Registry of End Stage Renal Disease ( ESRD ) Annual Report 2013 www.moh.gov.jo Tel: 5678197 Fax: 5656489 Jordan The Hashemite Kingdom of Jordan Ministry of Health Non-Communicable Disease Directorate National Registry of End Stage Renal Disease (ESRD) Annual Report 2013 Prepared by: Dr. Ayyob As-Sayaideh Dr. Salem Al-Qaisi His Majesty King Abdullah II List of the team who participated in achieving this ESRD annual report: Dr Mohammad Salameh El-Lozi Senior Consultant in Internal Medicine, Nephrology and Transplantation. MRCP (UK). FRCP (London). FRCP (Glasgow), Private sector and P.H.H. Dr Khaled Ali zayed Nephrologist, MOH. Dr Elias Turk Nephrologist, MOH. Dr Kamal Hassan Arkoub Specialist in Community Medicine. MOH. 5 Foreword sixth 2013 6 Acknowledgement The National ESRD Registry operates under the umbrella of the Ministry of Health; however, it works in cooperation with a large number of hospitals from all health sectors, Nephrologists and Nurses working in dialysis units who provide the registry with valuable and vital data required for success. We would like to thank all those who cooperate with us, report and facilitate our work, namely Nephrologists, Physicians, Nurses and staff of the Dialysis Units. The obvious sup- port of focal points in all dialysis units is highly appreciated. We would like to thank Mrs. Rasha Kokash for her effort in data entry of all ESRD Data to special designed software for the Registry. Special thanks to our focal points-head of Renal unit in all governmental , private , military and university hospitals for the timely collection and submission of data to the registry. The interaction between the Registry and the Jordan Society of Nephrology is very positive and greatly appreciated. The dedicated hard work during the process of data collection and data entry of the staff in the registry is acknowledged. We are very grateful to the World Health Organization for its support in preparing and pub- lishing this report. Dr.Basheer AL-Qaseer Dr. Ayyob As-Sayaideh 7 Name of Hospitals Royal Medical Services Hospital Name Site Phone number King Hussein Medical center Amman 5804804 Queen Alia Military Hospital Amman 5157100 Prince Hashem Bin Al Hussein Zarqa’a 3962002 Prince Hashem Bin Abudullah Aqaba 2014111 Prince Ali Bin Al Hussein Karak 2386370 Prince Rashid bin Al Hassan Irbid 7100890 Prince Zeid bin Hussein Tafiela 2242982 Queen Rania Hospital Amman 5804804 Ministry of Health Hospital Name Site Phone number Al-Basher Hospital Amman 4775111 Abu Obaida Hospital Irbid 026570018 Hussein Hospital Balqa 053551140 Karak Hospital Karak 032386190 Ruweished Hospital Mafraq 026292183 Maan Hospital Maan 032132222 Mafraq Hospital Mafraaq 026231234 Princess Iman Balqa 053584934 AL-Zarqa’a Hospital Zarqa 05398332 Jamel Altotnge Amman 4020096 Yarmouk Hospital Irbid 027585980 Princess Raya Irbid 026521666 Ghor Safi Hospital Karak 032302436 Prince Hamza Hospital Amman 5053826 Queen Rania Al-Abdullah Maan 032150636 Ramtha Hospital Irbid 027384384 Iman Hospital / Ajloun Ajloun 026421914 Princess Salma Hospital Madaba 053207104 AL-Dleal Hospital Zarqa 053825145 Jerash Hospital Jerash 026351114 Maaz bin Jabal Irbid 026587011 Princess Basma Teaching Irbid 027275555 Nadeem Hospital Madaba 053244008 AL-Shoneh AL-Janobyeh Balqa 053581364 Prince Hussein Balqa 5351731 Aqleh Hospital Amman 4642441 AL-Ahli Hospital Amman 5664164 AL-Dleel Hospital Zarqa 053825144 Rom-ALkatholik Hospital Irbid 027257900 AL Haya Hospital Amman 4391111 Prince Faisal Hospital Zarqa 053740251 Al-Qawasmi Hospital Irbid 027243401 8 University Hospitals Hospital Name Site Phone number Jordan University Hospital Amman 5353666 King Abdullah University Irbid 027200600 Private Sector Hospitals Hospital Name Site Phone Number Islamic Hospital Amman 5101010 Jordan Hospital Amman 5608080 AL-Qouds Hospital Amman 4387181 Shmeisani Hospital Amman 5607431 Al Khalidi Hospital Amman 4644281 Ibn al-Haytham Hospital Amman 5205555 Arab Medical Center Amman 5921199 AL Mowasah Hospital Amman 4896842 Dr. Ahmed Hamayda Amman 4785555 AL Esteqlal Hospital Amman 5652600 Lozmelah Hospital Amman 4624345 AL Isra Hospital Amman 5300300 Marka Islamic Amman 4893855 Palestine Hospital Amman 5607071 Philadelphia Hospital Amman 5854801 Tla Al Ali Hospital Amman 5339008 AL Hanan Hospital Amman 4750800 Amman Surgical Hospital Amman 4641261 Italian Hospital / Amman Amman 4777101 Jordanian Red Crescent Amman 4779131 Italian Hospital / Karak Karak 032355345 AL Mahaba Hospital Madaba 053245541 AL Hekma Hospital Zarqa 053990990 AL Razi Hospital Zarqa 053744167 Jabal Al-Zayton Hospital Zarqa 053655555 Qaser Al-Shibib Hospital Zarqa 053987995 Irbid Specialty Hospital Irbid 027103100 Bin Al-Nafees Hospital Irbid 027102100 Al-Najah Hospital Irbid 027100170 Al-Rahbat Al-Wardyeh Irbid 027102011 Islamic Irbid Hospital Irbid 027273111 AL-Rasheid Hospital Amman 4777444 Islamic Irbid Hospital Irbid 027273111 Dar AL-Salam Hospital Amman 5850008 9 Table of Contents page List of Abbreviations 11 List of tables 12 List of Figures 13 Part One: 15 Introduction 16 Geography 17 Population 17 Jordan Renal Registry 25 Methodology 29 Part Two: 31 Dialysis Units in Jordan 31 Part Three: 33 ESRD Patients in Jordan 33 Trend of ESRD patients in Jordan during (2008-2013) Part Four 50 Incidence of ESRD Patients Part Five: 57 Pediatric ESRD 57 Part Six: 62 ESRD patients among Non-Jordanians, Part seven: 64 ESRD Mortality References 67 10 List of Abbreviations ESRD End Stage Renal Disease MOH Ministry of Health CDC Centers of Disease Control and Prevention WHO World Health Organization BRFSS Behavioral Risk Factors Surveillance System NCD Noncommunicable disease PHH Prince Hamza Hospital DOS Department of Statistics (Jordan) OR Odds ratios BMI Body mass index CI Confidence Interval PS Private Sector CKD Chronic Kidney Disease GFR Glomerular Filtration Rate RRT Renal Replacement Therapy RMS Royal Medical Services PPM Prevalence per Million Populations ASIR Age Specific Incidence Rate 11 List of tables Table N. Description Page Table (1) Estimated Population of Jordan 2013 19 Table (2) Population distribution by Governorate and gender, Jordan 2013 20 Table (3) Selected Demographic, Socio-economic and Health Indicators 2013 21 Distribution of ESRD according to age groups & gender and Prevalence Rate Table (4) 36 per million (PPM), 2013 Table (5) Distribution of ESRD patients according to marital status and gender 2013 38 Table (6) Distribution of ESRD patients by employment status and gender,2013 39 Table (7) Distribution of ESRD patients by type of insurance and gender 2013 40 Distribution of ESRD patients by Governorate and prevalence per million Table (8) 41 populations (PPM) Table (9) Distribution of primary causes of ESRD for the year 2013 42 Table (10) Prevalence of co-morbidity and some risk factors with ESRD 43 Table (11) Distribution of ESRD patients by fitness for transplantation 46 Table (12) Causes of unfitness for transplantation 46 Table (13) Priority level for patient candidate for transplant 48 Table (14) Prevalence of Hepatitis B and C in ESRD patients 49 Table (15) Distribution and ASIR of ESRD cases by gender and age group Incidence 2013 50 Table (16) Primary causes of ESRD for the year 2013 - Incidence 53 Table (17) Causes of ESRD in Pediatric patients 2013 59 Distribution of ESRD patients among Non-Jordanians according to age groups Table (18) 66 and gender, 2013 12 List of Figures Figure N. Description Page Figure (1) Map of the Hashemite Kingdom of Jordan 18 Figure (2) Population Pyramid – Jordan 2013 19 Figure (3) Distribution of dialysis units by health sector, Jordan 2013 31 Figure (4) Distribution of Dialysis Machines by Health Sector, 2013 32 Figure (5) Number of prevalent ESRD patients in Jordan during (2008-2013) 33 Figure (6) International comparison of prevalence rate of Hemodialysis (PPM) 2013 34 Figure (7) Distribution of ESRD patients by gender 35 Figure (8) ESRD cases according to age groups and gender 37 Figure (9) Distribution of ESRD cases less than 19 years and over 60 years 37 Figure (10) Distribution of prevalent ESRD patients by Health sector,2013 39 Figure (11) Distribution of ESRD patients according to Blood group 44 Figure (12) Distribution of ESRD patients by type of Dialysis 44 Figure (13) Distribution of Hemodialysis patients by number of sessions /week 45 Figure (14) Causes of unfitness for transplantation 47 Figure (15) Distribution of fitness of ESRD patients by Priority level for Transplantation 47 Figure (16) Distribution of ESRD patients by availability of a donor 48 Figure (17) Distribution of ESRD cases according to age groups and gender 2013 51 Figure (18) Distribution of ESRD patients by health sector, 2013 52 Figure (19) Distribution of ESRD patients by gender, 2013 52 Figure (20) Distribution of ESRD patients by Nationality 2013 54 Figure (21) Distribution of ESRD patients by type of Dialysis, 2013 54 Figure (22) Distribution of ESRD patients by fitness for transplantation 55 Figure (23) Distribution of fitness of ESRD patients by Priority level for transplantation 2013 55 Figure (24) Distribution of mortality in ESRD patients 2013 56 Figure (25) Distribution of ESRD pediatric patients by gender 57 Figure (26) Distribution of Pediatric patients according to type of Dialysis 58 Figure (27) Distribution of pediatric patients according to age groups and gender 2013 60 Figure (28) Distribution of Pediatric ESRD by fitness for transplantation 60 Figure (29) Distribution
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