Table of Contents Page Preface (Renal Replacement Therapy) 1 Hemodialysis 2 Hemodialysis Hospitals Region Wise 3 HD Data in KSA 14 Peritoneal Dialysis 35 PD Data in KSA 36 Prevalence and Incidence of Dialysis Patients 43 Preface (Deceased Organ Donation and Transplantation) 44 Deceased Donors after Brain Death & Organ Donation 45 Hospital Sharing in Organ Donation Program 52 Organ Transplantation 60 Kidney Transplantation 61 Liver Transplantation 65 Heart Transplantation 68 Lung Transplantation 70 Pancreas Transplantation 72 Corneal Recovery 74 Bone Banking 75 Organ Sharing between KSA and GCC Countries 76 Appendices Responsibilities of SCOT 78 Regulations of Organ Transplantation in KSA 79 Memorandum by the Minister of Health on Deceased Organ 80 Donation Official Statement of the National Committee for the Diagnosis 81 of Death by Neurological Criteria and Ventilator System Purport of the Senior Ulama Commission 82 Resolution of the Council of Islamic Jurisprudence on 83 Resuscitation Apparatus Glossary 84 Abbreviations 85 Index Tables 86 Figures 87 Health Statistics Annual Book, p.18; www.moh.gov.sa Health Statistics Annual Book, p.14; www.moh.gov.sa Health Statistics Annual Book, p.16; www.moh.gov.sa 1 Renal Replacement Therapy Preface The Annual Report of 2014 highlights the present status of ESRD patients in Renal Replacement Therapy in the Kingdom of Saudi Arabia. SCOT as the central coordinating body in renal replacement therapy have taken all necessary steps to ensure accuracy of all the information and data in this annual report. The incidence rate of patients suffering from ESRD in the kingdom has been consistently increasing. Currently, 136 incidences of ESRD patients per million populations (PMP) were recorded and were expected to grow to the upcoming years. From 1971 since the first dialysis center was erected in the Kingdom, rapid advances have been made in the field of renal replacement therapy to cater the growing numbers of patients with ESRD. Currently, Hemo- dialysis (HD) and Peritoneal Dialysis (PD) were the most prepared modality of treatment for patients with renal failure, with 187 HD & 35 PD hospitals and dialysis centers in the Kingdom catering to 15,782 of patients. ANNUAL REPORT 2014 2 Hemodialysis Introduction In 2014, a total of 187 hospitals and dialysis The proportion of hemodialysis patients centers Units from Ministry of health, Gov’t treated with Erythropoietin ranges from 10 Non-MOH & Private sector hospitals were and 100% with average of 86%. Vitamin D’s catering the needs of ESRD patients, were also used with 51% given orally while utilizing 5732 hemodialysis machines with 13% of the patients are receiving via 4428 number of outlet connections injectable route. Other medications such as combined. insulin and oral hypoglycemic were also utilized with 21% of patients receiving By the end of 2014, a total of 14366 patients insulin, 9% on oral hypoglycemic and 11% on Hemodialysis were recorded by SCOT, of were put on diet control. these 3687 were new patients. Blood group among dialysis patients were also noted Active HD patient’s blood levels such as with type O group averaging 52% and the Hematocrit, albumin and calcium were also least were those of blood group AB with monitored. In which, 21% of HD patients 4%. Age Distribution of patients reveals have Hct level of < 30%, 14% have albumin that most were in the productive age group of <30 g/dl, 27% have phosphorous levels of 26-65 years with a total of 75%. Sexes greater than 1.9 µmol/L and 22% have were also recorded showing that male calcium levels of less than 2.1 µmol/L. patients composed 57% of patients and female with (43%). By nationalities, Saudis Of the 14,366 patients on HD, 20% are in on HD are 84% compared to Non-Saudi the active waiting list or those patients counterparts with 16%. Vascular access evaluated and are ready for renal among dialysis patients shows that AVF or transplantation. While, the mortality rate arteriovenous fistulas were the most among HD patients by the end of 2014 were preferred site with 67% of the patients 11% having them. It was estimated that the numbers of Hepatitis B and C infection has been a Dialysis patients will be increasing constant challenge among health care continuously and numbers are expected to provider in stopping the contamination climb up to 20,000 patients by the end of amongst patients undergoing Hemodialysis. 2020. Hepatitis B infections were in good control averaging 3.4% per year, while patients diagnosed with Hepatitis C it is worth mentioning that it has been contained for the last five years with the current average of 15.5% this year. Among Patients on Hemodialysis, 59% were found to be hypertensive, while 44% are diabetic. ANNUAL REPORT 2014 3 HD Hospitals Region Wise by Sector Central Region MOH Hemodialysis Centers in Riyadh Region N Hospital 1 Childrens Hospital (RMC) 2 Dawadmi General Hospital 3 Shagra General Hospital 4 Thadiq General Hospital 5 Afif General Hospital 6 Al Aflaj General Hospital 7 Al Ghat General Hosptal(PNSSH) 8 Al Iman General Hospital 9 Al Muzahimiya General Hospital 10 Al Qawaeyah General Hospital 11 Al Sulayel General Hospital 12 Al Zulfi General Hospital 13 Artawiya General Hospital 14 Hotat Bani Tamim General Hospital 15 Hotat Sudair General Hospital 16 Huraimala General Hospital 17 King Khalid Hospital- Al Kharj 18 King Khalid Hospital- Majma'ah 19 King Salman for Kidney Disease Riyadh 20 King Salman Hospital Riyadh 21 Nafee General Hospital 22 Prince Salman Bn Mohd- Delim 23 Rumah General Hospital 24 Ruwaidah Hospital 25 Sajir General Hospital 26 Tumair General Hospital 27 Wadi Dawasir General Hospital 28 King Saud Medical City- Riyadh Prince Mohammad Bin Abdulaziz Hospital Hospital- 29 Riyadh* *Diaverum ANNUAL REPORT 2014 4 HD Hospitals Region Wise by Sector Central Region Govt. Non-MOH Hemodialysis Centers in Riyadh Region N Hospital 1 Al Kharj Military Industrial Corp. Hospital, Riyadh 2 King Faisal Specialist Hospital- Riyadh 3 King Abdulaziz Medical City, Riyadh (KFNGH) 4 King Khalid University Hospital- Riyadh 5 Prince Sultan Military Medical City - Riyadh 6 King Abdullah Hemodialysis Project-Riyadh South Center* 7 Security Forces Hospital – Riyadh** *National Guard **Diaverum Private Hemodialysis Centers in Riyadh Region N Hospital 1 Al Khawalid kidney & dialysis Center- Riyadh 2 Arab Medical Dar Dialysis Center- Riyadh 3 Dar Al Shifa Hospital- Riyadh 4 Dr. A. Al Mishari Hospital- Riyadh 5 Demas Dialysis Center 6 Dr. Ali Lahibi Dialysis Center, Riyadh 7 Dr. Suleiman Al Habeeb Medical Center- Riyadh 8 Riyadh Care Hospital 9 Riyadh National Hospital 10 Saudi German Hospital- Riyadh 11 Specialized Medical Center Hospital- Riyadh 12 Sultan B.A. Humanitarian City- Riyadh 13 Al Hammadi Hospital- Riyadh 14 Kingdom Hospital- Riyadh ANNUAL REPORT 2014 5 HD Hospitals Region Wise by Sector Central Region MOH Hemodialysis Centers in Qassim Region N Hospital 1 King Fahd Specialist Hospital- Buraida 2 King Saud Hospital Unaiza* 3 Al Asyah General Hospital 4 Al Bukariya General Hospital 5 Al Midnab General Hospital 6 Al Rass General Hospital 7 Ayun Al Juwah General Hospital 8 Buraida Central Hospital** 9 Dhariyah General Hospital 10 Oklat Al-Sugour General Hospital 11 Qiba General Hospital 12 Riyadh Al Khabra General Hospital *Diaverum **MOH Outsourcing Dialysis Program Davita ANNUAL REPORT 2014 6 HD Hospitals Region Wise by Sector Western Region MOH Hemodialysis Centers in Makkah/Jeddah/Taif Region N Hospital 1 Adhum General Hospital 2 Al Laith General Hospital 3 King Abdul Aziz Hospital - Jeddah** 4 King Abdul Aziz Specialist Hospital- Taif 5 King Faisal Hospital Makkah 6 King Fahad Hospital- Jeddah 7 Al Khurma Hospital 8 Al Noor Specialist Hospital 9 Al Qunfudah General Hospital* 10 King Abdul Aziz Hospital- Makkah 11 Messan General Hospital 12 Rabiq General Hospital 13 Raniah General Hospital 14 Turabah General Hospital 15 Prince Abdul Majid Dialysis Center* *Diaverum **Davita Govt. Non-MOH Hemodialysis Centers in Makkah/Jeddah/Taif Region N Hospital 1 Al Hada Armed Forces Hospital- Taif 2 King Abdul Aziz University Hospital- Jeddah 3 King Abdulaziz Medical City- Jeddah (KFNGH) 4 King Fahad Armed Forces Hospital- Jeddah 5 King Faisal Specialist Hospital- Jeddah 6 King Abdullah Hemodialysis Project-Jeddah* *National Guard ANNUAL REPORT 2014 7 HD Hospitals Region Wise by Sector Western Region Private Hemodialysis Centers in Makkah/Jeddah/Taif Region N Hospital 1 Abdulakrim Bakr Medical Center, Jeddah 2 Al Bir Clinic 1 Charity D.C, (Al Kandara) Jeddah 3 Al Faisal Polyclinic- Jeddah 4 Al Mustagbal Hospital- Jeddah 5 Al Takaful Al- Khairy K.D.C Makkah 6 Asia Dialysis Center - Makkah 7 Charity Community Dialysis Center- Makkah 8 Dr. Abdurahman Baksh Hospital- Jeddah 9 Dr. Erfan and Bagedo- Jeddah 10 Dr. Suleiman Al Fakeeh Hospital- Jeddah 11 New Jeddah Clinic Hospital 12 Prince Mansour Charity Dialysis Center- Jeddah 13 Taibah Dialysis Center- Makkah 14 Al Bir Charity Dialysis Center (2)Jeddah 15 Bugshan General Hospital - Jeddah 16 International Renal Care Center- Jeddah 17 Saudi German Hospital- Jeddah 10 Basharahil Hospital- Makkah MOH Hemodialysis Centers in Madina Region N Hospital 1 Al Eass General Hospital 2 Al Mhad General Hospital 3 Badr General Hospital 4 King Fahad Hospital- Madina 5 Prince Abdul Mohsin Hospital. A1 Ulla 6 Al Hanakiya General Hospital 7 Khaiber General Hospital 8 Yanbu General Hospital Govt. Non-MOH Hemodialysis Centers in Madina Region N Hospital 1 Royal Commission Medical Center- Yanbu ANNUAL REPORT 2014 8 HD Hospitals Region Wise by Sector Western Region Private Hemodialysis Centers in Madina Region N Hospital 1 Madina National Hospital 2 Saudi German Hospital- Madina ANNUAL REPORT 2014 9 HD Hospitals Region Wise by Sector Eastern Region MOH Hemodialysis Centers in Eastern Region N Hospital 1 Al Jubail General Hospital 2 Dammam Medical Complex 3 King Fahad Specialist Hospital- Dammam 4 Abgaig General Hospital 5 Al Gaissoma General Hospital 6 Al Nairiyiah General Hospital 7 King Fahad Hospital- Hofuf 8 King Khalid General Hospital- Hafar al Baten* 9 Qateef Central Hospital *Diaverum Govt.