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The study aimed to reveal the level of anxiety among kidney transplant patients at Wad Medani Hospital in central Sudan, and its relationship to some variables (anxiety level, gender (male/female), age, social status, educational level, duration of illness). The study used the descriptive approach. The study sample consisted of (20) patients undergoing kidney transplantation in Central Hospital in Wad Madani, The study data were analyzed using the Statistical Package for the Social Sciences. (SPSS) The results show a high level of anxiety among the sample members. On the other hand, the study found no differences in the level of anxiety among chronic kidney disease patients undergoing kidney transplantation due to gender (male/female)., and not the existence of differences in the level of anxiety among chronic kidney disease patients undergoing kidney transplantation is due to age, The study also showed that there are no differences in the level of anxiety among chronic kidney disease patients undergoing kidney transplantation due to the educational level (illiterate, primary, secondary, university).and there are no differences in the level of anxiety among chronic kidney disease patients undergoing kidney transplantation due to marital status (married, single., Single, divorced). Finally, the results of the study showed no differences in the level of anxiety between chronic kidney disease patients undergoing kidney transplantation due to the duration of the disease. The study recommends the need to design and provide programs. Services Psychological and Guidance for the disease and their families, it also recommends intensifying psychological services within chronic kidney disease hospitals in Sudan, and providing home counselling services for patients, especially those who have undergone kidney transplants.

Published data on the outcome of maintenance peritoneal dialysis (PD) since the initiation of PD in Tunisia is poor. The purpose of this study is to report long-term clinical outcomes of PD patients through a 10-year experience at a single unit. This is a retrospective review of the medical records of 182 PD patients who were followed up from January 2006 to June 2016. All patients were followed till death, renal transplant, switch over to hemodialysis (HD) or the end of the study in June 2016. The mean age of the incident patients was 43.93 ± 16.95 years. Nineteen (10.4%) were aged >65 years and 59.3% were male. The average duration of follow-up was 27.75 ± 26.18 months. The mean duration of PD treatment was 27.75 ± 26.18 months. There were 186 episodes of peritonitis that occurred over the total study period (54 episodes during the 1 st year). The overall incidence of peritonitis during the 10-year study period was 1 per 27.25 patient months . Mechanical complications were noted in 31.2% of cases. Thirtytwo (17.6%) patients had catheter displacement. Only 26 cases of hemoperitoneum (14.3%) were recorded. Death occurred in 23.1% of cases. Twenty-two patients (27.5%) were transplanted; 56 patients (70%) were transferred to HD, one patient had renal recovery and one case had voluntarily interrupted PD. In Kaplan–Meier curves of residual renal function (RRF) loss, there was a significant difference between peritonitis group and peritonitis-free group (P = 0.01). Technique and patient survival were associated with diabetes with a significant difference. The main cause of technique failure was peritonitis (61.4%). Moreover, the main repertoried causes of death were cardiovascular and septic causes. The mortality of diabetic and elderly PD patients was higher than mortality in nondiabetic and nonelderly groups, respectively, in our study. Peritonitis was associated with loss of RRF and technique failure.

This is a prospective cohort study to assess the prevalence of frailty in patients undergoing maintenance hemodialysis (HD) under the government-funded scheme at our center and to assess the relationship between frailty and falls, hospitalizations, and mortality. This was done at our center which is completely supported by the government, which provides HD to all the patients under poverty line. Epidemiological data, anthropometric measurements, comorbidities assessment, frailty assessment using Fried criteria, subsequent hospitalizations, falls, and mortality were recorded in our prevalent dialysis population at our center between October 2014 and October 2015. Two hundred and twenty-six patients were enrolled during this period. Twenty-one patients were excluded as they did not satisfy the inclusion criteria. Two hundred and five prospective patients were studied for the predictors of frailty. Frailty was present in 82% of the study population. Mean age of our study population was 44.95 ± 13.27 years. On univariate analysis, diabetes mellitus, hypertension (HTN), cerebrovascular accident (CVA), left ventricular dysfunction (LVD), peripheral vascular disease (PVD), smoking, hepatitis C, inadequate dialysis, intradialytic hypotension (IDH), interdialytic weight gain, low serum creatinine <4 mg/dL, and anemia (Hb <10 g/dL) were found to be statistically significantly different between frail and nonfrail groups On multivariate regression analysis, only HTN, PVD, CVA, anemia, smoking, and IDH were found to be significant. Frailty is highly prevalent among dialysis population. Factors predicting frailty include HTN, smoking, LVD, PVD, CVA, smoking, anemia, and IDH. Frailty is a significant risk factor for falls and hospitalizations.