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Passage of bill granting free dialysis to poor pushed in Senate - Inquirer.net |
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Senator Sonny Angara. INQUIRER FILE PHOTO
Amid rising cases of kidney disease in the country, Senator Sonny Angara has sought the passage of a measure that seeks to provide free dialysis treatment to indigent patients.
“Patients from the provinces, who are suffering from kidney disorder, have to travel all the way to urban cities just to avail themselves of dialysis treatment, which is needed on a regular and sustained basis. Some patients even die without a chance to undergo dialysis because they simply could not afford it,” Angara said in a statement on Friday.
READ: Sad plight of patients with kidney failure
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Angara then filed Senate Bill No. 2849 or the Dialysis Center Act, which requires all national, regional and provincial government hospitals “to establish, operate and maintain a dialysis ward or unit to ensure that dialysis treatment will be available, accessible and cost-effective especially those living in the rural areas.”
The bill also mandates that dialysis treatment should be provided free of charge to indigent patients, whose combined annual family income does not exceed P30,000.
“In line with the government’s efforts to reform the health sector and provide Filipinos with comprehensive health services, local government units must be tapped to make healthcare services more affordable and accessible,” Angara said.
In filing the bill, the senator cited data from the Philippine Network for Organ Sharing under the Department of Health (DOH) which shows that close to 23,000 patients underwent dialysis treatment due to kidney failure in 2013, a huge jump from the 4,000 cases recorded in 2004.
This figure, the DOH noted, does not include those suffering from kidney failure—now the country’s 7th leading cause of death—but who are not able to undergo dialysis treatment due to its high cost and inaccessibility especially in the rural areas.
Angara also welcomed the Philippine Health Insurance Corporation’s (PhilHealth) recent expansion of hemodialysis coverage from 45 to 90 sessions per year in a bid to lessen the financial burden of its members due to the rising incidence of kidney diseases in the country.
READ: PhilHealth expands dialysis coverage
“I laud this move by the PhilHealth in response to the growing clamor from stakeholders to increase the coverage for dialysis. I urge my colleagues to support the passage of this bill to make health services more accessible and affordable to our countrymen,” he added. IDL
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Passage of bill granting free dialysis to poor pushed in Senate | Inquirer News - Inquirer.net |
|
|
Senator Sonny Angara. INQUIRER FILE PHOTO
Amid rising cases of kidney disease in the country, Senator Sonny Angara has sought the passage of a measure that seeks to provide free dialysis treatment to indigent patients.
“Patients from the provinces, who are suffering from kidney disorder, have to travel all the way to urban cities just to avail themselves of dialysis treatment, which is needed on a regular and sustained basis. Some patients even die without a chance to undergo dialysis because they simply could not afford it,” Angara said in a statement on Friday.
READ: Sad plight of patients with kidney failure
ADVERTISEMENT
Angara then filed Senate Bill No. 2849 or the Dialysis Center Act, which requires all national, regional and provincial government hospitals “to establish, operate and maintain a dialysis ward or unit to ensure that dialysis treatment will be available, accessible and cost-effective especially those living in the rural areas.”
The bill also mandates that dialysis treatment should be provided free of charge to indigent patients, whose combined annual family income does not exceed P30,000.
“In line with the government’s efforts to reform the health sector and provide Filipinos with comprehensive health services, local government units must be tapped to make healthcare services more affordable and accessible,” Angara said.
In filing the bill, the senator cited data from the Philippine Network for Organ Sharing under the Department of Health (DOH) which shows that close to 23,000 patients underwent dialysis treatment due to kidney failure in 2013, a huge jump from the 4,000 cases recorded in 2004.
This figure, the DOH noted, does not include those suffering from kidney failure—now the country’s 7th leading cause of death—but who are not able to undergo dialysis treatment due to its high cost and inaccessibility especially in the rural areas.
Angara also welcomed the Philippine Health Insurance Corporation’s (PhilHealth) recent expansion of hemodialysis coverage from 45 to 90 sessions per year in a bid to lessen the financial burden of its members due to the rising incidence of kidney diseases in the country.
READ: PhilHealth expands dialysis coverage
“I laud this move by the PhilHealth in response to the growing clamor from stakeholders to increase the coverage for dialysis. I urge my colleagues to support the passage of this bill to make health services more accessible and affordable to our countrymen,” he added. IDL
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Predicting renal parenchymal loss following nephron sparing surgery - Abstract - UroToday |
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PURPOSE: We analyze the relationship among various patient, operative and tumor characteristics to determine which factors correlate with renal parenchymal volume loss after nephron sparing surgery using a novel 3-dimensional volume assessment.
MATERIALS AND METHODS: We conducted a retrospective review of an institutional database of patients who underwent nephron sparing surgery from 1992 to 2014 for a localized renal mass. Tumors were classified according to the R.E.N.A.L. nephrometry system. Using 3-dimensional reconstruction imaging software, preoperative and postoperative renal parenchymal volume was calculated for the ipsilateral and contralateral kidney.
RESULTS: A total of 158 patients were analyzed. Mean patient age was 58.7 years and mean followup was 40.1 months. Mean preoperative tumor volume was 34.0 cc and mean tumor dimension was 3.4 cm. Mean R.E.N.A.L. nephrometry score was 6.2, with 60.1%, 34.2% and 5.7% of tumors classified as low, medium and high complexity, respectively. Mean change in renal parenchymal volume after nephron sparing surgery was -15.3% for the ipsilateral kidney and -6.8% for total kidney volume. On univariate analysis ischemia time, tumor size, R.E.N.A.L. nephrometry score, complexity grouping, and the individual nephrometry components of tumor size, percent exophytic, anterior/posterior, depth and tumor proximity to the renal artery or vein were associated with greater renal parenchymal volume loss. On multivariate analysis only ischemia time, tumor size, posterior location and percent exophytic were independently associated with more renal parenchymal volume loss.
CONCLUSIONS: Using precise 3-dimensional volumetric analysis we found that ischemia time, tumor size and endophytic/exophytic properties of a localized renal mass are the most important determinants of renal parenchymal volume loss.
Written by:
Meyer A, Woldu SL, Weinberg AC, Thoreson GR, Pierorazio P, Matulay JT, Benson MC, DeCastro GJ, McKiernan JM. Are you the author?
Columbia University Medical Center, New York, New York; University of Texas Southwestern Medical Center, Dallas, Texas; Johns Hopkins Medicine, Baltimore, Maryland. This email address is being protected from spambots. You need JavaScript enabled to view it.
Reference: J Urol. 2015 Mar 25. pii: S0022-5347(15)03460-6.
doi: 10.1016/j.juro.2015.03.098
PMID: 25818030
UroToday.com Renal Cancer Section
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3 corrections employees placed on leave as inmate death investigation continues - KSL.com |
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