In #PLOSOne: Annual cost only of dialysis exceeds 11% of the public health budget. To this we must add costs of hospitalization & treatment of comorbidities. Even still, not all CKD patients in #Ecuador have access to renal replacement therapy.
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doi.org/10.1371/journa…
Not all provinces in #Ecuador have nephrologists while some only have them available in the private sector. Depending on their place of residence, patients may have to travel long distances to access dialysis services.