An-Najah Staff

The incidence of chronic renal disease (ESRD) is rapidly increasing among Palestinian population in the last few years, therefore it is important to study the factors that influence this increase. Objective: This study aimed to determine the major risk factors that lead to increase the onset of ESRD that requires hemodialysis in Northern West Bank. Methods: A cross sectional study was conducted at four dialysis centers in governmental hospitals in North West Bank, by using questionnaire and direct interviewing with End Stage Renal Disease patients, in addition to using medical record. All hemodialysis patients in Northern West Bank hospitals(Al-Waitany, Jenin, Tulkarem, Qalqylia); at the time of the study resulting in (n=293) patients. Result: The sample consisted of (58.70%) males, and (41.30%) females . The mean age for males was (55.6 years), while the mean age for females was (54.13). The major risk factors that significantly associated with the onset of ESRD in this study were diabetes mellitus, hypertension, cardiovascular disease, recurrent taken analgesic drug and infection of urinary tract. While there were no significant effect for job, gender, smoking, and BMI on onset of ESRD. About 15.5% of all cases developed ESRD because of genetic disease. Polycystic kidney disease cause (11.2% ) of ESRD in Northern West Bank ,bladder cancer and prostate cancer causes (4.7%),and accidental can be causes (2%) of ESRD. Conclusion: Diabetes mellitus, hypertension, cardiovascular disease, recurrent taken non-steroidal anti-inflammatory drug and urinary tract infection were associated significantly with onset of ESRD. Recommendations: There should be more attention to Improve the quality of renal replacement therapy and facilities, this could be achieved through Increasing the number of qualified staff and improve the dialysis machines and increasing their numbers.