الفهرس 
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Abstract
Background & Objectives: ESRD has become a major worldwide health problem. In Egypt there is no official renal registry apart from individual regional studies. The last Egyptian renal registry dates back to 2008 containing 2004 data. This study aimed at investigating some of the epidemiological aspects of ESRD patients on maintenance hemodialysis in Dakahlia Governorate Methods: Descriptive cross-sectional study using a questionnaire based survey on hemodialysis patients in Dakahlia Governorate during the year 2014 focusing on demographic data, vascular access, hepatitis C status and causes of ESRD. Data were also derived from the relevant national and regional records.Results: The prevalence of ESRD patients on maintenance hemodialysis in Dakahlia Governorate was estimated to be 3530 patients with a prevalence rate of 619.3 pmp at the end of 2014. According to data from 748 patients (21.3%), the mean age was 53±13 years, males 58%, females 42%. The mean duration on dialysis was 48±33 months. The cause of ESRD was unknown in 37%, HTN in 27.8% and DM in 24.6%. Around 87% of the patients started dialysis with a temporary CVC and the prevalence of HCV among dialysis patients was found to be 56%.Conclusion: The true burden of ESRD/RRT in Dakahlia Governorate & Egypt in general is far from being established. A national registry of ESRD in Egypt is highly recommended & is a crucial issue for sound & accurate healthcare policy planning. Further epidemiological studies are needed to describe the pattern of the disease in the area and to improve the overall quality of renal care management