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Saudi Journal of Kidney Diseases and Transplantation
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Year : 2020  |  Volume : 31  |  Issue : 4  |  Page : 840-849
Hemodialysis at Doorstep - “Hub-and-Spoke” Model of Dialysis in a Developing Country

Department of Nephrology, Osmania Medical College and General Hospital, Hyderabad, Telangana, India

Correspondence Address:
Manisha Sahay
Department of Nephrology, Osmania General Hospital, Hyderabad 500012, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-2442.292319

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End-stage kidney disease has become a huge burden in our country. There has been an increase in dialysis centers across the country. State-funded dialysis has been initiated in many states of India. However, most of the centers are concentrated in the cities. Patients living in the peripheral districts have to travel long distance to reach the dialysis centers. In addition, there is a dearth of nephrology services in the peripheral areas. To address this problem, the hub-and- spoke model of dialysis has been initiated in Telangana state in South India, which has brought dialysis at the doorstep for people residing in remote districts. This study highlights the important features of this model.

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