<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2976-0526</journal-id>
<journal-title><![CDATA[Portuguese Kidney Journal (PKJ)]]></journal-title>
<abbrev-journal-title><![CDATA[PKJ]]></abbrev-journal-title>
<issn>2976-0526</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Nefrologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2976-05262024000200023</article-id>
<article-id pub-id-type="doi">10.71749/pkj.26</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Clinical Characteristics of Hemodialysis Patients from African Countries of Portuguese Official Language: A Portuguese Cohort]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peres]]></surname>
<given-names><![CDATA[Nadiesda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Branco]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Bernardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca]]></surname>
<given-names><![CDATA[José Agapito]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Outerelo]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Resina]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Melo]]></surname>
<given-names><![CDATA[Maria João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[José António]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gameiro]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Universitário Lisboa Norte, EPE Department of Medicine Division of Nephrology and Renal Transplantation]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>2</numero>
<fpage>23</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2976-05262024000200023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2976-05262024000200023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2976-05262024000200023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Africa contributes to &lt;10% of the total renal replacement therapy (RRT) patients worldwide. Due to a cooperation protocol, Portugal provides RRT and CKD care to patients from some African Countries of Portuguese Official Language (ACPOL). The purpose of this analysis was to describe the clinical characteristics and outcomes of patients from ACPOL who integrated our hemodialysis (HD) program in Portugal.  Methods: Retrospective analysis of 126 African patients who integrated the HD program of a tertiary hospital in Portugal, between January 2013 and December 2019.  Results: Mean age was 49.9 ± 14.1 years, and 56.3% were male (n= 71). Twenty&#8209;one patients came from Angola (16.7%), 53 from Cape Verde (42.0%), 23 from Guinea&#8209;Bissau (18.3%), 20 from Saint Thomas and Prince (15.9%), and 9 from Mozambique (7.1%). Motives for referral to Portugal were advanced CKD and RRT requirement (n=80, 63.5%), other health condition in patients on HD (n=12, 9.5%), and vascular access dysfunction (n=8, 6.4%). Twenty&#8209;six patients (20.6%) came to Portugal on their own initiative and integrated our HD unit. All patients started HD with a central venous catheter (CVC). Nine patients had end stage VA failure for HD. Mean follow&#8209;up time was 5.8 ± 3.4 years, with 1.6% being transferred to peritoneal dialysis (n=2) and 15.1% being submitted to renal transplantation (n=18). The mortality rate during follow&#8209;up was 14.3% (n=18).  Conclusion : This is the first study presenting the clinical characteristics and outcomes of hemodialysis patients from ACPOL. Most of these patients come in need of RRT and due to VA dysfunction, though some patients opt to come to Portugal in search for better HD care. Portugal still has a central role providing HD and vascular access care to CKD patients from ACPOL. Nevertheless, the cornerstone to improve these patients&#8217; quality of life and survival is a proper investment in African countries&#8217; healthcare, financial and educational, namely regarding CKD management and ESRD.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Africa]]></kwd>
<kwd lng="en"><![CDATA[Portugal]]></kwd>
<kwd lng="en"><![CDATA[Renal Dialysis]]></kwd>
<kwd lng="en"><![CDATA[Renal Insufficiency, Chronic/epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Renal Insufficiency, Chronic/therapy]]></kwd>
</kwd-group>
</article-meta>
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