Home Hemodialysis in French Guiana: Transforming logistical challenges into healthcare opportunities

Authors

  • Arriel Makembi Bunkete CHU de Guyane/Site de Saint-Laurent-du Maroni, Guyane française, France Unité de Soins Rénaux (URS), Saint-Laurent-du-Maroni, Guyane française, France https://orcid.org/0000-0001-9651-437X

DOI:

https://doi.org/10.25796/bdd.v8i2.87069

Keywords:

French Guyana, home dialyse, Chronic Kidney Disease, Health Inequalities, inequality of access to care

Abstract

In French Guiana, an Amazonian territory marked by vast spaces and the isolation of many municipalities, the management of chronic kidney disease faces significant challenges. The prevalence of this condition is high, often affecting a younger population living with multiple health conditions and frequently residing far from healthcare facilities. Currently, the provision of renal replacement therapy is almost exclusively concentrated along the coast, exacerbating inequalities in access to care. In this context, home hemodialysis emerges not only as an innovative alternative but also as a necessity to ensure equity and improve individuals’ quality of life. This paper explores this modality’s needs, specific constraints, and implementation prospects in French Guiana.

References

1. Duplan H. Géographie Géographie, démographie et offre de soins en Guyane / Geography, demography and health system in French Guiana. Bull Épidémiol Hebd [Internet]. 2020 Dec 15 [cited 2025 Apr 9];36–37:698–702. Available from: https://beh.santepubliquefrance.fr/beh/2020/36-37/pdf/2020_36-37_1.pdf.

2. Gautier N, Ficheux M, Henri P, Lanot A, Béchade C, Allard B. Innovations en hémodialyse à domicile: innovations in home hemodialysis. Néphrol Thérap 2022;18(5 Suppl 1):5S2–11. doi: 10.1016/S1769-7255(23)00004-4.

3. Registre REIN. Registre français des traitements de suppléance de l’insuffisance rénale chronique [Internet]. Agence de la biomédecine du don à la vie; 2022 [cited 2025 Apr 9]. Available from: https://www.agence-biomedecine.fr/IMG/pdf/rapport_2022_-_20241128.pdf.

4. Rochemont D-R. Insuffisance rénale terminale et maladies cardiovasculaires : le poids des maladies chroniques en Guyane [dissertation]. French Guiana (FR): Université de Guyane; 2019. French. NNT: 2019YANE0012.

5. Taflin C. Home Hemodialysis: Clinical Benefits, Risks, Target Populations. Bull Dial Domic [Internet]. 2025 Mar 24 [cited 2025 Apr 9];8(1):47–60. doi: 10.25796/bdd.v8i1.86863.

6. Babinet F, Vernier LM. Hemodialysis in isolated areas: contribution of telemedicine and analysis of specific issues. Bull Dial Domic [Internet]. 2020 Apr 9 [cited 2025 Apr 9];3(1):19–25. doi: 10.25796/bdd.v3i1.52773.

7. International Home Dialysis Consortium (IHDC) [Internet]. International Society for Peritoneal Dialysis; c2025 [cited 2025 Apr 9]. Available from: https://ispd.org/ihdc/.

Submitted

2025-03-29

Accepted

2025-04-11

Published

2025-06-07

How to Cite

1.
Makembi Bunkete A. Home Hemodialysis in French Guiana: Transforming logistical challenges into healthcare opportunities. Bull Dial Domic [Internet]. 2025 Jun. 7 [cited 2025 Jun. 14];8(2):107-11. Available from: https://bdd.rdplf.org/index.php/bdd/article/view/87069