One in 10 Canadians have kidney disease and millions more are at risk. Saskatchewan statistics indicate that as of March 2015, there were 1367 people on renal replacement therapy- 896 (66%) on dialysis and 471 (34%) have a functioning kidney transplant.
In Saskatchewan there are currently 1179 Chronic Kidney Disease (CKD) patients being followed in the provincial CKD programs.
The Regina Qu’Appelle Health Region Renal Program consists of:
- Chronic Kidney Disease Program
- Renal Replacement Therapy
- In-Centre Hemodialysis
- Satellite Hemodialysis
- Satellite Hemodialysis
- Home Dialysis
- Peritoneal Dialysis
- Home Hemodialysis
- Peritoneal Dialysis
- Kidney Stone Prevention Clinic (KSPC)
- Transplant Program
- Renal Program Locations
- Global Dialysis
- Get-Away Dialysis
Chronic Kidney Disease
Chronic Kidney Disease is usually a slow and progressive deterioration of kidney function. Some of the causes of kidney failure include:
- Hypertension (high blood pressure)
- Polycystic kidney disease
- Prescription or illegal drug use
Chronic Kidney Disease is irreversible and the patient may eventually require some form of renal replacement therapy.
Chronic Kidney Disease Program
It is possible, in some cases, to delay the need for dialysis treatment or prevent further deterioration of kidney function by conservative interventions. Conservative interventions include dietary or medication adjustment to control hypertension and diabetes. There is education provided to patients to help them manage their disease. Conservative treatments can be managed by the Kidney Specialist and the Chronic Kidney Disease Program.
The Chronic Kidney Disease Program began in June, 2001 and has a proactive approach to providing comprehensive and accessible renal care in the province. This program focuses on patients who are not yet requiring or receiving dialysis treatments. The primary focus of the Chronic Kidney Disease Program is early referral, assessment, education, support and on-going monitoring and management by a team of nurses, physicians, pharmacists, dietitians and social workers.
Renal Replacement Therapy
If Chronic Kidney Disease progresses to a point where renal replacement therapy is required your Kidney Specialist will refer you to the appropriate renal replacement program.
Renal Replacement Therapy Options:
Dialysis is a treatment which removes wastes/toxins and fluid from the patients blood. The following types of dialysis options are available:
Treatment is provided in the Hemodialysis Unit at the Regina General Hospital and Wascana Rehabilitation Center. The patient’s blood is cleansed of wastes/toxins by using a dialysis machine. The patient’s blood is passed through an artificial kidney or dialyzer which acts like a kidney removing wastes and extra fluid. Most patients require dialysis 3-4 times each week for 3-4 hours at a time.
In addition to the Regina Qu'Appelle Health Region Hemodialysis In-Center Units there are four satellite dialysis units in operation in Southern Saskatchewan. These satellite units provide hemodialysis closer to the patient’s home.
The Hemodialysis Unit at RGH and the Satellite Hemodialysis units work closely together. Some of the services provided by Regina Qu’Appelle Health Region to the Satellite Units include:
- Training and orientation for satellite staff
- Support service for repair and maintenance of machines
- Kidney Specialists provide ongoing medical care
The Kidney Specialist will assess if a patient is medically stable to perform their dialysis at home. Patients are provided with education and training to perform their dialysis independently within their home. Home Dialysis allows more independence and control of treatment schedules
The patient’s blood is cleansed of wastes/toxins by using a dialysis machine. The patient’s blood is passed through an artificial kidney or dialyzer which acts like a kidney removing wastes and extra fluid. The machine and supplies are provided to the patient. This dialysis training takes approximately 6 weeks. Patients dialyze 5-6 times per week either during the day or at night while they sleep.
Removes wastes and water from the patient’s blood, by introducing fluid into the peritoneal cavity, leaving it dwell there for a period of time, draining it out and repeating the process. Patients may be required to perform this procedure manually, several times a day, on a daily basis, or they may connect to a cycler. The cycler performs the treatment automatically during the night while the patient is asleep.
The Kidney Stone Prevention Clinic (KSPC)
Kidney stone development is the most common disorder of the urinary tract. One out of every 10 Canadians will develop kidney stones in their lifetime. Of those who develop kidney stones, 30 to 40% per cent will experience a second kidney stone event within five years. Kidney stones occur more commonly in men than women. They are also more common in middle aged people and occur more often in hot climates.
Kidney stones develop when certain chemicals in your urine form crystals and stick together. There are four different types of kidney stones but oxalate stones are the most common. Kidney stones can be as small as a grain of sand or as big as golf balls.
Diet and proper hydration play a big role in preventing kidney stones. The Kidney Stone Prevention Clinic (KSPC) can help prevent kidney stone development by providing education, diet information and medical management. The KSPC team consists of Nephrologists, Registered Dietitians and Registered Nurses who provide ongoing assessment, information and education to help decrease or prevent future stone formation.
The Kidney Stone Prevention Clinic (KSPC) accepts referrals from Nephrologists and Urologists for patients who have had more than one stone event. The KSPC is located in the Kidney Health Centre at 235 Albert St North in Regina, SK.
The Saskatchewan Transplant Program has offices in Saskatoon and Regina. All kidney transplants are done in Saskatoon with transplant follow-up care shared between the two sites. The focus of this program is to:
- Provide transplant education to patients and families
- Facilitate the listing of patients on the waiting list
- Coordinate and participate in organ and tissue donation
- Promote transplant awareness and education to health care providers and the public
Transplant follow-up care in Regina is provided at the Kidney Health Centre by a team of Transplant physicians, coordinators, pharmacists, dietitians and social workers.
For more information click here.
Renal Program Locations
The Kidney Health Center located at 235 Albert Street North includes the Chronic Kidney Disease (CKD) Program, the Home Dialysis Program and the Regina office of the Saskatchewan Transplant Program.
The two In-Center Hemodialysis Units are located at the Regina General Hospital-1440 14th Ave Regina, Saskatchewan and the Wascana Rehabilitation Center- 2180 - 23rd Avenue Regina, Saskatchewan.
Satellite Hemodialysis is also provided in four other cities in Southern Saskatchewan. These satellite units are located Moose Jaw, Swift Current, Yorkton and Estevan.
Global Dialysis provides information for dialysis patients who want to travel.
Get-Away Dialysis provides information to dialysis patients who want to travel.