Cost-benefit comparison of hemodialysis access creation in a developing country and North American centres.

Objective: It has been suggested that vascular access operations should only be performed in high-volume centres to ensure good outcomes. Vascular access operations have been routinely performed in the Cayman Islands since 2005. However, with an estimated population of 45,000 persons, only a small number of patients require vascular access in any given interval.

Access surgery for hemodialysis in the Cayman Islands: Preliminary results of a vascular access service.

Objective: In the Cayman Islands, a vascular access service was created in 2005 to facilitate the creation of vascular access for hemodialysis by local surgeons. The present retrospective audit aims to establish the outcomes of this practice in the Cayman Islands.

Methods: Data from the operative log of the Cayman Islands Hospital was collected over a period of 36 months.

Renal replacement therapy for stage 5 chronic kidney disease in the Cayman Islands.

There has been no documentation on the epidemiology of end stage renal disease (ESRD) in the Cayman Islands. We retrospectively surveyed all facilities providing renal replacement therapy in the Cayman Islands in order to define the epidemiology of kidney failure in this setting. The prevalence of ESRD in this population was 0.