End Stage Kidney Disease (ESKD) and Related Chronic Diseases: Causes and Implications

Chronic Kidney Disease (CKD) is a major public health issue that often coexists with various chronic conditions, leading to significant morbidity and mortality. This study analyzes patient data from the hemodialysis unit of Mesallata Central Hospital, Libya, involving 57 patients meeting the ESKD criteria. The leading causes of CKD were hypertension (26.3%), diabetes mellitus (21.1%), and autosomal dominant polycystic kidney disease (19.3%). The most common comorbidities included hypertension (64.9%), ischemic heart disease (21.1%), and congestive heart failure (14%). The average duration of CKD was 13.7 years, with an average dialysis duration of 7.4 years. These findings emphasize the urgent need for integrated strategies to address the dual burden of CKD and associated chronic diseases, particularly in resource-limited settings.