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Background and Aims Dialysis impacts the patients' quality of life drastically, increasing the risk of mortality. Depression and anxiety are commonly reported among dialysis patients. But little is known about their prevalence. The aim of this study is to examine the prevalence of anxiety and depression and associated factors among patients receiving hemodialysis Method A cross-sectional study was carried out among 94 hemodialysis patients treated at four hemodialysis center in a mediterranean country during a period of two months . The patients were interviewed while undergoing their dialysis session using the Hospital Anxiety and Depression Scale (HAD). The score of HAD was correlated with demographic and clinical variables. Results Based on Hospital Anxiety and Depression Scale, 49 patients (52%) had symptoms of depression, 41 patients (43%) had mild symptoms of anxiety, whereas moderate or severe symptoms of anxiety were present in 30 patients (32%). In univariate analysis, HAD score for symptoms of depression correlated significantly with age (p=0,012) and past medical history of hypertension (p=0,024). Anxiety correlated significantly with female gender (p=0,039), smoking (p=0,017) and coffee addiction (p=0,024). Conclusion These results underline the important prevalence of anxiety and depression in hemodialysis patients . Strategic options are necessary to improve the diagnosis of anxiety and depressive disorders, potentially enhancing quality of life and medical outcome in hemodialysis patients.

Background and Aims Arterio-venous fistula (AVF) is considered to be the first choice vascular access for hemodialysis (HD). Hemodialysis catheter (KT) may be a temporary or permanent alternative. The aim of our work was the study of indications, and complications’ contributing factors of KT, and to identify complications and predictive factors of AVF survival. Method It’s a retrospective, descriptive, analytic, and multicentric study interesting AVF and KT created in patients with end stage renal disease and who have been treated with hemodialysis in the four hemodilysis centers of the KEF governorate in Tunisia over the period from 01/07/18 to 31/12/18. Results We have studied 288 AVF and 148 KT that were created in 205 patients averaging 58.14 ±15.56 years in age [25-93 years]. The sex ratio was 1.5. Diabetic nephropathy was the most common (25.9%). For the KT, the main indication was the wait of AVF creation (68.9%). The overall incidence of immediate complications was 11.5%. Dysfunction was reported in 23.6% of cases with obesity (p=0.035) and tunneled type of KT (p=0.045) as contributing factors. KT infection, occuring in 39.2% of cases, was promoted by prolonged duration of use (p=0.041) and hemoglobin level Conclusion Despite of concerted efforts, much remained to be done to reduce the incidence of catheterization, the creation of AVF on time and the prevention of its complications.