Publication Name	World Journal of Nephrology
Manuscript ID	118111
Country	Kenya

Category	Medicine, General & Internal
Manuscript Type	Retrospective Cohort Study
Article Title	Predictors of one-year mortality in hemodialysis patients with end-stage renal disease at a Kenyan county hospital
Manuscript Source	Unsolicited Manuscript
All Author List	Felix Pius Omullo, Thomas Kimanzi Kitheghe, Maureen Mueni Mark, Allan Kariuki Ng’ang’a, Magdalene Wanjiru Parsimei, Wambugu Charles Kanyi, Ooko Anyang'o Emma, Ismail Abdi Sheikh, Joshua Macharia Gitumu, Abel Mwangi Gakuya, Glory Kawira Gitonga, John Alex Ndung'u and Elisheba Moraa Nyaro
Funding Agency and Grant Number
Corresponding Author	Felix Pius Omullo, MD, Senior Researcher, Department of Internal Medicine and Critical Care, Murang’a County Referral Hospital, Kiharu Township, Murang'a 69-10200, Central, Kenya. piuskirasia@gmail.com
Key Words	End-stage renal disease; Hemodialysis; Central venous catheter; Kenya; Predictors; Vascular access
Core Tip	This retrospective cohort study from a Kenyan county hospital identifies a high one-year mortality rate (34.2%) among incident hemodialysis patients. Advanced age and central venous catheter (CVC) use were the only independent predictors of mortality. With CVC use exceeding 89%, our findings reveal a critical “catheter-first” systemic failure. This underscores an urgent need for decentralized vascular access programs and earlier nephrology referrals to shift toward arteriovenous fistulas and improve patient survival in resource-limited settings.
Citation	Omullo FP, Kitheghe TK, Mark MM, Ng’ang’a AK, Parsimei MW, Kanyi WC, Emma OA, Sheikh IA, Gitumu JM, Gakuya AM, Gitonga GK, Ndung’u JA, Nyaro EM. Predictors of one-year mortality in hemodialysis patients with end-stage renal disease at a Kenyan county hospital. World J Nephrol 2026; In press

Received	2025-12-26 02:29
Peer-Review Started	2025-12-26 02:29
First Decision by Editorial Office Director	2026-01-20 09:19
Return for Revision	2026-01-20 09:19
Revised	2026-02-09 11:34
Publication Fee Transferred	2026-03-29 06:14
Second Decision by Editor	2026-04-22 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-22 08:25
Articles in Press	2026-04-22 08:25
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-6124 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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