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[Correspondence] Caring for patients with end-stage kidney disease

The renal issue of The Lancet emphasises worldwide inequalities in access to renal replacement therapy.1,2 Innovative work in Tanzania supported by the International Society of Nephrology3 was particularly interesting. In Malawi, two hospitals provide 15 haemodialysis stations, treating about 60 patients with end-stage kidney disease and with health care provided free at the point of access. As in Tanzania, many patients in Malawi are diagnosed and referred when their kidney disease is at an advanced stage.