Landscape of kidney replacement therapy provision in low- and lower-middle income countries

A multinational study from the ISN-GKHA

Datos Bibliográficos

ID19590728
AutoresVictoria Nkunu (0000-0002-8508-6282, University of Alberta, autor de correspondencia), Somkanya Tungsanga (0000-0002-2640-1131, University of Alberta, autor de correspondencia), Hassane M Diongole (Université André Salifou, autor de correspondencia), Abdulshahid Sarki (0009-0004-5705-4533, National Hospital Abuja, autor de correspondencia), Silvia Arruebo (autor de correspondencia), Fergus Caskey (0000-0002-5199-3925, University of Bristol, autor de correspondencia), Sandrine Damster (autor de correspondencia), Jo-Ann Donner (0000-0002-5005-909X, autor de correspondencia), Vivekanand Jha (0000-0002-8015-9470, Manipal Academy of Higher Education, autor de correspondencia), Adeera Levin (0000-0003-2438-8401, University of British Columbia, autor de correspondencia), Masaomi Nangaku (0000-0001-7401-2934, The University of Tokyo, autor de correspondencia), Syed Saad (0000-0003-2059-7927, University of Alberta, autor de correspondencia), Feng Ye (0000-0002-1147-3271, University of Alberta, autor de correspondencia), Ikechi G Okpechi (0000-0002-6545-9715, University of Alberta, autor de correspondencia), Aminu K Bello (0000-0001-5021-5542, University of Alberta, autor de correspondencia), David W Johnson (0000-0001-5491-3460, Translational Research Institute, autor de correspondencia), Marcello Tonelli (0000-0002-0846-3187, University of Calgary, autor de correspondencia)
EditoresAnil Gumber (0000-0002-8621-6966)
Año2024
Volumen4
Número12
Páginase0003979
Fecha de publicación2024-12-02
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPLOS Global Public Health (JOURNAL)
Identificadores de la revistaISSN: 2767-3375 • E-ISSN: 2767-3375
EditorialPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0003979
PMID39621612
OpenAlexW4404917910
IdiomaEN
Referencias citadas120

In low- and lower-middle-income countries (LLMICs), delivering equitable kidney care presents substantial challenges, resulting in significant disparities in disease management and treatment outcomes for people with kidney failure. This comprehensive report leveraged data from the International Society of Nephrology-Global Kidney Health Atlas (ISN-GKHA), to provide a detailed update on the landscape of kidney replacement therapy (KRT) in LLMICs. Among the 65 participating LLMICs, reimbursement for KRT (publicly funded by the government and free at the point of delivery) was available in 28%, 15%, and 8% for hemodialysis (HD), peritoneal dialysis (PD), and kidney transplantation (KT), respectively. Additionally, while 56% and 28% of LLMICs reported the capacity to provide quality HD and PD, only 41% reported accessibility to chronic dialysis, defined as >50% of the national population being able to access KRT, and a mere 5% LLMICs reported accessibility to KT. Workforce shortages in nephrology further compound these challenges. Kidney registries and comprehensive policies for non-communicable diseases and chronic kidney disease care were limited in LLMICs. A comprehensive and cost-effective approach is crucial to address these challenges. Collaboration at global, regional, country, and individual levels is essential to enhance the quality of kidney care across LLMICs

Dialysis · Economic growth · Environmental health · Family medicine · Health care · Intensive care medicine · Kidney disease · Kidney transplantation · Peritoneal dialysis · Population · Reimbursement · Renal replacement therapy · Chronic Kidney Disease and Diabetes · Dialysis and Renal Disease Management · Medicine · Organ Donation and Transplantation · Internal Medicine · Nephrology · Transplantation