Capacity for the management of kidney failure in the International Society of Nephrology North America and the Caribbean region : report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)

© 2024 International Society of Nephrology. Published by Elsevier Inc. All rights reserved..

The International Society of Nephrology Global Kidney Health Atlas charts the availability and capacity of kidney care globally. In the North America and the Caribbean region, the Atlas can identify opportunities for kidney care improvement, particularly in Caribbean countries where structures for systematic data collection are lacking. In this third iteration, respondents from 12 of 18 countries from the region reported a 2-fold higher than global median prevalence of dialysis and transplantation, and a 3-fold higher than global median prevalence of dialysis centers. The peritoneal dialysis prevalence was lower than the global median, and transplantation data were missing from 6 of the 10 Caribbean countries. Government-funded payments predominated for dialysis modalities, with greater heterogeneity in transplantation payor mix. Services for chronic kidney disease, such as monitoring of anemia and blood pressure, and diagnostic capability relying on serum creatinine and urinalyses were universally available. Notable exceptions in Caribbean countries included non-calcium-based phosphate binders and kidney biopsy services. Personnel shortages were reported across the region. Kidney failure was identified as a governmental priority more commonly than was chronic kidney disease or acute kidney injury. In this generally affluent region, patients have better access to kidney replacement therapy and chronic kidney disease-related services than in much of the world. Yet clear heterogeneity exists, especially among the Caribbean countries struggling with dialysis and personnel capacity. Important steps to improve kidney care in the region include increased emphasis on preventive care, a focus on home-based modalities and transplantation, and solutions to train and retain specialized allied health professionals.

Errataetall:

CommentIn: Kidney Int Suppl (2011). 2024 Apr;13(1):1-5. - PMID 38619132

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Kidney international supplements - 13(2024), 1 vom: 04. Apr., Seite 83-96

Sprache:

Englisch

Beteiligte Personen:

Lowe-Jones, Racquel [VerfasserIn]
Ethier, Isabelle [VerfasserIn]
Fisher, Lori-Ann [VerfasserIn]
Wong, Michelle M Y [VerfasserIn]
Thompson, Stephanie [VerfasserIn]
Nakhoul, Georges [VerfasserIn]
Sandal, Shaifali [VerfasserIn]
Chanchlani, Rahul [VerfasserIn]
Davison, Sara N [VerfasserIn]
Ghimire, Anukul [VerfasserIn]
Jindal, Kailash [VerfasserIn]
Osman, Mohamed A [VerfasserIn]
Riaz, Parnian [VerfasserIn]
Saad, Syed [VerfasserIn]
Sozio, Stephen M [VerfasserIn]
Tungsanga, Somkanya [VerfasserIn]
Cambier, Alexandra [VerfasserIn]
Arruebo, Silvia [VerfasserIn]
Bello, Aminu K [VerfasserIn]
Caskey, Fergus J [VerfasserIn]
Damster, Sandrine [VerfasserIn]
Donner, Jo-Ann [VerfasserIn]
Jha, Vivekanand [VerfasserIn]
Johnson, David W [VerfasserIn]
Levin, Adeera [VerfasserIn]
Malik, Charu [VerfasserIn]
Nangaku, Masaomi [VerfasserIn]
Okpechi, Ikechi G [VerfasserIn]
Tonelli, Marcello [VerfasserIn]
Ye, Feng [VerfasserIn]
Parekh, Rulan S [VerfasserIn]
Anand, Shuchi [VerfasserIn]
Regional Board and ISN-GKHA Team Authors [VerfasserIn]
Agarwal, Anil K [Sonstige Person]
Amouzegar, Atefeh [Sonstige Person]
Avila-Casado, Carmen [Sonstige Person]
Barton, Everard N [Sonstige Person]
Behera, Suman [Sonstige Person]
Felix, Melvin Bonilla [Sonstige Person]
Cerda, Jorge [Sonstige Person]
Cho, Yeoungjee [Sonstige Person]
Cybulsky, Andrey V [Sonstige Person]
Davids, M Razeen [Sonstige Person]
Diaz-González de Ferris, María Esther [Sonstige Person]
Diongole, Hassane M [Sonstige Person]
Divyaveer, Smita [Sonstige Person]
Ekrikpo, Udeme E [Sonstige Person]
Fogo, Agnes B [Sonstige Person]
Friedman, David [Sonstige Person]
Wing-Shing Fung, Winston [Sonstige Person]
Furth, Susan L [Sonstige Person]
Gill, John [Sonstige Person]
Houston, Ghenette [Sonstige Person]
Hsiao, Li-Li [Sonstige Person]
Hsu, Chi-Yuan [Sonstige Person]
Htay, Htay [Sonstige Person]
Ibrahim, Kwaifa Salihu [Sonstige Person]
Irish, Georgina [Sonstige Person]
Karam, Sabine [Sonstige Person]
Kelly, Dearbhla M [Sonstige Person]
Lalji, Rowena [Sonstige Person]
Lerma, Edgar V [Sonstige Person]
Mac-Way, Fabrice [Sonstige Person]
Macedo, Etienne [Sonstige Person]
Mohammed, Hassina [Sonstige Person]
Nair, Devika [Sonstige Person]
Nalado, Aisha M [Sonstige Person]
Neuen, Brendon L [Sonstige Person]
Olanrewaju, Timothy O [Sonstige Person]
Vela Parada, Xavier Fernanco [Sonstige Person]
Pecoits-Filho, Roberto [Sonstige Person]
Petrova, Anna [Sonstige Person]
Prasad, Bhanu [Sonstige Person]
Radix, Lisa [Sonstige Person]
Raina, Rupesh [Sonstige Person]
Ullur, Avinash Rao [Sonstige Person]
Rosner, Mitchell H [Sonstige Person]
Sakajiki, Aminu Muhammad [Sonstige Person]
See, Emily [Sonstige Person]
Seshan, Surya V [Sonstige Person]
Teitelbaum, Isaac [Sonstige Person]
Thomas, Ian [Sonstige Person]
Tiv, Sophanny [Sonstige Person]
Trask, Michele [Sonstige Person]
Vachharajani, Tushar J [Sonstige Person]
Viecelli, Andrea [Sonstige Person]
Wainstein, Marina [Sonstige Person]
Walsh, Michael [Sonstige Person]
Wyatt, Christina [Sonstige Person]
Yeates, Karen [Sonstige Person]
Yeung, Emily K [Sonstige Person]
Young-Peart, Sandrica [Sonstige Person]
Zaidi, Deenaz [Sonstige Person]

Links:

Volltext

Themen:

Chronic kidney disease
Dialysis nurses
Hemodialysis
Journal Article
Kidney care funding
Kidney transplantation
Peritoneal dialysis
Review

Anmerkungen:

Date Revised 25.04.2024

published: Print-Electronic

CommentIn: Kidney Int Suppl (2011). 2024 Apr;13(1):1-5. - PMID 38619132

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.kisu.2024.01.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371078318