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Global case studies for chronic kidney disease/end-stage kidney disease care
Affiliations.
- 1 Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
- 2 Centre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Sydney, New South Wales, Australia.
- 3 Institute of Biomedical Ethics and the History of Medicine, University of Zurich, Zurich, Switzerland.
- 4 Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
- 5 Division of Nephrology, The University of Tokyo School of Medicine, Hongo, Japan.
- 6 State Key Laboratory of Organ Failure Research, National Clinical Research Center for Kidney Disease, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
- 7 Servicio de Nefrologia, Hospital Civil de Guadalajara Fray Antonio Alcalde, University of Guadalajara Health Sciences Center, Hospital 278, Guadalajara, Jalisco, Mexico.
- 8 Almughtaribeen University, Khartoum, Sudan.
- 9 Department of Nephrology, Dalal Jamm Hospital, Cheikh Anta Diop University Teaching Hospital, Dakar, Senegal.
- 10 Dialysis Unit, CASMU-IAMPP, Montevideo, Uruguay.
- 11 Division of Nephrology, Department of Internal Medicine, Rajavithi Hospital, Bangkok, Thailand.
- 12 Department of Medicine, Chulalongkorn Hospital, Bangkok, Thailand.
- 13 Division of Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
- 14 Bhumirajanagarindra Kidney Institute, Bangkok, Thailand.
- 15 SEHA Dialysis Services, Abu Dhabi, United Arab Emirates.
- 16 Department of Nephrology and Clinical Research Centre, Hospital Serdang, Jalan Puchong, Kajang, Selangor, Malaysia.
- 17 Department of Nephrology, Barts Health NHS Trust, London, UK.
- 18 Centre for Nephrology, University College London, London, UK.
- 19 Malawi Ministry of Health, Queen Elizabeth Central Hospital, Blantyre, Malawi.
- 20 Parklands Kidney Centre, Nairobi, Kenya.
- 21 Department of Medicine, The Aga Khan University Hospital, Nairobi, Kenya.
- 22 Paediatric Intensive and Critical Unit, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
- 23 Division of Nephrology, College of Medicine, Seoul National University, Seoul, Korea.
- 24 School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.
- 25 Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
- 26 Pan American Health Organization/World Health Organization's Coordinating Centre in Prevention and Control of Chronic Kidney Disease, University of Calgary, Calgary, Alberta, Canada.
- 27 International Society of Nephrology, Brussels, Belgium.
- PMID: 32149007
- PMCID: PMC7031689
- DOI: 10.1016/j.kisu.2019.11.010
The prevalence of chronic kidney disease and its risk factors is increasing worldwide, and the rapid rise in global need for end-stage kidney disease care is a major challenge for health systems, particularly in low- and middle-income countries. Countries are responding to the challenge of end-stage kidney disease in different ways, with variable provision of the components of a kidney care strategy, including effective prevention, detection, conservative care, kidney transplantation, and an appropriate mix of dialysis modalities. This collection of case studies is from 15 countries from around the world and offers valuable learning examples from a variety of contexts. The variability in approaches may be explained by country differences in burden of disease, available human or financial resources, income status, and cost structures. In addition, cultural considerations, political context, and competing interests from other stakeholders must be considered. Although the approaches taken have often varied substantially, a common theme is the potential benefits of multistakeholder engagement aimed at improving the availability and scope of integrated kidney care.
Keywords: chronic kidney disease; dialysis; end-stage kidney disease; transplantation.
© 2020 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.
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- The second Global Kidney Health Summit outputs: developing a strategic plan to increase access to integrated end-stage kidney disease care worldwide. Harris DCH, Davies SJ, Finkelstein FO, Jha V. Harris DCH, et al. Kidney Int Suppl (2011). 2020 Mar;10(1):e1-e2. doi: 10.1016/j.kisu.2019.09.001. Epub 2020 Feb 19. Kidney Int Suppl (2011). 2020. PMID: 32154795 Free PMC article. No abstract available.
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