Capacity for the management of kidney failure in the International Society of Nephrology Newly Independent States and Russia region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)

IF 19.3 2区 医学 Q1 UROLOGY & NEPHROLOGY Kidney International Supplements Pub Date : 2024-04-01 DOI:10.1016/j.kisu.2024.01.005
Larisa Prikhodina , Kirill Komissarov , Nikolay Bulanov , Silvia Arruebo , Aminu K. Bello , Fergus J. Caskey , Sandrine Damster , Jo-Ann Donner , Vivekanand Jha , David W. Johnson , Adeera Levin , Charu Malik , Masaomi Nangaku , Ikechi G. Okpechi , Marcello Tonelli , Feng Ye , Abduzhappar Gaipov
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Abstract

The International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) was established to aid understanding of the status and capacity of countries to provide optimal kidney care worldwide. This report presents the current characteristics of kidney care in the ISN Newly Independent States (NIS) and Russia region. Although the median prevalence of chronic kidney disease (CKD) was higher (11.4%) than the global median (9.5%), the median CKD-related death rate (1.4%) and prevalence of treated kidney failure (KF) in the region (411 per million population [pmp]) were lower than they are globally (2.5% and 822.8 pmp, respectively). Capacity to provide an adequate frequency of hemodialysis (HD) and kidney transplantation services is present in all the countries (100%). In spite of significant economic advancement, the region has critical shortages of nephrologists, dietitians, transplant coordinators, social workers, palliative care physicians, and kidney supportive care nurses. Home HD remains unavailable in any country in the region. Although national registries for dialysis and kidney transplantation are available in most of the countries across the ISN NIS and Russia region, few registries exist for nondialysis CKD and acute kidney injury. Although a national strategy for improving care for CKD patients is presented in more than half of the countries, no country in the region had a CKD-specific policy. Strategies that incorporate workforce training, planning, and development for all KF caregivers could help ensure sustainable kidney care delivery in the ISN NIS and Russia region.

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国际肾脏病学会新独立国家和俄罗斯地区肾衰竭管理能力:2023 年国际肾脏病学会全球肾脏健康地图集(ISN-GKHA)报告
建立国际肾脏病学会全球肾脏健康地图集(ISN-GKHA)的目的是帮助了解各国在全球范围内提供最佳肾脏保健服务的现状和能力。本报告介绍了 ISN 新独立国家 (NIS) 和俄罗斯地区肾脏保健的现状。虽然慢性肾脏病(CKD)发病率的中位数(11.4%)高于全球中位数(9.5%),但该地区CKD相关死亡率的中位数(1.4%)和肾衰竭(KF)治疗率的中位数(每百万人口411例)却低于全球中位数(分别为2.5%和822.8例)。所有国家都有能力提供足够频率的血液透析(HD)和肾移植服务(100%)。尽管经济有了长足的发展,但该地区仍然严重缺乏肾科医生、营养师、移植协调员、社会工作者、姑息治疗医生和肾脏支持护理护士。该地区任何一个国家都没有家庭血液透析服务。虽然 ISN NIS 和俄罗斯地区的大多数国家都有透析和肾移植的国家登记,但非透析慢性肾脏病和急性肾损伤的登记却很少。虽然半数以上的国家制定了改善 CKD 患者护理的国家战略,但该地区没有一个国家制定了专门针对 CKD 的政策。为所有 KF 护理人员提供劳动力培训、规划和发展的战略有助于确保在 ISN NIS 和俄罗斯地区提供可持续的肾脏护理服务。
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来源期刊
Kidney International Supplements
Kidney International Supplements UROLOGY & NEPHROLOGY-
CiteScore
11.80
自引率
0.00%
发文量
13
期刊介绍: Kidney International Supplements is published on behalf of the International Society of Nephrology (ISN) and comes complimentary as part of a subscription to Kidney International. Kidney International Supplements is a peer-reviewed journal whose focus is sponsored, topical content of interest to the nephrology community.
期刊最新文献
Editorial Board Table of Contents Variations in kidney care management and access: regional assessments of the 2023 International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) Update on variability in organization and structures of kidney care across world regions Capacity for the management of kidney failure in the International Society of Nephrology Newly Independent States and Russia region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
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