Capacity for the management of kidney failure in the International Society of Nephrology North and East Asia 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.2024.02.001
Winston Wing-Shing Fung , Hyeong Cheon Park , Yosuke Hirakawa , 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 , Seiji Ueda , Feng Ye , Yusuke Suzuki , Angela Yee-Moon Wang , Lili Zhou
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Abstract

Globally, there remain significant disparities in the capacity and quality of kidney care, as evidenced by the third edition of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA). In the ISN North and East Asia region, the chronic kidney disease (CKD) burden varied widely; Taiwan had the heaviest burden of treated kidney failure (3679 per million population [pmp]) followed by Japan and South Korea. Except in Hong Kong, hemodialysis (HD) was the main dialysis modality for all other countries in the region and was much higher than the global median prevalence. Kidney transplantation services were generally available in the region, but the prevalence was much lower than that of dialysis. Most countries had public funding for kidney replacement therapy (KRT). The median prevalence of nephrologists was 28.7 pmp, higher than that of any other ISN region, with variation across countries. Home HD was available in only 17% of the countries, whereas conservative kidney management was available in 50%. All countries had official registries for dialysis and transplantation; however, only China and Japan had CKD registries. Advocacy groups for CKD, kidney failure, and KRT were uncommon throughout the region. Overall, all countries in the region had capacity for KRT, albeit with some shortages in their kidney care workforce. These data are useful for stakeholders to address gaps in kidney care and to reduce workforce shortages through increased use of multidisciplinary teams and telemedicine, policy changes to promote prevention and treatment of kidney failure, and increased advocacy for kidney disease in the region.

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国际肾脏病学会北亚和东亚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
国际肾脏病学会全球肾脏健康地图集》(ISN-GKHA)第三版显示,在全球范围内,肾脏护理的能力和质量仍然存在巨大差异。在 ISN 北亚和东亚地区,慢性肾脏病(CKD)的负担差异很大;台湾的肾衰竭治疗负担最重(每百万人口 3679 例),其次是日本和韩国。除香港外,该地区所有其他国家均以血液透析(HD)为主要透析方式,且远高于全球发病率的中位数。该地区普遍提供肾移植服务,但普及率远低于透析。大多数国家都为肾脏替代疗法(KRT)提供公共资金。肾病专家的中位普及率为 28.7pmp,高于任何其他 ISN 地区,但各国之间存在差异。只有 17% 的国家提供家庭 HD,而 50% 的国家提供保守肾脏管理。所有国家都有透析和移植的官方登记,但只有中国和日本有 CKD 登记。在该地区,有关慢性肾脏病、肾衰竭和 KRT 的宣传团体并不常见。总体而言,该地区所有国家都有能力进行 KRT,尽管在肾脏护理人员方面存在一些不足。这些数据对利益相关者很有帮助,他们可以通过增加多学科团队和远程医疗的使用、改变政策以促进肾衰竭的预防和治疗,以及加强对该地区肾脏疾病的宣传,来弥补肾脏护理方面的不足并减少劳动力短缺。
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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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