国际肾脏病学会全球肾脏健康地图集:中东地区肾衰竭管理的结构、组织和服务

IF 19.3 2区 医学 Q1 UROLOGY & NEPHROLOGY Kidney International Supplements Pub Date : 2021-05-01 DOI:10.1016/j.kisu.2021.01.002
Atefeh Amouzegar , Ali K. Abu-Alfa , Mona N. Alrukhaimi , Aminu K. Bello , Mohammad A. Ghnaimat , David W. Johnson , Vivekanand Jha , David C.H. Harris , Adeera Levin , Marcello Tonelli , Meaghan Lunney , Syed Saad , Maryam Khan , Deenaz Zaidi , Mohamed A. Osman , Feng Ye , Ikechi G. Okpechi , Shahrzad Ossareh , ISN Middle East Regional Board
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引用次数: 2

摘要

肾衰竭是肾脏功能的永久性损害,与发病率、住院率和肾脏替代治疗的需求增加有关。中东地区共有11个国家(84.6%)回应了调查。该地区慢性肾脏疾病的患病率为5.2%至10.6%,而经治疗的肾衰竭患病率为每百万人152至826人。总体而言,肾移植发生率在伊朗最高(每百万人30.9例),在阿曼和阿拉伯联合酋长国最低(分别为每百万人2.2例和3.0例)。所有国家均可提供长期血液透析服务,9个(69.2%)国家可提供长期腹膜透析服务,该区域大多数国家可提供移植服务。在三分之二的国家,公共资金覆盖了非透析慢性肾病护理的费用,在几乎所有国家,公共资金覆盖了肾脏替代疗法的费用。一半以上的国家有透析登记;然而,大多数国家缺乏国家非传染性疾病战略。中东是一个肾脏疾病负担沉重的区域,需要采取具有成本效益的措施,通过提供有效的保健资金来改善该区域的肾脏护理。此外,该地区需要精心设计和可持续的卫生信息系统,以解决该地区目前在肾脏护理方面的差距。
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International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in the Middle East

Kidney failure is the permanent impairment of kidney function associated with increased morbidity, hospitalization, and requirement for kidney replacement therapy. A total of 11 countries in the Middle East region (84.6%) responded to the survey. The prevalence of chronic kidney disease in the region ranged from 5.2% to 10.6%, whereas prevalence of treated kidney failure ranged from 152 to 826 per million population. Overall, the incidence of kidney transplantation was highest in Iran (30.9 per million population) and lowest in Oman and the United Arab Emirates (2.2 and 3.0 per million population, respectively). Long-term hemodialysis services were available in all countries, long-term peritoneal dialysis services were available in 9 (69.2%) countries, and transplantation services were available in most countries of the region. Public funding covered the costs of nondialysis chronic kidney disease care in two-thirds of countries, and kidney replacement therapy in nearly all countries. More than half of the countries had dialysis registries; however, national noncommunicable disease strategies were lacking in most countries. The Middle East is a region with high burden of kidney disease and needs cost-effective measures through effective health care funding to be available to improve kidney care in the region. Furthermore, well-designed and sustainable health information systems are needed in the region to address current gaps in kidney care in the region.

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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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