Capacity for the management of kidney failure in the International Society of Nephrology Oceania and South East Asia (OSEA) region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA).

Autor:	Francis A; Department of Nephrology, Queensland Children's Hospital, South Brisbane, Queensland, Australia.; Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia., Wainstein M; Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.; West Moreton Kidney Health Service, Ipswich Hospital, Brisbane, Queensland, Australia., Irish G; Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry, South Australia Health and Medical Research Institute, Adelaide, South Australia, Australia.; Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.; Central and Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, South Australia Health, Adelaide, South Australia, Australia., Abdul Hafidz MI; Department of Nephrology, Universiti Teknologi MARA, Selangor, Malaysia., Chen T; Department of Renal Medicine, Westmead Hospital, Westmead, New South Wales, Australia.; Faculty of Medicine and Health, the University of Sydney, Camperdown, New South Wales, Australia.; The Westmead Institute for Medical Research, Westmead, New South Wales, Australia., Cho Y; Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia.; Australasian Kidney Trials Network at the University of Queensland, Brisbane, Queensland, Australia., Htay H; Department of Renal Medicine, Singapore General Hospital, Singapore, Singapore.; Duke-NUS Medical School, Singapore, Singapore., Kanjanabuch T; Division of Nephrology, Department of Medicine, Chulalongkorn University, Bangkok, Thailand.; Center of Excellence in Kidney Metabolic Disorders, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand., Lalji R; Department of Nephrology, Queensland Children's Hospital, South Brisbane, Queensland, Australia.; Centre for Kidney Disease Research, University of Queensland, Brisbane, Queensland, Australia.; Metro South and Integrated Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Queensland, Australia., Neuen BL; Kidney Trials Unit, Royal North Shore Hospital, Sydney, New South Wales, Australia.; The George Institute for Global Health, Sydney, New South Wales, Australia., See E; Department of Nephrology, Royal Melbourne Hospital, Parkville, VIC, Australia.; Department of Nephrology, Royal Children's Hospital, Parkville, VIC, Australia.; Department of Critical Care, University of Melbourne, Melbourne, Australia., Shah A; Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia., Smyth B; NHMRC Clinical Trials Centre, University of Sydney, Camperdown, Australia.; Department of Renal Medicine, St George Hospital, Kogarah, Australia., Tungsanga S; Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Division of General Internal Medicine-Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand., Viecelli A; Australasian Kidney Trials Network at the University of Queensland, Brisbane, Queensland, Australia.; Department of Kidney and Transplant Services, Division of Medicine, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.; University of Queensland, Queensland, Australia., Yeung EK; Department of Nephrology, Monash Health, Clayton, Victoria, Australia., Arruebo S; The International Society of Nephrology, Brussels, Belgium., Bello AK; Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada., Caskey FJ; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK., Damster S; The International Society of Nephrology, Brussels, Belgium., Donner JA; The International Society of Nephrology, Brussels, Belgium., Jha V; George Institute for Global Health, University of New South Wales (UNSW), New Delhi, India.; School of Public Health, Imperial College, London, UK.; Manipal Academy of Higher Education, Manipal, India., Johnson DW; Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia.; Australasian Kidney Trials Network at the University of Queensland, Brisbane, Queensland, Australia.; Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital, Brisbane, Queensland, Australia.; Translational Research Institute, Brisbane, Queensland, Australia., Levin A; Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Malik C; The International Society of Nephrology, Brussels, Belgium., Nangaku M; Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan., Okpechi IG; Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa.; Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa., Tonelli M; Department of Medicine, University of Calgary, Calgary, Alberta, Canada.; Canada and Pan-American Health Organization/World Health Organization's Collaborating Centre in Prevention and Control of Chronic Kidney Disease, University of Calgary, Calgary, Alberta, Canada., Ye F; Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada., Wong MG; Faculty of Medicine and Health, the University of Sydney, Camperdown, New South Wales, Australia.; Department of Renal Medicine, Concord Repatriation General Hospital, Concord, New South Wales, Australia., Bavanandan S; Department of Nephrology Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Jazyk:	angličtina
Zdroj:	Kidney international supplements [Kidney Int Suppl (2011)] 2024 Apr; Vol. 13 (1), pp. 110-122. Date of Electronic Publication: 2024 Apr 08.
DOI:	10.1016/j.kisu.2024.01.004
Abstrakt:	The International Society of Nephrology (ISN) region of Oceania and South East Asia (OSEA) is a mix of high- and low-income countries, with diversity in population demographics and densities. Three iterations of the ISN-Global Kidney Health Atlas (GKHA) have been conducted, aiming to deliver in-depth assessments of global kidney care across the spectrum from early detection of CKD to treatment of kidney failure. This paper reports the findings of the latest ISN-GKHA in relation to kidney-care capacity in the OSEA region. Among the 30 countries and territories in OSEA, 19 (63%) participated in the ISN-GKHA, representing over 97% of the region's population. The overall prevalence of treated kidney failure in the OSEA region was 1203 per million population (pmp), 45% higher than the global median of 823 pmp. In contrast, kidney replacement therapy (KRT) in the OSEA region was less available than the global median (chronic hemodialysis, 89% OSEA region vs. 98% globally; peritoneal dialysis, 72% vs. 79%; kidney transplantation, 61% vs. 70%). Only 56% of countries could provide access to dialysis to at least half of people with incident kidney failure, lower than the global median of 74% of countries with available dialysis services. Inequalities in access to KRT were present across the OSEA region, with widespread availability and low out-of-pocket costs in high-income countries and limited availability, often coupled with large out-of-pocket costs, in middle- and low-income countries. Workforce limitations were observed across the OSEA region, especially in lower-middle-income countries. Extensive collaborative work within the OSEA region and globally will help close the noted gaps in kidney-care provision. (© 2024 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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