Global Estimates of Capacity for Kidney Transplantation in World Countries and Regions

Autor: Feng Ye, Vivekanand Jha, Mohamed A. Osman, Marcello Tonelli, Philip J. O'Connell, Bhanu Prasad, Csaba P. Kovesdy, Rumeyza Kazancioglu, David Harris, John S. Gill, Scott Klarenback, Meaghan Lunney, Shahrzad Ossareh, Kitty J. Jager, Htay Htay, Soroush Shojai, Fergus Caskey, T O Olanrewaju, Mohamed Elsadig Osman, Ikechi G. Okpechi, Kevin Wen, David W. Johnson, Elmi Muller, Adeera Levin, Aminu K. Bello, Dominic Mudiayi, Emily Christie, Mostafa Kamaleldin, Eric Rondeau, Maryam Khan, Kailash Jindal
Přispěvatelé: KAZANCIOĞLU, Rümeyza
Rok vydání: 2022
Předmět:
Zdroj: Mudiayi, D, Shojai, S, Okpechi, I G, Caskey, F J, Bello, A K & Christiec, E A 2021, ' Global estimates of capacity for kidney transplantation in world countries and regions ', Transplantation . https://doi.org/10.1097/TP.0000000000003943
DOI: 10.1097/TP.0000000000003943
Popis: Background Kidney transplantation (KT) is the optimal treatment for kidney failure and is associated with better quality of life and survival relative to dialysis. However, knowledge of the current capacity of countries to deliver KT is limited. This study reports on findings from the 2018 International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) survey, specifically addressing the availability, accessibility, and quality of KT across countries and regions. Methods Data were collected from published online sources and a survey was administered online to key stakeholders. All country-level data were analyzed by ISN region and World Bank income classification. Results Data were collected via a survey in 182 countries of which 155 answered questions pertaining to KT. Of these, 74% stated that KT was available, with a median incidence of 14 pmp (range: 0.04 to 70) and median prevalence of 255 pmp (range: 3 to 693). Accessibility of KT varied widely; even within high income countries, it was disproportionately lower for ethnic minorities. Universal health coverage of all KT treatment costs was available in 31% and 57% had a KT registry. Conclusions There are substantial variations in KT incidence, prevalence, availability, accessibility, and quality worldwide, with the lowest rates evident in low- and lower-middle income countries. Understanding these disparities will inform efforts to increase awareness and the adoption of practices that will ensure high quality KT care is provided around the world.Supplemental Visual Abstract; http://links.lww.com/TP/C288.
Databáze: OpenAIRE