International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Africa

被引：26

作者：

Oguejiofor, Fidelis ^{[1
]}

Kiggundu, Daniel S. ^{[2
,3
]}

Bello, Aminu K. ^{[4
]}

Swanepoel, Charles R. ^{[5
]}

Ashuntantang, Gloria ^{[6
]}

Jha, Vivekanand ^{[7
,8
,9
]}

Harris, David C. H. ^{[10
]}

Levin, Adeera ^{[3
]}

Tonelli, Marcello ^{[11
,12
]}

Niang, Abdou ^{[13
]}

Wearne, Nicola ^{[5
,14
]}

Moloi, Mothusi Walter ^{[15
]}

Ulasi, Ifeoma ^{[16
,17
,18
,19
]}

Arogundade, Fatiu A. ^{[20
]}

Saad, Syed ^{[21
]}

Zaidi, Deenaz ^{[21
]}

Osman, Mohamed A. ^{[22
]}

Ye, Feng ^{[21
]}

Lunney, Meaghan ^{[23
]}

Olanrewaju, Timothy O. ^{[24
]}

Ekrikpo, Udeme ^{[25
]}

Umeizudike, Theophilus, I ^{[26
]}

Abdu, Aliyu ^{[27
]}

Nalado, Aisha M. ^{[27
]}

Makusidi, Muhammad Aliyu ^{[28
]}

Liman, Hamidu M. ^{[29
]}

Sakajiki, Aminu ^{[29
]}

Diongole, Hassane M. ^{[30
,31
]}

Khan, Maryam ^{[32
]}

Gharbi, Mohammed Benghanem ^{[33
]}

Johnson, David W. ^{[34
,35
,36
]}

Okpechi, Ikechi G. ^{[5
,14
,21
]}

机构：

[1] Nnamdi Azikiwe Teaching Hosp, Dept Med, Nnewi, Anambra State, Nigeria

[2] Mulago Hosp, Dept Med, Kampala, Uganda

[3] Univ British Columbia, Dept Med, Nephrol Div, Vancouver, BC, Canada

[4] Univ Alberta, Dept Med, Div Nephrol & Immunol, Edmonton, AB, Canada

[5] Univ Cape Town, Fac Hlth Sci, Dept Med, Div Nephrol & Hypertens, Cape Town, South Africa

[6] Univ Yaounde I, Yaounde Gen Hosp, Fac Med & Biomed Sci, Yaounde, Cameroon

[7] Univ New South Wales, George Inst Global Hlth, New Delhi, India

[8] Imperial Coll, Sch Publ Hlth, London, England

[9] Manipal Acad Higher Educ, Manipal, Karnataka, India

[10] Univ Sydney, Ctr Transplantat & Renal Res, Westmead Inst Med Res, Westmead, NSW, Australia

[11] Univ Calgary, Dept Med, Calgary, AB, Canada

[12] Univ Calgary, Pan Amer Hlth Org World Hlth Org Collaborating Ct, Calgary, AB, Canada

[13] Univ Teaching Hosp, Dalal Jamm Hosp, Dept Nephrol, Cheikh Anta Diop, Dakar, Senegal

[14] Univ Cape Town, Kidney & Hypertens Res Unit, Cape Town, South Africa

[15] Univ Botswana, Dept Med, Gaborone, Botswana

[16] Univ Nigeria, Coll Med, Dept Med, Ituku Ozalla, Enugu State, Nigeria

[17] Univ Nigeria, Dept Med, Teaching Hosp Ituku Ozalla, Ituku Ozalla, Enugu State, Nigeria

[18] Univ Nigeria, Nsukka Ctr Clin Trials, Enugu Campus, Ituku Ozalla, Enugu State, Nigeria

[19] Alex Ekwueme Fed Univ Teaching Hosp Abakaliki, Dept Internal Med, Abakaliki, Ebonyi State, Nigeria

[20] Obafemi Awolowo Univ, Coll Hlth Sci, Dept Med, Ife, Osun State, Nigeria

[21] Univ Alberta, Dept Med, Edmonton, AB, Canada

[22] Univ Ottawa, Dept Family Med, Ottawa, ON, Canada

[23] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

[24] Univ Ilorin, Coll Hlth Sci, Dept Med, Ilorin, Nigeria

[25] Univ Uyo, Dept Med, Uyo, Akwa Ibom State, Nigeria

[26] Lagos State Univ Teaching Hosp Ikeja, Dept Med, Lagos, Nigeria

[27] Bayero Univ Kano, Coll Hlth Sci, Dept Med, Kano, Kano State, Nigeria

[28] Usmanu Danfodiyo Univ Teaching Hosp, Div Nephrol, Dept Internal Med, Sokoto, Sokoto State, Nigeria

[29] Usmanu Danfodiyo Univ Teaching Hosp, Dept Med, Sokoto, Nigeria

[30] Natl Hosp Zinder, Dept Med, Div Nephrol, Zinder, Niger

[31] Univ Zinder, Fac Hlth Sci, Zinder, Niger

[32] Univ Alberta, Fac Sci, Edmonton, AB, Canada

[33] Univ Hassan II Casablanca, Fac Med & Pharm Casablanca, Urinary Tract Dis Dept, Casablanca, Morocco

[34] Princess Alexandra Hosp, Dept Nephrol, Metro South & Ipswich Nephrol & Transplant Serv M, Brisbane, Qld, Australia

[35] Univ Queensland, Ctr Kidney Dis Res, Princess Alexandra Hosp, Brisbane, Qld, Australia

[36] Translat Res Inst, Brisbane, Qld, Australia

来源：

KIDNEY INTERNATIONAL SUPPLEMENTS | 2021年 / 11卷 / 02期

关键词：

chronic kidney disease; dialysis; funding; kidney failure; kidney registries; workforce; SUB-SAHARAN AFRICA; STAGE RENAL-DISEASE; PERITONEAL-DIALYSIS; CARE; PREVALENCE; OUTCOMES; BURDEN; ACCESS;

D O I：

10.1016/j.kisu.2021.01.009

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Despite positive economic forecasts, stable democracies, and reduced regional conflicts since the turn of the century, Africa continues to be afflicted by poverty, poor infrastructure, and a massive burden of communicable diseases such as HIV, malaria, tuberculosis, and diarrheal illnesses. With the rising prevalence of chronic kidney disease and kidney failure worldwide, these factors continue to hinder the ability to provide kidney care for millions of people on the continent. The International Society of Nephrology Global Kidney Health Atlas project was established to assess the global burden of kidney disease and measure global capacity for kidney replacement therapy (dialysis and kidney transplantation). The aim of this second iteration of the International Society of Nephrology Global Kidney Health Atlas was to evaluate the availability, accessibility, affordability, and quality of kidney care worldwide. We identified several gaps regarding kidney care in Africa, chief of which are (i) severe workforce limitations, especially in terms of the number of nephrologists; (ii) low government funding for kidney care; (iii) limited availability, accessibility, reporting, and quality of provided kidney replacement therapy; and (iv) weak national strategies and advocacy for kidney disease. We also identified that within Africa, the availability and accessibility to kidney replacement therapy vary significantly, with North African countries faring far better than sub-Sahara African countries. The evidence suggests an urgent need to increase the workforce and government funding for kidney care, collect adequate information on the burden of kidney disease from African countries, and develop and implement strategies to enhance disease prevention and control across the continent. Copyright (C) 2021, International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

引用

页码：E11 / E23

页数：13

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