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

被引：19

作者：

Kelly, Dearbhla M. ^{[1
,2
]}

Anders, Hans-Joachim ^{[3
]}

Bello, Aminu K. ^{[4
]}

Choukroun, Gabriel ^{[5
]}

Coppo, Rosanna ^{[6
]}

Dreyer, Gavin ^{[7
]}

Eckardt, Kai-Uwe ^{[8
]}

Johnson, David W. ^{[9
,10
,11
]}

Jha, Vivekanand ^{[12
,13
,14
]}

Harris, David C. H. ^{[15
]}

Levin, Adeera ^{[16
]}

Lunney, Meaghan ^{[17
]}

Luyckx, Valerie ^{[18
,19
,20
]}

Marti, Hans-Peter ^{[21
,22
]}

Messa, Piergiorgio ^{[23
,24
]}

Mueller, Thomas F. ^{[25
]}

Saad, Syed ^{[26
]}

Stengel, Benedicte ^{[27
,28
]}

Vanholder, Raymond C. ^{[29
,30
]}

Weinstein, Talia ^{[31
]}

Khan, Maryam ^{[32
]}

Zaidi, Deenaz ^{[26
]}

Osman, Mohamed A. ^{[33
]}

Ye, Feng ^{[26
]}

Tonelli, Marcello ^{[34
,35
]}

Okpechi, Ikechi G. ^{[26
,36
,37
]}

Rondeau, Eric ^{[38
,39
]}

机构：

[1] Univ Oxford, John Radcliffe Hosp, Wolfson Ctr Prevent Stroke & Dementia, Oxford, England

[2] Beaumont Hosp, Dept Nephrol, Dublin, Ireland

[3] Ludwig Maximilians Univ Munchen, Dept Internal Med 4, Div Nephrol, Univ Hosp, Munich, Germany

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

[5] Amiens Univ, Nephrol Dialysis Transplantat Dept, MP3CV Res Unit, CHU Amiens, Amiens, France

[6] Fdn Ric Molinette, Regina Margherita Hosp, Turin, Italy

[7] Barts Hlth Natl Hlth Serv Trust, Dept Nephrol, London, England

[8] Charite Univ Med Berlin, Dept Nephrol & Med Intens Care, Berlin, Germany

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

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

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

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

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

[14] Manipal Acad Higher Educ, Manipal, India

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

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

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

[18] Cantonal Hosp Graubunden, Nephrol, Chur, Switzerland

[19] Harvard Med Sch, Brigham & Womens Hosp, Renal Div, Boston, MA 02115 USA

[20] Univ Cape Town, Dept Child Hlth & Paediat, Cape Town, South Africa

[21] Univ Bergen, Dept Clin Med, Bergen, Norway

[22] Haukeland Hosp, Dept Med, Div Nephrol, Bergen, Norway

[23] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Nephrol Dialysis & Renal Transplant Unit, Milan, Italy

[24] Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy

[25] Univ Hosp Zurich, Nephrol Clin, Zurich, Switzerland

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

[27] Natl Inst Hlth & Med Res INSERM, Ctr Res Epidemiol & Populat Hlth CESP, Villejuif, France

[28] Univ Paris Saclay, Villejuif, France

[29] Ghent Univ Hosp, Dept Internal Med & Pediat, Nephrol Sect, Ghent, Belgium

[30] European Kidney Hlth Alliance, Brussels, Belgium

[31] Tel Aviv Univ, Tel Aviv Med Ctr, Sackler Med Sch, Dept Nephrol, Tel Aviv, Israel

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

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

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

[35] Univ Calgary, Pan Amer Hlth Org, WHO Collaborating Ctr Prevent & Control Chron Kid, Calgary, AB, Canada

[36] Univ Cape Town, Div Nephrol & Hypertens, Cape Town, South Africa

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

[38] Hop Tenon, AP HP, Intens Care Nephrol & Transplantat Dept, 4 Rue Chine, F-75651 Paris, France

[39] Sorbonne Univ, Paris, France

来源：

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

关键词：

chronic kidney disease; dialysis; end-stage kidney disease; kid-ney failure; kidney registries; kidney transplantation; RENAL REPLACEMENT THERAPY; ERA-EDTA REGISTRY; QUALITY-OF-LIFE; BLOOD-PRESSURE; RISK-FACTOR; DISEASE; HEMODIALYSIS; TRENDS; CARE; PROTEINURIA;

D O I：

10.1016/j.kisu.2021.01.007

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：

Populations in the high-income countries of Western Europe are aging due to increased life expectancy. As the prevalence of diabetes and obesity has increased, so has the burden of kidney failure. To determine the global capacity for kidney replacement therapy and conservative kidney management, the International Society of Nephrology conducted multinational, cross-sectional surveys and published the findings in the International Society of Nephrology Global Kidney Health Atlas. In the second iteration of the International Society of Nephrology Global Kidney Health Atlas, we aimed to describe the availability, accessibility, quality, and affordability of kidney failure care in Western Europe. Among the 29 countries in Western Europe, 21 (72.4%) responded, representing 99% of the region's population. The burden of kidney failure prevalence varied widely, ranging from 760 per million population (pmp) in Iceland to 1612 pmp in Portugal. Coverage of kidney replacement therapy from public funding was nearly universal, with the exceptions of Germany and Liechtenstein where part of the costs was covered by mandatory insurance. Fourteen (67%) of 21 countries charged no fees at the point of care delivery, but in 5 countries (24%), patients do pay some out-of-pocket costs. Long-term dialysis services (both hemodialysis and peritoneal dialysis) were available in all countries in the region, and kidney transplantation services were available in 19 (90%) countries. The incidence of kidney transplantation varied widely between countries from 12 pmp in Luxembourg to 70.45 pmp in Spain. Conservative kidney care was available in 18 (90%) of 21 countries. The median number of nephrologists was 22.9 pmp (range: 9.47-55.75 pmp). These data highlight the uniform capacity of Western Europe to provide kidney failure care, but also the scope for improvement in disease prevention and management, as exemplified by the variability in disease burden and transplantation rates.

引用

页码：E106 / E118

页数：13

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