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Capacity for the management of kidney failure in the International Society of Nephrology North America and the Caribbean region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA).

Authors :
Lowe-Jones R
Ethier I
Fisher LA
Wong MMY
Thompson S
Nakhoul G
Sandal S
Chanchlani R
Davison SN
Ghimire A
Jindal K
Osman MA
Riaz P
Saad S
Sozio SM
Tungsanga S
Cambier A
Arruebo S
Bello AK
Caskey FJ
Damster S
Donner JA
Jha V
Johnson DW
Levin A
Malik C
Nangaku M
Okpechi IG
Tonelli M
Ye F
Parekh RS
Anand S
Source :
Kidney international supplements [Kidney Int Suppl (2011)] 2024 Apr; Vol. 13 (1), pp. 83-96. Date of Electronic Publication: 2024 Apr 08.
Publication Year :
2024

Abstract

The International Society of Nephrology Global Kidney Health Atlas charts the availability and capacity of kidney care globally. In the North America and the Caribbean region, the Atlas can identify opportunities for kidney care improvement, particularly in Caribbean countries where structures for systematic data collection are lacking. In this third iteration, respondents from 12 of 18 countries from the region reported a 2-fold higher than global median prevalence of dialysis and transplantation, and a 3-fold higher than global median prevalence of dialysis centers. The peritoneal dialysis prevalence was lower than the global median, and transplantation data were missing from 6 of the 10 Caribbean countries. Government-funded payments predominated for dialysis modalities, with greater heterogeneity in transplantation payor mix. Services for chronic kidney disease, such as monitoring of anemia and blood pressure, and diagnostic capability relying on serum creatinine and urinalyses were universally available. Notable exceptions in Caribbean countries included non-calcium-based phosphate binders and kidney biopsy services. Personnel shortages were reported across the region. Kidney failure was identified as a governmental priority more commonly than was chronic kidney disease or acute kidney injury. In this generally affluent region, patients have better access to kidney replacement therapy and chronic kidney disease-related services than in much of the world. Yet clear heterogeneity exists, especially among the Caribbean countries struggling with dialysis and personnel capacity. Important steps to improve kidney care in the region include increased emphasis on preventive care, a focus on home-based modalities and transplantation, and solutions to train and retain specialized allied health professionals.<br /> (© 2024 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
2157-1724
Volume :
13
Issue :
1
Database :
MEDLINE
Journal :
Kidney international supplements
Publication Type :
Academic Journal
Accession number :
38618503
Full Text :
https://doi.org/10.1016/j.kisu.2024.01.003