Capacity for the management of kidney failure in the International Society of Nephrology Eastern and Central Europe region: Report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)

Caner Alparslan, Jolanta Malyszko, Fergus J Caskey, Mirna Aleckovic-Halilovic, Zdenka Hruskova, Vladimir Tesar*, et al

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

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Abstract

Delivery of care for kidney failure (KF) globally has a significant disparity; even in some countries, it means end-of-life for the person. The International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) tries to address gaps in KF care and standardize global nephrology care. From the third iteration of the ISN-GKHA, we present data for countries in the ISN Eastern and Central Europe region. The median prevalences of chronic kidney disease (12.8%) and treated KF (873.5 pmp) were higher than the global rates, respectively. Hemodialysis was the most preferred modality for KF in adults, whereas kidney replacement therapy was more balanced in children. Although most of the countries in the region had lower-middle-income and upper-middle-income levels, health expenditures for kidney healthcare were almost generally covered publicly. Nephrologists were responsible for the medical kidney care of people with KF in all countries. There was adequate infrastructure to provide all kinds of treatment for kidney care in the region. Regional characteristics such as high levels of obesity, smoking, and Balkan nephropathy as an endemic disease, coupled with a shortage of workforce and finance, continued to affect kidney care in the region negatively. By making organizational and legislative arrangements, partnerships with national authorities and societies may accelerate the improvement of kidney healthcare in the region.
Original languageEnglish
Pages (from-to)29-42
Number of pages14
JournalKidney International Supplements
Volume13
Issue number1
Early online date8 Apr 2024
DOIs
Publication statusPublished - 8 Apr 2024

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Publisher Copyright:
Copyright 2024, International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

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