TY - JOUR
T1 - Capacity for the management of kidney failure in the International Society of Nephrology Newly Independent States and Russia region
T2 - Report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
AU - Prikhodina, Larisa
AU - Komissarov, Kirill
AU - Bulanov, Nikolay
AU - Arruebo, Silvia
AU - Bello, Aminu K.
AU - Caskey, Fergus J
AU - al, et
N1 - Publisher Copyright:
© 2024 International Society of Nephrology
PY - 2024/4/8
Y1 - 2024/4/8
N2 - The International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) was established to understand the status and capacity of countries to provide optimal kidney care worldwide. This report presents the current characteristics of kidney care in the ISN Newly Independent States (NIS) and Russia region. Although the median prevalence of chronic kidney disease (CKD) was higher (11.4%) than the global median (9.5%), the median CKD-related death rate (1.4%) and prevalence of treated kidney failure (KF) in the region (411 per million population [pmp]) were lower than globally (2.5% and 822.8 pmp, respectively). There is a capacity to provide an adequate frequency of hemodialysis (HD) and kidney transplantation services in all (100%) countries. Besides significant economic advancement in the region there are critical shortages of nephrologists, dietitians, transplant coordinators, social workers, palliative care physicians, and kidney supportive care nurses. Home HD remains unavailable in any country in the region. While national registries for dialysis and kidney transplantation are available in most of the countries across the ISN NIS and Russia region there are few registries for non-dialysis CKD and acute kidney injury. Whereas a national strategy for improving care for CKD patients is presented in more than half of the countries, there was no country that had a CKD specific policy in the region. Strategies that incorporate workforce training, planning, and development for all KF caregivers could help ensure sustainable kidney care delivery in the ISN NIS and Russia region.
AB - The International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) was established to understand the status and capacity of countries to provide optimal kidney care worldwide. This report presents the current characteristics of kidney care in the ISN Newly Independent States (NIS) and Russia region. Although the median prevalence of chronic kidney disease (CKD) was higher (11.4%) than the global median (9.5%), the median CKD-related death rate (1.4%) and prevalence of treated kidney failure (KF) in the region (411 per million population [pmp]) were lower than globally (2.5% and 822.8 pmp, respectively). There is a capacity to provide an adequate frequency of hemodialysis (HD) and kidney transplantation services in all (100%) countries. Besides significant economic advancement in the region there are critical shortages of nephrologists, dietitians, transplant coordinators, social workers, palliative care physicians, and kidney supportive care nurses. Home HD remains unavailable in any country in the region. While national registries for dialysis and kidney transplantation are available in most of the countries across the ISN NIS and Russia region there are few registries for non-dialysis CKD and acute kidney injury. Whereas a national strategy for improving care for CKD patients is presented in more than half of the countries, there was no country that had a CKD specific policy in the region. Strategies that incorporate workforce training, planning, and development for all KF caregivers could help ensure sustainable kidney care delivery in the ISN NIS and Russia region.
U2 - 10.1016/j.kisu.2024.01.005
DO - 10.1016/j.kisu.2024.01.005
M3 - Article (Academic Journal)
C2 - 38618496
SN - 2157-1716
VL - 13
SP - 71
EP - 82
JO - Kidney International Supplements
JF - Kidney International Supplements
IS - 1
ER -