학술논문

Capacity for the management of kidney failure in the International Society of Nephrology Africa region: report from the 2023 ISN Global Kidney Atlas (ISN-GKHA).
Document Type
Academic Journal
Author
Tannor EK; Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.; Renal Unit, Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.; Davidson B; Division of Nephrology and Hypertension, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.; Nlandu Y; Nephrology Unit, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.; Bagasha P; Department of Internal Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.; Directorate of Internal Medicine, Mulago National Referral Hospital, Kampala, Uganda.; Bilchut WH; Department of Internal Medicine/CMHS, University of Gondar, Gondar, Ethiopia.; Davids MR; Division of Nephrology, Department of Medicine, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.; Diongole HM; Division of Nephrology, Department of Medicine, National Hospital Zinder, Zinder, Niger.; Faculty of Health Sciences, University of Zinder, Zinder, Niger.; Ekrikpo UE; Department of Medicine, University of Uyo/University of Uyo Teaching Hospital, Uyo, Nigeria.; Hafiz EOA; Electron Microscopy Department, Clinical Laboratory Division, Theodor Bilharz Research Institute, Giza, Egypt.; Ibrahim KS; Nephrology Unit, Department of Medicine, Wuse District Hospital, Abuja, Nigeria.; Department of Internal Medicine, College of Health Sciences, Nile University, Federal Capital Territory, Abuja, Nigeria.; Kalyesubula R; Department of Physiology, Makerere University College of Health Sciences, Kampala, Uganda.; Nalado AM; Department of Medicine, Bayero University Kano, Kano, Nigeria.; Olanrewaju TO; Division of Nephrology, Department of Medicine, College of Health Sciences, University of Ilorin, Ilorin, Nigeria.; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.; Onu UC; Renal Unit, Department of Medicine, University of Nigeria Teaching Hospital, ItukuOzalla, Enugu State, Nigeria.; Pereira-Kamath N; Africa Healthcare Network Tanzania Limited, Dar es Salaam, Tanzania.; Sakajiki AM; Department of Medicine, Usmanu Danfodiyo University and Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.; Salah M; National Institute of Urology & Nephrology, Cairo, Egypt.; Vincent L; Africa Healthcare Network, Port Louis, Mauritius.; Arruebo S; The International Society of Nephrology, Brussels, Belgium.; Bello AK; Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Caskey FJ; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.; Damster S; The International Society of Nephrology, Brussels, Belgium.; Donner JA; The International Society of Nephrology, Brussels, Belgium.; Jha V; George Institute for Global Health, University of New South Wales (UNSW), New Delhi, India.; School of Public Health, Imperial College, London, UK.; Manipal Academy of Higher Education, Manipal, India.; Johnson DW; Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia.; Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital, Brisbane, Queensland, Australia.; Translational Research Institute, Brisbane, Queensland, Australia.; Australasian Kidney Trials Network at the University of Queensland, Brisbane, Queensland, Australia.; Levin A; Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.; Malik C; The International Society of Nephrology, Brussels, Belgium.; Nangaku M; Division of Nephrology and Endocrinology, the University of Tokyo Graduate School of Medicine, Tokyo, Japan.; Okpechi IG; Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa.; Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa.; Tonelli M; Department of Medicine, University of Calgary, Calgary, Alberta, Canada.; Canada and Pan-American Health Organization/World Health Organization's Collaborating Centre in Prevention and Control of Chronic Kidney Disease, University of Calgary, Calgary, Alberta, Canada.; Ye F; Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Ashuntantang GE; Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroon.; Arogundade FA; Renal Unit, Department of Medicine, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Source
Publisher: Elsevier Country of Publication: United States NLM ID: 101562008 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2157-1724 (Print) Linking ISSN: 21571716 NLM ISO Abbreviation: Kidney Int Suppl (2011) Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2157-1724
Abstract
The burden of chronic kidney disease and associated risk of kidney failure are increasing in Africa. The management of people with chronic kidney disease is fraught with numerous challenges because of limitations in health systems and infrastructures for care delivery. From the third iteration of the International Society of Nephrology Global Kidney Health Atlas, we describe the status of kidney care in the ISN Africa region using the World Health Organization building blocks for health systems. We identified limited government health spending, which in turn led to increased out-of-pocket costs for people with kidney disease at the point of service delivery. The health care workforce across Africa was suboptimal and further challenged by the exodus of trained health care workers out of the continent. Medical products, technologies, and services for the management of people with nondialysis chronic kidney disease and for kidney replacement therapy were scarce due to limitations in health infrastructure, which was inequitably distributed. There were few kidney registries and advocacy groups championing kidney disease management in Africa compared with the rest of the world. Strategies for ensuring improved kidney care in Africa include focusing on chronic kidney disease prevention and early detection, improving the effectiveness of the available health care workforce (e.g., multidisciplinary teams, task substitution, and telemedicine), augmenting kidney care financing, providing quality, up-to-date health information data, and improving the accessibility, affordability, and delivery of quality treatment (kidney replacement therapy or conservative kidney management) for all people living with kidney failure.
(© 2024 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.)