학술논문
Capacity for the management of kidney failure in the International Society of Nephrology Oceania and South East Asia (OSEA) region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
Document Type
Article
Author
Francis, Anna; Wainstein, Marina; Irish, Georgina; Abdul Hafidz, Muhammad Iqbal; Chen, Titi; Cho, Yeoungjee; Htay, Htay; Kanjanabuch, Talerngsak; Lalji, Rowena; Neuen, Brendon L.; See, Emily; Shah, Anim; Smyth, Brendan; Tungsanga, Somkanya; Viecelli, Andrea; Yeung, Emily K.; Arruebo, Silvia; Bello, Aminu K.; Caskey, Fergus J.; Damster, Sandrine; Donner, Jo-Ann; Jha, Vivekanand; Johnson, David W.; Levin, Adeera; Malik, Charu; Nangaku, Masaomi; Okpechi, Ikechi G.; Tonelli, Marcello; Ye, Feng; Wong, Muh Geot; Bavanandan, Sunita; Abdul Gafor, Abdul Halim; Amouzegar, Atefeh; Bennett, Paul; Chicano, Sonia L.; Davids, M. Razeen; Davison, Sara N.; Diongole, Hassane M.; Divyaveer, Smita; Ekrikpo, Udeme E.; Ethier, Isabelle; Fong, Voon Ken; Fung, Winston Wing-Shing; Ghimire, Anukul; Gopal, Basu; Phan, Hai An Ha; Harris, David C.H.; Houston, Ghenette; Ibrahim, Kwaifa Salihu; Jardine, Meg J.; Jindal, Kailash; Kantachuvesiri, Surasak; Kelly, Dearbhla M.; Kerr, Peter; Kim, Siah; Krishnasamy, Rathika; Kwek, Jia Liang; Lee, Vincent; Liew, Adrian; Lim, Chiao Yuen; Lydia, Aida; Nalado, Aisha M.; Olanrewaju, Timothy O.; Osman, Mohamed A.; Petrova, Anna; Pyar, Khin Phyu; Riaz, Parnian; Saad, Syed; Sakajiki, Aminu Muhammad; Sengthavisouk, Noot; Sozio, Stephen M.; Srisawat, Nattachai; Tan, Eddie; Tiv, Sophanny; Tomacruz Amante, Isabelle Dominique; Villanueva, Anthony Russell; Walker, Rachael; Walker, Robert; Zaidi, Deenaz
Source
Kidney International Supplements; April 2024, Vol. 13 Issue: 1 p110-122, 13p
Subject
Language
ISSN
21571716; 21571724
Abstract
The International Society of Nephrology (ISN) region of Oceania and South East Asia (OSEA) is a mix of high- and low-income countries, with diversity in population demographics and densities. Three iterations of the ISN-Global Kidney Health Atlas (GKHA) have been conducted, aiming to deliver in-depth assessments of global kidney care across the spectrum from early detection of CKD to treatment of kidney failure. This paper reports the findings of the latest ISN-GKHA in relation to kidney-care capacity in the OSEA region. Among the 30 countries and territories in OSEA, 19 (63%) participated in the ISN-GKHA, representing over 97% of the region’s population. The overall prevalence of treated kidney failure in the OSEA region was 1203 per million population (pmp), 45% higher than the global median of 823 pmp. In contrast, kidney replacement therapy (KRT) in the OSEA region was less available than the global median (chronic hemodialysis, 89% OSEA region vs. 98% globally; peritoneal dialysis, 72% vs. 79%; kidney transplantation, 61% vs. 70%). Only 56% of countries could provide access to dialysis to at least half of people with incident kidney failure, lower than the global median of 74% of countries with available dialysis services. Inequalities in access to KRT were present across the OSEA region, with widespread availability and low out-of-pocket costs in high-income countries and limited availability, often coupled with large out-of-pocket costs, in middle- and low-income countries. Workforce limitations were observed across the OSEA region, especially in lower-middle–income countries. Extensive collaborative work within the OSEA region and globally will help close the noted gaps in kidney-care provision.