An update on the global disparities in kidney disease burden and care across world countries and regions

作者：Aminu K. Bello, Ikechi G. Okpechi, Adeera Levin, Feng Ye, Sandrine Damster, Silvia Arruebo, Jo‐Ann Donner, Fergus Caskey, Yeoungjee Cho, M Razeen Davids, Sara N. Davison, Htay Htay, Vivekanand Jha, Rowena Lalji, Charu Malik, Masaomi Nangaku, Emily See, Stephen M. Sozio, Marcello Tonelli, Marina Wainstein, Emily K. Yeung, David W. Johnson, Ali K. Abu-Alfa, Atefeh Amouzegar, Shuchi Anand, Fatiu Abiola Arogundade, Gloria E. Ashuntantang, Sunita Bavanandan, Rosanna Coppo, Hassane M. Diongole, Smita Divyaveer, Udeme E. Ekrikpo, Isabelle Ethier, Winston Wing-Shing Fung, Abduzhappar Gaipov, Anukul Ghimire, Ghenette Houston, Kwaifa Salihu Ibrahim, Georgina Irish, Kailash Jindal, Dearbhla M. Kelly, Liz Lightstone, Magdalena Madero, Aisha M. Nalado, Brendon L. Neuen, Timothy O. Olanrewaju, Mohamed A. Osman, Rulan S. Parekh, Anna Petrova, Narayan Prasad, Larisa Prikhodina, Sanjin Racki, Parnian Riaz, Syed Saad, Aminu Muhammad Sakajiki, Shokoufeh Savaj, Dibya Singh Shah, Yusuke Suzuki, Vladimir Tesar, Sophanny Tiv, Somkanya Tungsanga, Carmen Tzanno-Martins, Andrea Viecelli, Angela Yee-Moon Wang, Muh Geot Wong, Deenaz Zaidi · 发表于：The Lancet Global Health · 年份：2024 · DOI：10.1016/s2214-109x(23)00570-3 · 被引用次数：508 · 研究领域：Chronic Kidney Disease and Diabetes、Dialysis and Renal Disease Management、Renal Transplantation Outcomes and Treatments

BACKGROUND: Since 2015, the International Society of Nephrology (ISN) Global Kidney Health Atlas (ISN-GKHA) has spearheaded multinational efforts to understand the status and capacity of countries to provide optimal kidney care, particularly in low-resource settings. In this iteration of the ISN-GKHA, we sought to extend previous findings by assessing availability, accessibility, quality, and affordability of medicines, kidney replacement therapy (KRT), and conservative kidney management (CKM). METHODS: A consistent approach was used to obtain country-level data on kidney care capacity during three phases of data collection in 2016, 2018, and 2022. The current report includes a detailed literature review of published reports, databases, and registries to obtain information on the burden of chronic kidney disease and estimate the incidence and prevalence of treated kidney failure. Findings were triangulated with data from a multinational survey of opinion leaders based on the WHO's building blocks for health systems (ie, health financing, service delivery, access to essential medicines and health technology, health information systems, workforce, and governance). Country-level data were stratified by the ISN geographical regions and World Bank income groups and reported as counts and percentages, with global, regional, and income level estimates presented as medians with interquartile ranges. FINDINGS: The literature review used information on prevalence of chronic kidney dise...