570 results on '"Bello, Aminu K."'
Search Results
2. Dialysis Outcomes Across Countries and Regions: A Global Perspective From the International Society of Nephrology Global Kidney Health Atlas Study
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See, Emily, Ethier, Isabelle, Cho, Yeoungjee, Htay, Htay, Arruebo, Silvia, Caskey, Fergus J., Damster, Sandrine, Donner, Jo-Ann, Jha, Vivekanand, Levin, Adeera, Nangaku, Masaomi, Saad, Syed, Tonelli, Marcello, Ye, Feng, Okpechi, Ikechi G., Bello, Aminu K., and Johnson, David W.
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- 2024
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3. Task shifting roles, interventions and outcomes for kidney and cardiovascular health service delivery among African populations: a scoping review
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Okpechi, Ikechi G., Chukwuonye, Ijezie I., Ekrikpo, Udeme, Noubiap, Jean Jacques, Raji, Yemi R., Adeshina, Yusuf, Ajayi, Samuel, Barday, Zunaid, Chetty, Malini, Davidson, Bianca, Effa, Emmanuel, Fagbemi, Stephen, George, Cindy, Kengne, Andre P., Jones, Erika S. W., Liman, Hamidu, Makusidi, Mohammad, Muhammad, Hadiza, Mbah, Ikechukwu, Ndlovu, Kwazi, Ngaruiya, Grace, Okwuonu, Chimezie, Samuel-Okpechi, Ugochi, Tannor, Elliot K., Ulasi, Ifeoma, Umar, Zulkifilu, Wearne, Nicola, and Bello, Aminu K.
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- 2023
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4. Can Peer Review Be Kinder? Supportive Peer Review: A Re-Commitment to Kindness and a Call to Action
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Clase, Catherine M, Dicks, Elizabeth, Holden, Rachel, Sood, Manish M, Levin, Adeera, Kalantar-Zadeh, Kamyar, Moore, Linda W, Bartlett, Susan J, Bello, Aminu K, Bohm, Clara, Bridgewater, Darren, Bouchard, Josee, Burger, Dylan, Carrero, Juan Jesús, Donald, Maoliosa, Elliott, Meghan, Goldenberg, Maya J, Jardine, Meg, Lam, Ngan N, Maddigan, W Joy, Madore, François, Mavrakanas, Thomas A, Molnar, Amber O, Prasad, GV Ramesh, Rigatto, Claudio, Tennankore, Karthik K, Torban, Elena, Trainor, Laurel, White, Christine A, and Hartwig, Sunny
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Biomedical and Clinical Sciences ,Clinical Sciences ,Good Health and Well Being ,humility ,kindness ,peer review ,supportive review ,truth ,Clinical sciences - Abstract
Peer review aims to select articles for publication and to improve articles before publication. We believe that this process can be infused by kindness without losing rigor. In 2014, the founding editorial team of the Canadian Journal of Kidney Health and Disease (CJKHD) made an explicit commitment to treat authors as we would wish to be treated ourselves. This broader group of authors reaffirms this principle, for which we suggest the terminology "supportive review."
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- 2022
5. Availability, coverage, and scope of health information systems for kidney care across world countries and regions.
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See, Emily J, Bello, Aminu K, Levin, Adeera, Lunney, Meaghan, Osman, Mohamed A, Ye, Feng, Ashuntantang, Gloria E, Bellorin-Font, Ezequiel, Benghanem Gharbi, Mohammed, Davison, Sara, Ghnaimat, Mohammad, Harden, Paul, Htay, Htay, Jha, Vivekanand, Kalantar-Zadeh, Kamyar, Kerr, Peter G, Klarenbach, Scott, Kovesdy, Csaba P, Luyckx, Valerie, Neuen, Brendon, O'Donoghue, Donal, Ossareh, Shahrzad, Perl, Jeffrey, Rashid, Harun Ur, Rondeau, Eric, Syed, Saad, Sola, Laura, Tchokhonelidze, Irma, Tesar, Vladimir, Tungsanga, Kriang, Kazancioglu, Rumeyza Turan, Wang, Angela Yee-Moon, Yang, Chih-Wei, Zemchenkov, Alexander, Zhao, Ming-Hui, Jager, Kitty J, Caskey, Fergus, Perkovic, Vlado, Jindal, Kailash K, Okpechi, Ikechi G, Tonelli, Marcello, Feehally, John, Harris, David C, and Johnson, David W
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Biomedical and Clinical Sciences ,Clinical Sciences ,Health Services ,Clinical Research ,Patient Safety ,Prevention ,Kidney Disease ,Health and social care services research ,8.1 Organisation and delivery of services ,Renal and urogenital ,Good Health and Well Being ,Cross-Sectional Studies ,Developing Countries ,Health Information Systems ,Humans ,Kidney ,Renal Insufficiency ,Chronic ,chronic kidney disease ,end-stage kidney disease ,health information systems ,kidney replacement therapy ,registries ,Urology & Nephrology ,Clinical sciences - Abstract
BackgroundHealth information systems (HIS) are fundamental tools for the surveillance of health services, estimation of disease burden and prioritization of health resources. Several gaps in the availability of HIS for kidney disease were highlighted by the first iteration of the Global Kidney Health Atlas.MethodsAs part of its second iteration, the International Society of Nephrology conducted a cross-sectional global survey between July and October 2018 to explore the coverage and scope of HIS for kidney disease, with a focus on kidney replacement therapy (KRT).ResultsOut of a total of 182 invited countries, 154 countries responded to questions on HIS (85% response rate). KRT registries were available in almost all high-income countries, but few low-income countries, while registries for non-dialysis chronic kidney disease (CKD) or acute kidney injury (AKI) were rare. Registries in high-income countries tended to be national, in contrast to registries in low-income countries, which often operated at local or regional levels. Although cause of end-stage kidney disease, modality of KRT and source of kidney transplant donors were frequently reported, few countries collected data on patient-reported outcome measures and only half of low-income countries recorded process-based measures. Almost no countries had programs to detect AKI and practices to identify CKD-targeted individuals with diabetes, hypertension and cardiovascular disease, rather than members of high-risk ethnic groups.ConclusionsThese findings confirm significant heterogeneity in the global availability of HIS for kidney disease and highlight important gaps in their coverage and scope, especially in low-income countries and across the domains of AKI, non-dialysis CKD, patient-reported outcomes, process-based measures and quality indicators for KRT service delivery.
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- 2021
6. International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in North America and the Caribbean
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Bello, Aminu K, McIsaac, Mark, Okpechi, Ikechi G, Johnson, David W, Jha, Vivekanand, Harris, David CH, Saad, Syed, Zaidi, Deenaz, Osman, Mohamed A, Ye, Feng, Lunney, Meaghan, Jindal, Kailash, Klarenbach, Scott, Kalantar-Zadeh, Kamyar, Kovesdy, Csaba P, Parekh, Rulan S, Prasad, Bhanu, Khan, Maryam, Riaz, Parnian, Tonelli, Marcello, Wolf, Myles, Levin, Adeera, and Board, ISN North America and the Caribbean Regional
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Biomedical and Clinical Sciences ,Clinical Sciences ,Kidney Disease ,Clinical Research ,Health Services ,Renal and urogenital ,Good Health and Well Being ,chronic kidney disease ,dialysis ,funding ,kidney failure ,kidney registries ,workforce ,ISN North America and the Caribbean Regional Board ,Other Medical and Health Sciences ,Clinical sciences - Abstract
The International Society of Nephrology established the Global Kidney Health Atlas project to define the global capacity for kidney replacement therapy and conservative kidney care, and this second iteration was to describe the availability, accessibility, quality, and affordability of kidney failure (KF) care worldwide. This report presents results for the International Society of Nephrology North America and the Caribbean region. Relative to other regions, the North America and Caribbean region had better infrastructure and funding for health care and more health care workers relative to the population. Various essential medicines were also more available and accessible. There was substantial variation in the prevalence of treated KF in the region, ranging from 137.4 per million population (pmp) in Jamaica to 2196 pmp in the United States. A mix of public and private funding systems cover costs for nondialysis chronic kidney disease care in 60% of countries and for dialysis in 70% of countries. Although the median number of nephrologists is 18.1 (interquartile range, 15.3-29.5) pmp, which is approximately twice the global median of 9.9 (interquartile range, 1.2-22.7) pmp, some countries reported shortages of other health care workers. Dialysis was available in all countries, but peritoneal dialysis was underutilized and unavailable in Barbados, Cayman Islands, and Turks and Caicos. Kidney transplantation was primarily available in Canada and the United States. Economic factors were the major barriers to optimal KF care in the Caribbean countries, and few countries in the region have chronic kidney disease-specific national health care policies. To address regional gaps in KF care delivery, efforts should be directed toward augmenting the workforce, improving the monitoring and reporting of kidney replacement therapy indicators, and implementing noncommunicable disease and chronic kidney disease-specific policies in all countries.
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- 2021
7. Peritoneal Dialysis Use and Practice Patterns: An International Survey Study
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Cho, Yeoungjee, Bello, Aminu K, Levin, Adeera, Lunney, Meaghan, Osman, Mohamed A, Ye, Feng, Ashuntantang, Gloria E, Bellorin-Font, Ezequiel, Gharbi, Mohammed Benghanem, Davison, Sara N, Ghnaimat, Mohammad, Harden, Paul, Htay, Htay, Jha, Vivekanand, Kalantar-Zadeh, Kamyar, Kerr, Peter G, Klarenbach, Scott, Kovesdy, Csaba P, Luyckx, Valerie, Neuen, Brendon, O'Donoghue, Donal, Ossareh, Shahrzad, Perl, Jeffrey, Rashid, Harun Ur, Rondeau, Eric, See, Emily J, Saad, Syed, Sola, Laura, Tchokhonelidze, Irma, Tesar, Vladimir, Tungsanga, Kriang, Kazancioglu, Rumeyza Turan, Yee-Moon Wang, Angela, Yang, Chih-Wei, Zemchenkov, Alexander, Zhao, Ming-Hui, Jager, Kitty J, Caskey, Fergus J, Jindal, Kailash K, Okpechi, Ikechi G, Tonelli, Marcello, Harris, David C, and Johnson, David W
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Biomedical and Clinical Sciences ,Clinical Sciences ,Clinical Research ,Kidney Disease ,Aging ,Health Services ,Administrative Personnel ,Cost Sharing ,Costs and Cost Analysis ,Cross-Sectional Studies ,Delivery of Health Care ,Developed Countries ,Developing Countries ,Health Expenditures ,Health Policy ,Health Services Accessibility ,Humans ,Internationality ,Kidney Failure ,Chronic ,Nephrologists ,Nephrology ,Outcome Assessment ,Health Care ,Patient Reported Outcome Measures ,Peritoneal Dialysis ,Physicians ,Practice Patterns ,Physicians' ,Quality of Health Care ,Surveys and Questionnaires ,Epidemiology ,RRT modality ,access to health care ,affordability of health care ,end-stage renal disease ,global survey ,health care delivery ,health care disparities ,health policy ,home dialysis ,international differences ,kidney failure ,peritoneal dialysis ,renal replacement therapy ,Public Health and Health Services ,Urology & Nephrology ,Clinical sciences - Abstract
Rationale & objectiveApproximately 11% of people with kidney failure worldwide are treated with peritoneal dialysis (PD). This study examined PD use and practice patterns across the globe.Study designA cross-sectional survey.Setting & participantsStakeholders including clinicians, policy makers, and patient representatives in 182 countries convened by the International Society of Nephrology between July and September 2018.OutcomesPD use, availability, accessibility, affordability, delivery, and reporting of quality outcome measures.Analytical approachDescriptive statistics.ResultsResponses were received from 88% (n=160) of countries and there were 313 participants (257 nephrologists [82%], 22 non-nephrologist physicians [7%], 6 other health professionals [2%], 17 administrators/policy makers/civil servants [5%], and 11 others [4%]). 85% (n=156) of countries responded to questions about PD. Median PD use was 38.1 per million population. PD was not available in 30 of the 156 (19%) countries responding to PD-related questions, particularly in countries in Africa (20/41) and low-income countries (15/22). In 69% of countries, PD was the initial dialysis modality for≤10% of patients with newly diagnosed kidney failure. Patients receiving PD were expected to pay 1% to 25% of treatment costs, and higher (>75%) copayments (out-of-pocket expenses incurred by patients) were more common in South Asia and low-income countries. Average exchange volumes were adequate (defined as 3-4 exchanges per day or the equivalent for automated PD) in 72% of countries. PD quality outcome monitoring and reporting were variable. Most countries did not measure patient-reported PD outcomes.LimitationsLow responses from policy makers; limited ability to provide more in-depth explanations underpinning outcomes from each country due to lack of granular data; lack of objective data.ConclusionsLarge inter- and intraregional disparities exist in PD availability, accessibility, affordability, delivery, and reporting of quality outcome measures around the world, with the greatest gaps observed in Africa and South Asia.
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- 2021
8. Hemodialysis Use and Practice Patterns: An International Survey Study
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Htay, Htay, Bello, Aminu K, Levin, Adeera, Lunney, Meaghan, Osman, Mohamed A, Ye, Feng, Ashuntantang, Gloria E, Bellorin-Font, Ezequiel, Gharbi, Mohammed Benghanem, Davison, Sara N, Ghnaimat, Mohammad, Harden, Paul, Jha, Vivekanand, Kalantar-Zadeh, Kamyar, Kerr, Peter G, Klarenbach, Scott, Kovesdy, Csaba P, Luyckx, Valerie A, Neuen, Brendon, O'Donoghue, Donal, Ossareh, Shahrzad, Perl, Jeffrey, Rashid, Harun Ur, Rondeau, Eric, See, Emily J, Saad, Syed, Sola, Laura, Tchokhonelidze, Irma, Tesar, Vladimir, Tungsanga, Kriang, Kazancioglu, Rumeyza Turan, Yee-Moon Wang, Angela, Yang, Chih-Wei, Zemchenkov, Alexander, Zhao, Ming-Hui, Jager, Kitty J, Caskey, Fergus J, Perkovic, Vlado, Jindal, Kailash K, Okpechi, Ikechi G, Tonelli, Marcello, Harris, David C, and Johnson, David W
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Biomedical and Clinical Sciences ,Clinical Sciences ,Clinical Research ,Kidney Disease ,Prevention ,Good Health and Well Being ,Arteriovenous Shunt ,Surgical ,Cost Sharing ,Costs and Cost Analysis ,Cross-Sectional Studies ,Developed Countries ,Developing Countries ,Health Expenditures ,Health Services Accessibility ,Humans ,Internationality ,Kidney Failure ,Chronic ,Nephrology ,Patient Reported Outcome Measures ,Practice Patterns ,Physicians' ,Quality of Health Care ,Renal Dialysis ,Surveys and Questionnaires ,Transportation of Patients ,ESKD care ,HD accessibility ,HD affordability ,HD availability ,Hemodialysis ,RRT modality ,end-stage kidney disease ,funding for HD services ,global survey ,health care delivery ,health care disparities ,health policy ,international differences ,kidney failure ,quality of HD services ,renal replacement therapy ,Public Health and Health Services ,Urology & Nephrology ,Clinical sciences - Abstract
Rationale & objectiveHemodialysis (HD) is the most common form of kidney replacement therapy. This study aimed to examine the use, availability, accessibility, affordability, and quality of HD care worldwide.Study designA cross-sectional survey.Setting & participantsStakeholders (clinicians, policy makers, and consumer representatives) in 182 countries were convened by the International Society of Nephrology from July to September 2018.OutcomesUse, availability, accessibility, affordability, and quality of HD care.Analytical approachDescriptive statistics.ResultsOverall, representatives from 160 (88%) countries participated. Median country-specific use of maintenance HD was 298.4 (IQR, 80.5-599.4) per million population (pmp). Global median HD use among incident patients with kidney failure was 98.0 (IQR, 81.5-140.8) pmp and median number of HD centers was 4.5 (IQR, 1.2-9.9) pmp. Adequate HD services (3-4 hours 3 times weekly) were generally available in 27% of low-income countries. Home HD was generally available in 36% of high-income countries. 32% of countries performed monitoring of patient-reported outcomes; 61%, monitoring of small-solute clearance; 60%, monitoring of bone mineral markers; 51%, monitoring of technique survival; and 60%, monitoring of patient survival. At initiation of maintenance dialysis, only 5% of countries used an arteriovenous access in almost all patients. Vascular access education was suboptimal, funding for vascular access procedures was not uniform, and copayments were greater in countries with lower levels of income. Patients in 23% of the low-income countries had to pay >75% of HD costs compared with patients in only 4% of high-income countries.LimitationsA cross-sectional survey with possibility of response bias, social desirability bias, and limited data collection preventing in-depth analysis.ConclusionsIn summary, findings reveal substantial variations in global HD use, availability, accessibility, quality, and affordability worldwide, with the lowest use evident in low- and lower-middle-income countries.
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- 2021
9. Degree of Albuminuria is Associated With Increased Risk of Fragility Fractures Independent of Estimated GFR
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Cooke-Hubley, Sandra M., Senior, Peter, Bello, Aminu K., Wiebe, Natasha, and Klarenbach, Scott
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- 2023
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10. Nurse Practitioner Care Compared with Primary Care or Nephrologist Care in Early CKD
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James, Matthew T., Scory, Tayler D., Novak, Ellen, Manns, Braden J., Hemmelgarn, Brenda R., Bello, Aminu K., Ravani, Pietro, Kahlon, Bhavneet, MacRae, Jennifer M., and Ronksley, Paul E.
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- 2023
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11. Frailty and Clinical Outcomes in Patients Treated With Hemodialysis: A Prospective Cohort Study
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Tonelli, Marcello, Wiebe, Natasha, Gill, John S., Bello, Aminu K., Hemmelgarn, Brenda R., Chan, Christopher T., Lloyd, Anita, Thadhani, Ravi I., and Thompson, Stephanie
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- 2023
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12. Carga, acceso y disparidades en enfermedad renal
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Crews, Deidra C, Bello, Aminu K, Saadi, Gamal, Committee, for the World Kidney Day Steering, de Dirección son, Los miembros del Comité del Día Mundial del Riñón, Li, Philip Kam Tao, Garcia-Garcia, Guillermo, Andreoli, Sharon, Crews, Deidra, Kalantar-Zadeh, Kamyar, Kernahan, Charles, Kumaraswami, Latha, and Strani, Luisa
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Acute Kidney Injury ,Cost of Illness ,Developed Countries ,Developing Countries ,Diabetic Nephropathies ,Health Personnel ,Health Policy ,Health Services Accessibility ,Healthcare Disparities ,Humans ,Hypertension ,Kidney Diseases ,Renal Dialysis ,Risk Factors ,Socioeconomic Factors ,Vulnerable Populations ,World Kidney Day Steering Committee ,Los miembros del Comité de Dirección del Día Mundial del Riñón son - Published
- 2020
13. Burden, access, and disparities in kidney disease.
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Crews, Deidra C, Bello, Aminu K, and Saadi, Gamal
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Kidney Disease ,Health Services ,Prevention ,Clinical Research ,Renal and urogenital ,Good Health and Well Being ,Cost of Illness ,Global Health ,Health Services Accessibility ,Health Status Disparities ,Healthcare Disparities ,Humans ,Kidney Diseases ,Public Health ,Public Policy ,Socioeconomic Factors ,acute kidney injury ,end stage renal disease ,global health ,health equity ,social determinants of health ,Acute kidney injury ,End stage renal disease ,Global health ,Health equity ,Social determinants of health - Abstract
Kidney disease is a global public health problem; affects more than 750million persons worldwide. The burden of kidney disease varies substantially across the world, as does its detection and treatment. Emerging evidence suggests that developing countries have a similar or even greater kidney disease burden than developed countries. In many settings, rates of kidney disease and the provision of care are defined by socioeconomic, cultural, and political factors, leading to significant disparities, even in developed countries. These disparities exist across the spectrum of kidney disease -prevention, screening, care and treatment. World Kidney Day 2019 offers an opportunity to raise awareness of kidney disease. This editorial highlights these disparities and emphasizes the role of public policies and organizational structures in addressing them. We outline opportunities to improve our understanding of disparities, the best ways to address them, and how to streamline efforts toward achieving kidney health equity across the globe.
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- 2019
14. Increasing access to integrated ESKD care as part of universal health coverage
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Harris, David CH, Davies, Simon J, Finkelstein, Fredric O, Jha, Vivekanand, Donner, Jo-Ann, Abraham, Georgi, Bello, Aminu K, Caskey, Fergus J, Garcia, Guillermo Garcia, Harden, Paul, Hemmelgarn, Brenda, Johnson, David W, Levin, Nathan W, Luyckx, Valerie A, Martin, Dominique E, McCulloch, Mignon I, Moosa, Mohammed Rafique, O’Connell, Philip J, Okpechi, Ikechi G, Filho, Roberto Pecoits, Shah, Kamal D, Sola, Laura, Swanepoel, Charles, Tonelli, Marcello, Twahir, Ahmed, van Biesen, Wim, Varghese, Cherian, Yang, Chih-Wei, Zuniga, Carlos, Summit, Working Groups of the International Society of Nephrology’s 2nd Global Kidney Health, Abu Alfa, Ali K, Aljubori, Harith M, Alrukhaimi, Mona N, Andreoli, Sharon P, Ashuntantang, Gloria, Bellorin-Font, Ezequiel, Bernieh, Bassam, Ibhais, Fuad M, Blake, Peter G, Brown, Mark, Brown, Edwina, Bunnag, Sakarn, Chan, Tak Mao, Chen, Yuqing, Granado, Rolando Claure-Del, Claus, Stefaan, Collins, Allan, Couchoud, Cecile, Cueto-Manzano, Alfonso, Cullis, Brett, Douthat, Walter, Dreyer, Gavin, Eiam-Ong, Somchai, Eke, Felicia U, Feehally, John, Ghnaimat, Mohammad A, Goh, BakLeong, Hassan, Mohamed H, Hou, Fan Fan, Jager, Kitty, Kalantar-Zadeh, Kamyar, Kazancioglu, Rumeyza T, Levin, Adeera, Liew, Adrian, McKnight, Marla, Mengistu, Yewondwassesn Tadesse, Morton, Rachael L, Muller, Elmi, Murtagh, Fliss EM, Naicker, Saraladevi, Nangaku, Masaomi, Niang, Abdou, Obrador, Gregorio T, Ossareh, Shahrzad, Perl, Jeffrey, Rahman, Muhibur, Rashid, Harun Ur, Richards, Marie, Rondeau, Eric, Sahay, Manisha, Saleh, Abdulkarim, Schneditz, Daniel, Tchokhonelidze, Irma, Tesar, Vladimir, Trask, Michele, Tungsanga, Kriang, Vachharajani, Tushar, Walker, Rachael C, Walker, Robert, Were, Anthony JO, Yao, Qiang, Yeates, Karen, Yu, Xueqing, Zakharova, Elena, Zemchenkov, Alexander, and Zhao, Ming-Hui
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Clinical Research ,Health Services ,Behavioral and Social Science ,Kidney Disease ,Health and social care services research ,8.1 Organisation and delivery of services ,8.3 Policy ,ethics ,and research governance ,Good Health and Well Being ,Quality Education ,Conservative Treatment ,Developing Countries ,Global Burden of Disease ,Global Health ,Health Occupations ,Health Planning ,Health Policy ,Health Services Accessibility ,Health Workforce ,Humans ,Kidney Failure ,Chronic ,Patient Advocacy ,Renal Replacement Therapy ,Universal Health Insurance ,advocacy ,conservative care ,dialysis ,end-stage kidney disease ,ESKD ,funding ,training ,transplantation ,universal health coverage ,Working Groups of the International Society of Nephrology’s 2nd Global Kidney Health Summit ,Clinical Sciences ,Urology & Nephrology - Abstract
The global nephrology community recognizes the need for a cohesive strategy to address the growing problem of end-stage kidney disease (ESKD). In March 2018, the International Society of Nephrology hosted a summit on integrated ESKD care, including 92 individuals from around the globe with diverse expertise and professional backgrounds. The attendees were from 41 countries, including 16 participants from 11 low- and lower-middle-income countries. The purpose was to develop a strategic plan to improve worldwide access to integrated ESKD care, by identifying and prioritizing key activities across 8 themes: (i) estimates of ESKD burden and treatment coverage, (ii) advocacy, (iii) education and training/workforce, (iv) financing/funding models, (v) ethics, (vi) dialysis, (vii) transplantation, and (viii) conservative care. Action plans with prioritized lists of goals, activities, and key deliverables, and an overarching performance framework were developed for each theme. Examples of these key deliverables include improved data availability, integration of core registry measures and analysis to inform development of health care policy; a framework for advocacy; improved and continued stakeholder engagement; improved workforce training; equitable, efficient, and cost-effective funding models; greater understanding and greater application of ethical principles in practice and policy; definition and application of standards for safe and sustainable dialysis treatment and a set of measurable quality parameters; and integration of dialysis, transplantation, and comprehensive conservative care as ESKD treatment options within the context of overall health priorities. Intended users of the action plans include clinicians, patients and their families, scientists, industry partners, government decision makers, and advocacy organizations. Implementation of this integrated and comprehensive plan is intended to improve quality and access to care and thereby reduce serious health-related suffering of adults and children affected by ESKD worldwide.
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- 2019
15. Reprint of: Burden, access, and disparities in kidney disease
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Crews, Deidra C, Bello, Aminu K, Saadi, Gamal, Committee, World Kidney Day Steering, Li, Philip Kam Tao, Garcia-Garcia, Guillermo, Andreoli, Sharon, Crews, Deidra, Kalantar-Zadeh, Kamyar, Kernahan, Charles, Kumaraswami, Latha, and Strani, Luisa
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Acute kidney injury ,End stage renal disease ,Global health ,Health equity ,Social determinants of health ,World Kidney Day Steering Committee ,Urology & Nephrology - Published
- 2019
16. Status of care for end stage kidney disease in countries and regions worldwide: international cross sectional survey
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Bello, Aminu K, Levin, Adeera, Lunney, Meaghan, Osman, Mohamed A, Ye, Feng, Ashuntantang, Gloria E, Bellorin-Font, Ezequiel, Benghanem Gharbi, Mohammed, Davison, Sara N, Ghnaimat, Mohammad, Harden, Paul, Htay, Htay, Jha, Vivekanand, Kalantar-Zadeh, Kamyar, Kerr, Peter G, Klarenbach, Scott, Kovesdy, Csaba P, Luyckx, Valerie A, Neuen, Brendon L, O'Donoghue, Donal, Ossareh, Shahrzad, Perl, Jeffrey, Rashid, Harun Ur, Rondeau, Eric, See, Emily, Saad, Syed, Sola, Laura, Tchokhonelidze, Irma, Tesar, Vladimir, Tungsanga, Kriang, Turan Kazancioglu, Rumeyza, Wang, Angela Yee-Moon, Wiebe, Natasha, Yang, Chih-Wei, Zemchenkov, Alexander, Zhao, Ming-Hui, Jager, Kitty J, Caskey, Fergus, Perkovic, Vlado, Jindal, Kailash K, Okpechi, Ikechi G, Tonelli, Marcello, Feehally, John, Harris, David C, and Johnson, David W
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Clinical Research ,Health Services ,Kidney Disease ,Renal and urogenital ,Cross-Sectional Studies ,Developing Countries ,Global Health ,Health Services Accessibility ,Humans ,Kidney Failure ,Chronic ,Nephrology ,Renal Replacement Therapy ,Clinical Sciences ,Public Health and Health Services ,General & Internal Medicine - Abstract
ObjectiveTo determine the global capacity (availability, accessibility, quality, and affordability) to deliver kidney replacement therapy (dialysis and transplantation) and conservative kidney management.DesignInternational cross sectional survey.SettingInternational Society of Nephrology (ISN) survey of 182 countries from July to September 2018.ParticipantsKey stakeholders identified by ISN's national and regional leaders.Main outcome measuresMarkers of national capacity to deliver core components of kidney replacement therapy and conservative kidney management.ResultsResponses were received from 160 (87.9%) of 182 countries, comprising 97.8% (7338.5 million of 7501.3 million) of the world's population. A wide variation was found in capacity and structures for kidney replacement therapy and conservative kidney management-namely, funding mechanisms, health workforce, service delivery, and available technologies. Information on the prevalence of treated end stage kidney disease was available in 91 (42%) of 218 countries worldwide. Estimates varied more than 800-fold from 4 to 3392 per million population. Rwanda was the only low income country to report data on the prevalence of treated disease; 5 (
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- 2019
17. Early Identification of CKD—A Scoping Review of the Global Populations
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Okpechi, Ikechi G., Caskey, Fergus J., Gaipov, Abduzhappar, Tannor, Elliot K., Noubiap, Jean Jacques, Effa, Emmanuel, Ekrikpo, Udeme E., Hamonic, Laura N., Ashuntantang, Gloria, Bello, Aminu K., Donner, Jo-Ann, Figueiredo, Ana E., Inagi, Reiko, Madero, Magdalena, Malik, Charu, Moorthy, Monica, Pecoits-Filho, Roberto, Tesar, Vladimir, Levin, Adeera, and Jha, Vivekanand
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- 2022
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18. Global access of patients with kidney disease to health technologies and medications: findings from the Global Kidney Health Atlas project
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Htay, Htay, Alrukhaimi, Mona, Ashuntantang, Gloria E, Bello, Aminu K, Bellorin-Font, Ezequiel, Gharbi, Mohammed Benghanem, Braam, Branko, Feehally, John, Harris, David C, Jha, Vivekanand, Jindal, Kailash, Kalantar-Zadeh, Kamyar, Kazancioglu, Rumeyza, Kerr, Peter G, Levin, Adeera, Lunney, Meaghan, Okpechi, Ikechi G, Olah, Michelle E, Olanrewaju, Timothy Olusegun, Osman, Mohamed A, Parpia, Yasin, Perl, Jeffrey, Qarni, Bilal, Rashid, Harun Ur, Rateb, Ahmed, Rondeau, Eric, Salako, Babatunde Lawal, Sola, Laura, Tchokhonelidze, Irma, Tonelli, Marcello, Wiebe, Natasha, Wirzba, Isaac, Yang, Chih-Wei, Ye, Feng, Zemchenkov, Alexander, Zhao, Ming-hui, and Johnson, David W
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Health Services ,Kidney Disease ,Clinical Research ,Renal and urogenital ,Good Health and Well Being ,acute kidney injury and chronic kidney disease care ,funding for health care ,funding for medications ,global health care ,health care service provision ,renal replacement therapy ,Other Medical and Health Sciences - Abstract
Access to essential medications and health products is critical to effective management of kidney disease. Using data from the ISN Global Kidney Health Atlas multinational cross-sectional survey, global access of patients with kidney disease to essential medications and health products was examined. Overall, 125 countries participated, with 118 countries, composing 91.5% of the world's population, providing data on this domain. Most countries were unable to access eGFR and albuminuria in their primary care settings. Only one-third of low-income countries (LICs) were able to measure serum creatinine and none were able to access eGFR or quantify proteinuria. The ability to monitor diabetes mellitus through serum glucose and glycated hemoglobin measurements was suboptimal. Pathology services were rarely available in tertiary care in LICs (12%) and lower middle-income countries (45%). While acute and chronic hemodialysis services were available in almost all countries, acute and chronic peritoneal dialysis services were rarely available in LICs (18% and 29%, respectively). Kidney transplantation was available in 79% of countries overall and in 12% of LICs. While over one-half of all countries publicly funded RRT and kidney medications with or without copayment, this was less common in LICs and lower middle-income countries. In conclusion, this study demonstrated significant gaps in services for kidney care and funding that were most apparent in LICs and lower middle-income countries.
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- 2018
19. Guidelines, policies, and barriers to kidney care: findings from a global survey
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Lunney, Meaghan, Alrukhaimi, Mona, Ashuntantang, Gloria E, Bello, Aminu K, Bellorin-Font, Ezequiel, Gharbi, Mohammed Benghanem, Jha, Vivekanand, Johnson, David W, Kalantar-Zadeh, Kamyar, Kazancioglu, Rumeyza, Olah, Michelle E, Olanrewaju, Timothy Olusegun, Osman, Mohamed A, Parpia, Yasin, Perl, Jeffrey, Rashid, Harun Ur, Rateb, Ahmed, Rondeau, Eric, Sola, Laura, Tchokhonelidze, Irma, Tonelli, Marcello, Wiebe, Natasha, Wirzba, Isaac, Yang, Chih-Wei, Ye, Feng, Zemchenkov, Alexander, Zhao, Ming-hui, and Levin, Adeera
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Kidney Disease ,Clinical Research ,Renal and urogenital ,acute kidney injury ,advocacy ,chronic kidney disease ,global ,governance ,survey ,Other Medical and Health Sciences - Abstract
An international survey led by the International Society of Nephrology in 2016 assessed the current capacity of kidney care worldwide. To better understand how governance and leadership guide kidney care, items pertinent to government priority, advocacy, and guidelines, among others, were examined. Of the 116 responding countries, 36% (n = 42) reported CKD as a government health care priority, which was associated with having an advocacy group (χ2 = 11.57; P = 0.001). Nearly one-half (42%; 49 of 116) of countries reported an advocacy group for CKD, compared with only 19% (21 of 112) for AKI. Over one-half (59%; 68 of 116) of countries had a noncommunicable disease strategy. Similarly, 44% (48 of 109), 55% (57 of 104), and 47% (47 of 101) of countries had a strategy for nondialysis CKD, chronic dialysis, and kidney transplantation, respectively. Nearly one-half (49%; 57 of 116) reported a strategy for AKI. Most countries (79%; 92 of 116) had access to CKD guidelines and just over one-half (53%; 61 of 116) reported guidelines for AKI. Awareness and adoption of guidelines were low among nonnephrologist physicians. Identified barriers to kidney care were factors related to patients, such as knowledge and attitude (91%; 100 of 110), physicians (84%; 92 of 110), and geography (74%; 81 of 110). Specific to renal replacement therapy, patients and geography were similarly identified as a barrier in 78% (90 of 116) and 71% (82 of 116) of countries, respectively, with the addition of nephrologists (72%; 83 of 116) and the health care system (73%; 85 of 116). These findings inform how kidney care is currently governed globally. Ensuring that guidelines are feasible and distributed appropriately is important to enhancing their adoption, particularly in primary care. Furthermore, increasing advocacy and government priority, especially for AKI, may increase awareness and strategies to better guide kidney care.
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- 2018
20. Global coverage of health information systems for kidney disease: availability, challenges, and opportunities for development
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See, Emily J, Alrukhaimi, Mona, Ashuntantang, Gloria E, Bello, Aminu K, Bellorin-Font, Ezequiel, Gharbi, Mohammed Benghanem, Braam, Branko, Feehally, John, Harris, David C, Jha, Vivekanand, Jindal, Kailash, Kalantar-Zadeh, Kamyar, Kazancioglu, Rumeyza, Levin, Adeera, Lunney, Meaghan, Okpechi, Ikechi G, Olanrewaju, Timothy Olusegun, Osman, Mohamed A, Perl, Jeffrey, Qarni, Bilal, Rashid, Harun Ur, Rateb, Ahmed, Rondeau, Eric, Samimi, Arian, Sikosana, Majid LN, Sola, Laura, Tchokhonelidze, Irma, Wiebe, Natasha, Yang, Chih-Wei, Ye, Feng, Zemchenkov, Alexander, Zhao, Ming-hui, and Johnson, David W
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Health Services ,Kidney Disease ,Clinical Research ,Aetiology ,Health and social care services research ,8.1 Organisation and delivery of services ,2.4 Surveillance and distribution ,Renal and urogenital ,Good Health and Well Being ,acute kidney injury ,chronic kidney disease ,end-stage kidney disease ,health information systems ,registries ,screening ,Other Medical and Health Sciences - Abstract
Development and planning of health care services requires robust health information systems to define the burden of disease, inform policy development, and identify opportunities to improve service provision. The global coverage of kidney disease health information systems has not been well reported, despite their potential to enhance care. As part of the Global Kidney Health Atlas, a cross-sectional survey conducted by the International Society of Nephrology, data were collected from 117 United Nations member states on the coverage and scope of kidney disease health information systems and surveillance practices. Dialysis and transplant registries were more common in high-income countries. Few countries reported having nondialysis chronic kidney disease and acute kidney injury registries. Although 62% of countries overall could estimate their prevalence of chronic kidney disease, less than 24% of low-income countries had access to the same data. Almost all countries offered chronic kidney disease testing to patients with diabetes and hypertension, but few to high-risk ethnic groups. Two-thirds of countries were unable to determine their burden of acute kidney injury. Given the substantial heterogeneity in the availability of health information systems, especially in low-income countries and across nondialysis chronic kidney disease and acute kidney injury, a global framework for prioritizing development of these systems in areas of greatest need is warranted.
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- 2018
21. Global capacity for clinical research in nephrology: a survey by the International Society of Nephrology
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Okpechi, Ikechi G, Alrukhaimi, Mona, Ashuntantang, Gloria E, Bellorin-Font, Ezequiel, Gharbi, Mohammed Benghanem, Braam, Branko, Feehally, John, Harris, David C, Jha, Vivekanand, Jindal, Kailash, Johnson, David W, Kalantar-Zadeh, Kamyar, Kazancioglu, Rumeyza, Levin, Adeera, Lunney, Meaghan, Olanrewaju, Timothy Olusegun, Perkovic, Vlado, Perl, Jeffrey, Rashid, Harun Ur, Rondeau, Eric, Salako, Babatunde Lawal, Samimi, Arian, Sola, Laura, Tchokhonelidze, Irma, Wiebe, Natasha, Yang, Chih-Wei, Ye, Feng, Zemchenkov, Alexander, Zhao, Ming-hui, and Bello, Aminu K
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Kidney Disease ,Clinical Trials and Supportive Activities ,Patient Safety ,Clinical Research ,Generic health relevance ,Renal and urogenital ,Other Medical and Health Sciences - Abstract
Due to the worldwide rising prevalence of chronic kidney disease (CKD), there is a need to develop strategies through well-designed clinical studies to guide decision making and improve delivery of care to CKD patients. A cross-sectional survey was conducted based on the International Society of Nephrology Global Kidney Health Atlas data. For this study, the survey assessed the capacity of various countries and world regions in participating in and conducting kidney research. Availability of national funding for clinical trials was low (27%, n = 31), with the lowest figures obtained from Africa (7%, n = 2) and South Asia (0%), whereas high-income countries in North America and Europe had the highest participation in clinical trials. Overall, formal training to conduct clinical trials was inadequate for physicians (46%, n = 53) and even lower for nonphysicians, research assistants, and associates in clinical trials (34%, n = 39). There was also diminished availability of workforce and funding to conduct observational cohort studies in nephrology, and participation in highly specialized transplant trials was low in many regions. Overall, the availability of infrastructure (bio-banking and facilities for storage of clinical trial medications) was low, and it was lowest in low-income and lower-middle-income countries. Ethics approval for study conduct was mandatory in 91% (n = 106) of countries and regions, and 62% (n = 66) were reported to have institutional committees. Challenges with obtaining timely approval for a study were reported in 53% (n = 61) of regions but the challenges were similar across these regions. A potential limitation is the possibility of over-reporting or under-reporting due to social desirability bias. This study highlights some of the major challenges for participating in and conducting kidney research and offers suggestions for improving global kidney research.
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- 2018
22. Global overview of health systems oversight and financing for kidney care
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Bello, Aminu K, Alrukhaimi, Mona, Ashuntantang, Gloria E, Bellorin-Font, Ezequiel, Gharbi, Mohammed Benghanem, Braam, Branko, Feehally, John, Harris, David C, Jha, Vivekanand, Jindal, Kailash, Johnson, David W, Kalantar-Zadeh, Kamyar, Kazancioglu, Rumeyza, Kerr, Peter G, Lunney, Meaghan, Olanrewaju, Timothy Olusegun, Osman, Mohamed A, Perl, Jeffrey, Rashid, Harun Ur, Rateb, Ahmed, Rondeau, Eric, Sakajiki, Aminu Muhammad, Samimi, Arian, Sola, Laura, Tchokhonelidze, Irma, Wiebe, Natasha, Yang, Chih-Wei, Ye, Feng, Zemchenkov, Alexander, Zhao, Ming-hui, and Levin, Adeera
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Clinical Research ,Kidney Disease ,Health and social care services research ,8.1 Organisation and delivery of services ,Renal and urogenital ,Good Health and Well Being ,developing countries ,delivery of health care ,global health care ,global health governance ,health care financing ,nephrology ,Other Medical and Health Sciences - Abstract
Reliable governance and health financing are critical to the abilities of health systems in different countries to sustainably meet the health needs of their peoples, including those with kidney disease. A comprehensive understanding of existing systems and infrastructure is therefore necessary to globally identify gaps in kidney care and prioritize areas for improvement. This multinational, cross-sectional survey, conducted by the ISN as part of the Global Kidney Health Atlas, examined the oversight, financing, and perceived quality of infrastructure for kidney care across the world. Overall, 125 countries, comprising 93% of the world's population, responded to the entire survey, with 122 countries responding to questions pertaining to this domain. National oversight of kidney care was most common in high-income countries while individual hospital oversight was most common in low-income countries. Parts of Africa and the Middle East appeared to have no organized oversight system. The proportion of countries in which health care system coverage for people with kidney disease was publicly funded and free varied for AKI (56%), nondialysis chronic kidney disease (40%), dialysis (63%), and kidney transplantation (57%), but was much less common in lower income countries, particularly Africa and Southeast Asia, which relied more heavily on private funding with out-of-pocket expenses for patients. Early detection and management of kidney disease were least likely to be covered by funding models. The perceived quality of health infrastructure supporting AKI and chronic kidney disease care was rated poor to extremely poor in none of the high-income countries but was rated poor to extremely poor in over 40% of low-income countries, particularly Africa. This study demonstrated significant gaps in oversight, funding, and infrastructure supporting health services caring for patients with kidney disease, especially in low- and middle-income countries.
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- 2018
23. Global nephrology workforce: gaps and opportunities toward a sustainable kidney care system
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Osman, Mohamed A, Alrukhaimi, Mona, Ashuntantang, Gloria E, Bellorin-Font, Ezequiel, Gharbi, Mohammed Benghanem, Braam, Branko, Courtney, Mark, Feehally, John, Harris, David C, Jha, Vivekanand, Jindal, Kailash, Johnson, David W, Kalantar-Zadeh, Kamyar, Kazancioglu, Rumeyza, Klarenbach, Scott, Levin, Adeera, Lunney, Meaghan, Okpechi, Ikechi G, Olanrewaju, Timothy Olusegun, Perl, Jeffrey, Rashid, Harun Ur, Rondeau, Eric, Salako, Babatunde Lawal, Samimi, Arian, Sola, Laura, Tchokhonelidze, Irma, Wiebe, Natasha, Yang, Chih-Wei, Ye, Feng, Zemchenkov, Alexander, Zhao, Ming-hui, and Bello, Aminu K
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Kidney Disease ,acute kidney injury ,chronic kidney disease ,education and training ,health manpower ,nephrology ,workforce ,Other Medical and Health Sciences - Abstract
The health workforce is the cornerstone of any health care system. An adequately trained and sufficiently staffed workforce is essential to reach universal health coverage. In particular, a nephrology workforce is critical to meet the growing worldwide burden of kidney disease. Despite some attempts, the global nephrology workforce and training capacity remains widely unknown. This multinational cross-sectional survey was part of the Global Kidney Health Atlas project, a new initiative administered by the International Society of Nephrology (ISN). The objective of this study was to address the existing global nephrology workforce and training capacity. The questionnaire was administered online, and all data were analyzed and presented by ISN regions and World Bank country classification. Overall, 125 United Nations member states responded to the entire survey, with 121 countries responding to survey questions pertaining to the nephrology workforce. The global nephrologist density was 8.83 per million population (PMP); high-income countries reported a nephrologist density of 28.52 PMP compared with 0.31 PMP in low-income countries. Similarly, the global nephrologist trainee density was 1.87 PMP; high-income countries reported a 30 times greater nephrology trainee density than low-income countries (6.03 PMP vs. 0.18 PMP). Countries reported a shortage in all care providers in nephrology. A nephrology training program existed in 79% of countries, ranging from 97% in high-income countries to 41% in low-income countries. In countries with a training program, the majority (86%) of programs were 2 to 4 years, and the most common training structure (56%) was following general internal medicine. We found significant variation in the global density of nephrologists and nephrology trainees and shortages in all care providers in nephrology; the gap was more prominent in low-income countries, particularly in African and South Asian ISN regions. These findings point to significant gaps in the current nephrology workforce and opportunities for countries and regions to develop and maintain a sustainable workforce.
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- 2018
24. Dialysis outcomes across countries and regions: A global perspective from the ISN-GKHA study
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See, Emily, primary, Ethier, Isabelle, additional, Cho, Yeoungjee, additional, Htay, Htay, additional, Arruebo, Silvia, additional, Caskey, Fergus J., additional, Damster, Sandrine, additional, Donner, Jo-Ann, additional, Jha, Vivekanand, additional, Levin, Adeera, additional, Nangaku, Masaomi, additional, Saad, Syed, additional, Tonelli, Marcello, additional, Ye, Feng, additional, Okpechi, Ikechi G., additional, Bello, Aminu K., additional, and Johnson, David W., additional
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- 2024
- Full Text
- View/download PDF
25. Global trends in chronic kidney disease-related mortality: a systematic review protocol
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Tungsanga, Somkanya, primary, Ghimire, Anukul, additional, Hariramani, Vinash K, additional, Abdulrahman, Abdullah, additional, Khan, Ana S, additional, Ye, Feng, additional, Kung, Janice Y, additional, Klarenbach, Scott, additional, Thompson, Stephanie, additional, Collister, David, additional, Srisawat, Nattachai, additional, Okpechi, Ikechi G, additional, and Bello, Aminu K, additional
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- 2024
- Full Text
- View/download PDF
26. WCN24-992 TEMPORAL TRENDS IN THE ORGANIZATION AND STRUCTURES FOR KIDNEY CARE DELIVERY AT THE GLOBAL LEVEL PRE- AND POST-PANDEMIC ERA
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Tungsanga, Somkanya, primary, Ye, Feng, additional, Ghimire, Anukul, additional, Donner, Jo-Ann, additional, Levin, Adeera, additional, Tonelli, Marcello, additional, Johnson, David, additional, Okepechi, Ikechi G., additional, and Bello, Aminu K., additional
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- 2024
- Full Text
- View/download PDF
27. WCN24-987 ORGANIZATION AND STRUCTURES FOR DETECTION AND MONITORING OF CHRONIC KIDNEY DISEASE ACROSS WORLD COUNTRIES AND REGIONS: AN OBSERVATIONAL DATA FROM GLOBAL SURVEY
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Tungsanga, Somkanya, primary, Fung, Winston, additional, Okpechi, Ikechi G., additional, Ye, Feng, additional, Kam-Tao Li, Philip, additional, Ghimire, Anukul, additional, Donner, Jo-Ann, additional, and Bello, Aminu K., additional
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- 2024
- Full Text
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28. Complications of chronic kidney disease: current state, knowledge gaps, and strategy for action
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Bello, Aminu K, Alrukhaimi, Mona, Ashuntantang, Gloria E, Basnet, Shakti, Rotter, Ricardo C, Douthat, Walter G, Kazancioglu, Rumeyza, Köttgen, Anna, Nangaku, Masaomi, Powe, Neil R, White, Sarah L, Wheeler, David C, and Moe, Orson
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Kidney Disease ,Cardiovascular ,Prevention ,Renal and urogenital ,Good Health and Well Being ,CKD ,complications ,knowledge gaps ,management ,mechanisms ,Other Medical and Health Sciences - Abstract
The International Society of Nephrology has adopted a proactive approach to defining the current state of kidney care and unmet needs through a multifaceted Closing the Gaps initiative. As part of this initiative, the International Society of Nephrology convened a meeting of experts to develop an approach to tackle acute kidney injury and chronic kidney disease (CKD). This manuscript expands on the recently published International Society of Nephrology CKD Roadmap and reports on the discussions of the working group assigned to the task of reviewing the global impact of complication of CKD. The working group defined the following goals: Goal 1: Optimize the management of anemia and endocrine and metabolic abnormalities associated with CKD. The impact of these conditions at a global level is not well understood, particularly in regions where renal replacement therapy is not readily available. Some treatment regimens may be affordable in low- and middle-income countries and if implemented, could have an impact on the burden of suffering associated with CKD. Goal 2: Improve the prevention and management of cardiovascular complications linked to CKD. Most research on cardiovascular complications of CKD has focused on atherosclerotic diseases (myocardial infarction, ischemic stroke, and peripheral gangrene). There has been growing recognition that other forms of cardiovascular diseases, such as heart failure, valvular disease and arrhythmias, have a major impact on patient outcomes. Much less is known about the mechanisms and treatment of these non-atherosclerotic complications. Goal 3: Improve the diagnosis and management of symptoms associated with CKD. Symptom management is one of the greatest challenges in the management of CKD, with limited knowledge about the mechanisms associated with the development of these common problems and how best to characterize them into usable clinical phenotypes. Improved understanding of the complications of CKD may alleviate suffering and prolong life among millions of people worldwide both in developed countries and in regions where renal replacement therapy is not widely available.
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- 2017
29. A national surveillance project on chronic kidney disease management in Canadian primary care: a study protocol.
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Bello, Aminu K, Ronksley, Paul E, Tangri, Navdeep, Singer, Alexander, Grill, Allan, Nitsch, Dorothea, Queenan, John A, Lindeman, Cliff, Soos, Boglarka, Freiheit, Elizabeth, Tuot, Delphine, Mangin, Dee, and Drummond, Neil
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Humans ,Sentinel Surveillance ,Prevalence ,Retrospective Studies ,Reproducibility of Results ,Algorithms ,Middle Aged ,Efficiency ,Organizational ,Primary Health Care ,Canada ,Female ,Male ,Renal Insufficiency ,Chronic ,Electronic Health Records ,Quality Improvement ,Outcome Assessment ,Health Care ,chronic renal failure ,nephrology ,quality in health care ,Efficiency ,Organizational ,Outcome Assessment ,Renal Insufficiency ,Chronic ,Health Care ,Clinical Sciences ,Public Health and Health Services ,Other Medical and Health Sciences - Abstract
IntroductionEffective chronic disease care is dependent on well-organised quality improvement (QI) strategies that monitor processes of care and outcomes for optimal care delivery. Although healthcare is provincially/territorially structured in Canada, there are national networks such as the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) as important facilitators for national QI-based studies to improve chronic disease care. The goal of our study is to improve the understanding of how patients with chronic kidney disease (CKD) are managed in primary care and the variation across practices and provinces and territories to drive improvements in care delivery.Methods and analysisThe CPCSSN database contains anonymised health information from the electronic medical records for patients of participating primary care practices (PCPs) across Canada (n=1200). The dataset includes information on patient sociodemographics, medications, laboratory results and comorbidities. Leveraging validated algorithms, case definitions and guidelines will help define CKD and the related processes of care, and these enable us to: (1) determine prevalent CKD burden; (2) ascertain the current practice pattern on risk identification and management of CKD and (3) study variation in care indicators (eg, achievement of blood pressure and proteinuria targets) and referral pattern for specialist kidney care. The process of care outcomes will be stratified across patients' demographics as well as provider and regional (provincial/territorial) characteristics. The prevalence of CKD stages 3-5 will be presented as age-sex standardised prevalence estimates stratified by province and as weighted averages for population rates with 95% CIs using census data. For each PCP, age-sex standardised prevalence will be calculated and compared with expected standardised prevalence estimates. The process-based outcomes will be defined using established methods.Ethics and disseminationThe CPCSSN is committed to high ethical standards when dealing with individual data collected, and this work is reviewed and approved by the Network Scientific Committee. The results will be published in peer-reviewed journals and presented at relevant national and international scientific meetings.
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- 2017
30. A Systematic Review of Complications Associated With Percutaneous Native Kidney Biopsies in Adults in Low- and Middle-Income Countries
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Kajawo, Shepherd, Ekrikpo, Udeme, Moloi, Mothusi Walter, Noubiap, Jean Jacques, Osman, Mohamed A., Okpechi-Samuel, Ugochi S., Kengne, Andre Pascal, Bello, Aminu K., and Okpechi, Ikechi G.
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- 2021
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31. Global variations in funding and use of hemodialysis accesses: an international report using the ISN Global Kidney Health Atlas
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Global Health team 1, Ghimire, Anukul, Shah, Samveg, Chauhan, Utkarsh, Ibrahim, Kwaifa Salihu, Jindal, Kailash, Kazancioglu, Rumeyza, Luyckx, Valerie A., MacRae, Jennifer M., Olanrewaju, Timothy O., Quinn, Robert R., Ravani, Pietro, Shah, Nikhil, Thompson, Stephanie, Tungsanga, Somkanya, Vachharanjani, Tushar, Arruebo, Silvia, Caskey, Fergus J., Damster, Sandrine, Donner, Jo Ann, Jha, Vivekanand, Levin, Adeera, Malik, Charu, Nangaku, Masaomi, Saad, Syed, Tonelli, Marcello, Ye, Feng, Okpechi, Ikechi G., Bello, Aminu K., Johnson, David W., Global Health team 1, Ghimire, Anukul, Shah, Samveg, Chauhan, Utkarsh, Ibrahim, Kwaifa Salihu, Jindal, Kailash, Kazancioglu, Rumeyza, Luyckx, Valerie A., MacRae, Jennifer M., Olanrewaju, Timothy O., Quinn, Robert R., Ravani, Pietro, Shah, Nikhil, Thompson, Stephanie, Tungsanga, Somkanya, Vachharanjani, Tushar, Arruebo, Silvia, Caskey, Fergus J., Damster, Sandrine, Donner, Jo Ann, Jha, Vivekanand, Levin, Adeera, Malik, Charu, Nangaku, Masaomi, Saad, Syed, Tonelli, Marcello, Ye, Feng, Okpechi, Ikechi G., Bello, Aminu K., and Johnson, David W.
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- 2024
32. Capacity for the management of kidney failure in the International Society of Nephrology Western Europe region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
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Global Public Health & Bioethics, Global Health team 1, Pippias, Maria, Alfano, Gaetano, Kelly, Dearbhla M., Soler, Maria Jose, De Chiara, Letizia, Olanrewaju, Timothy O., 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, Coppo, Rosanna, Lightstone, Liz, Regional Board and ISN-GKHA Team Authors, Global Public Health & Bioethics, Global Health team 1, Pippias, Maria, Alfano, Gaetano, Kelly, Dearbhla M., Soler, Maria Jose, De Chiara, Letizia, Olanrewaju, Timothy O., 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, Coppo, Rosanna, Lightstone, Liz, and Regional Board and ISN-GKHA Team Authors
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- 2024
33. Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021
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Schumacher, A, Kyu, H, Aali, A, Abbafati, C, Abbas, J, Abbasgholizadeh, R, Abbasi, M, Abbasian, M, Abd ElHafeez, S, Abdelmasseh, M, Abd-Elsalam, S, Abdelwahab, A, Abdollahi, M, Abdoun, M, Abdullahi, A, Abdurehman, A, Abebe, M, Abedi, A, Abegaz, T, Abeldaño Zuñiga, R, Abhilash, E, Abiodun, O, Aboagye, R, Abolhassani, H, Abouzid, M, Abreu, L, Abrha, W, Abrigo, M, Abtahi, D, Abu Rumeileh, S, Abu-Rmeileh, N, Aburuz, S, Abu-Zaid, A, Acuna, J, Adair, T, Addo, I, Adebayo, O, Adegboye, O, Adekanmbi, V, Aden, B, Adepoju, A, Adetunji, C, Adeyeoluwa, T, Adeyomoye, O, Adha, R, Adibi, A, Adikusuma, W, Adnani, Q, Adra, S, Afework, A, Afolabi, A, Afraz, A, Afyouni, S, Afzal, S, Agasthi, P, Aghamiri, S, Agodi, A, Agyemang-Duah, W, Ahinkorah, B, Ahmad, A, Ahmad, D, Ahmad, F, Ahmad, M, Ahmad, T, Ahmadi, K, Ahmadzade, A, Ahmadzade, M, Ahmed, A, Ahmed, H, Ahmed, L, Ahmed, M, Ahmed, S, Ajami, M, Aji, B, Ajumobi, O, Akalu, G, Akara, E, Akinosoglou, K, Akkala, S, Akyirem, S, Al Hamad, H, Al Hasan, S, Al Homsi, A, Al Qadire, M, Ala, M, Aladelusi, T, AL-Ahdal, T, Alalalmeh, S, Al-Aly, Z, Alam, K, Alam, M, Alam, Z, Al-amer, R, Alanezi, F, Alanzi, T, Albashtawy, M, Albataineh, M, Aldridge, R, Alemi, S, Al-Eyadhy, A, Al-Gheethi, A, Alhabib, K, Alhalaiqa, F, Al-Hanawi, M, Ali, A, Ali, B, Ali, H, Ali, M, Ali, R, Ali, S, Ali, Z, Alian Samakkhah, S, Alicandro, G, Alif, S, Aligol, M, Alimi, R, Aliyi, A, Al-Jumaily, A, Aljunid, S, Almahmeed, W, Al-Marwani, S, Al-Maweri, S, Almazan, J, Al-Mekhlafi, H, Almidani, O, Alomari, M, Alonso, N, Alqahtani, J, Alqutaibi, A, Al-Sabah, S, Altaf, A, Al-Tawfiq, J, Altirkawi, K, Alvi, F, Alwafi, H, Al-Worafi, Y, Aly, H, Alzoubi, K, Amare, A, Ameyaw, E, Amhare, A, Amin, T, Amindarolzarbi, A, Aminian Dehkordi, J, Amiri, S, Amu, H, Amugsi, D, Amzat, J, Ancuceanu, R, Anderlini, D, Andrade, P, Andrei, C, Andrei, T, Angappan, D, Anil, A, Anjum, A, Antony, C, Antriyandarti, E, Anuoluwa, I, Anwar, S, Anyasodor, A, Appiah, S, Aqeel, M, Arabloo, J, Arabzadeh Bahri, R, 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- Published
- 2024
34. Global variability of vascular and peritoneal access for chronic dialysis
- Author
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Ghimire, Anukul; https://orcid.org/0000-0001-9165-4920, Shah, Samveg, Okpechi, Ikechi G; https://orcid.org/0000-0002-6545-9715, Ye, Feng, Tungsanga, Somkanya, Vachharajani, Tushar; https://orcid.org/0000-0002-4494-966X, Levin, Adeera, Johnson, David, Ravani, Pietro, Tonelli, Marcello, Thompson, Stephanie, Jha, Vivekananda, Luyckx, Valerie; https://orcid.org/0000-0001-7066-8135, Jindal, Kailash, Shah, Nikhil, Caskey, Fergus J, Kazancioglu, Rumeyza, Bello, Aminu K, Ghimire, Anukul; https://orcid.org/0000-0001-9165-4920, Shah, Samveg, Okpechi, Ikechi G; https://orcid.org/0000-0002-6545-9715, Ye, Feng, Tungsanga, Somkanya, Vachharajani, Tushar; https://orcid.org/0000-0002-4494-966X, Levin, Adeera, Johnson, David, Ravani, Pietro, Tonelli, Marcello, Thompson, Stephanie, Jha, Vivekananda, Luyckx, Valerie; https://orcid.org/0000-0001-7066-8135, Jindal, Kailash, Shah, Nikhil, Caskey, Fergus J, Kazancioglu, Rumeyza, and Bello, Aminu K
- Abstract
AIM: Vascular and peritoneal access are essential elements for sustainability of chronic dialysis programs. Data on availability, patterns of use, funding models, and workforce for vascular and peritoneal accesses for dialysis at a global scale is limited. METHODS: An electronic survey of national leaders of nephrology societies, consumer representative organizations, and policymakers was conducted from July to September 2018. Questions focused on types of accesses used to initiate dialysis, funding for services, and availability of providers for access creation. RESULTS: Data from 167 countries were available. In 31 countries (25% of surveyed countries), >75% of patients initiated haemodialysis (HD) with a temporary catheter. Seven countries (5% of surveyed countries) had >75% of patients initiating HD with arteriovenous fistulas or grafts. Seven countries (5% of surveyed countries) had >75% of their patients starting HD with tunnelled dialysis catheters. 57% of low-income countries (LICs) had >75% of their patients initiating HD with a temporary catheter compared to 5% of high-income countries (HICs). Shortages of surgeons to create vascular access were reported in 91% of LIC compared to 46% in HIC. Approximately 95% of participating countries in the LIC category reported shortages of surgeons for peritoneal dialysis (PD) access compared to 26% in HIC. Public funding was available for central venous catheters, fistula/graft creation, and PD catheter surgery in 57%, 54% and 54% of countries, respectively. CONCLUSION: There is a substantial variation in the availability, funding, workforce, and utilization of vascular and peritoneal access for dialysis across countries regions, with major gaps in low-income countries.
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- 2024
35. Strategic plan for integrated care of patients with kidney failure
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Abu Alfa, Ali K., Ashuntantang, Gloria, Brown, Edwina, Cullis, Brett, Dreyer, Gavin, Eke, Felicia U., Garcia, Guillermo Garcia, Goh, Bak Leong, Hemmelgarn, Brenda, Hou, Fan Fan, Iyengar, Arpana, Johnson, David W., Levin, Nathan W., Luyckx, Valerie A., Martin, Dominique E., McCulloch, Mignon I., Mengistu, Yewondwossesn Tadesse, Moosa, Mohammed Rafique, Morton, Rachael L., Niang, Abdou, Obrador, Gregorio T., Okpechi, Ikechi G., Ossareh, Shahrzad, Shah, Kamal D., Sola, Laura, Swanepoel, Charles, Tchokhonelidze, Irma, Tonelli, Marcello, Trask, Michele, Kazancioglu, Rumeyza Turan, Twahir, Ahmed, Walker, Robert, Were, Anthony J.O., Yang, Chih-Wei, Yeates, Karen, Zakharova, Elena, Zuniga, Carlos, Harris, David C.H., Davies, Simon J., Finkelstein, Fredric O., Jha, Vivekanand, Bello, Aminu K., Brown, Mark, Caskey, Fergus J., Donner, Jo-Ann, Liew, Adrian, Muller, Elmi, Naicker, Saraladevi, O’Connell, Philip J., Filho, Roberto Pecoits, and Vachharajani, Tushar
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- 2020
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36. Diagnostic performance of glomerular PLA2R and THSD7A antibodies in biopsy confirmed primary membranous nephropathy in South Africans
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Lwezaula, Bingileki F, Ameh, Oluwatoyin I, Ekrikpo, Udeme E, Botha, Francois CJ, Okpechi-Samuel, Ugochi S, Wearne, Nicola, Ronco, Pierre, Bello, Aminu K, and Okpechi, Ikechi G.
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- 2021
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37. Prevalence of polypharmacy and associated adverse health outcomes in adult patients with chronic kidney disease: protocol for a systematic review and meta-analysis
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Okpechi, Ikechi G., Tinwala, Mohammed M., Muneer, Shezel, Zaidi, Deenaz, Ye, Feng, Hamonic, Laura N., Khan, Maryam, Sultana, Naima, Brimble, Scott, Grill, Allan, Klarenbach, Scott, Lindeman, Cliff, Molnar, Amber, Nitsch, Dorothea, Ronksley, Paul, Shojai, Soroush, Soos, Boglarka, Tangri, Navdeep, Thompson, Stephanie, Tuot, Delphine, Drummond, Neil, Mangin, Dee, and Bello, Aminu K.
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- 2021
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38. Nurse Practitioner Care Compared to Primary Care or Nephrologist Care in Early CKD
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James, Matthew T., primary, Scory, Tayler D., additional, Novak, Ellen, additional, Manns, Braden J., additional, Hemmelgarn, Brenda R., additional, Bello, Aminu K., additional, Ravani, Pietro, additional, Kahlon, Bhavneet, additional, MacRae, Jennifer M., additional, and Ronksley, Paul E., additional
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- 2023
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39. Population-based Studies of Epidemiology of CKD: The Burden and Impact of Microalbuminuria in the Community
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Bello, Aminu K.
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616.6 - Published
- 2008
40. Telehealth and Management Support for Hypertension in CKD: Time to Raise the Bar
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Okpechi, Ikechi G., primary and Bello, Aminu K., additional
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- 2023
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41. Capacity for the management of kidney failure in the International Society of Nephrology North and East Asia region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
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Wing-Shing Fung, Winston, Park, Hyeong Cheon, Hirakawa, Yosuke, 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, Ueda, Seiji, Ye, Feng, Suzuki, Yusuke, Wang, Angela Yee-Moon, Amouzegar, Atefeh, Cai, Guangyan, Chang, Jer-Ming, Chen, Hung-Chun, Cheng, Yuk Lun, Cho, Yeoungjee, Davids, M. Razeen, Davison, Sara N., Diongole, Hassane M., Divyaveer, Smita, Doi, Kent, Ekrikpo, Udeme E., Ethier, Isabelle, Fukami, Kei, Ghimire, Anukul, Houston, Ghenette, Htay, Htay, Ibrahim, Kwaifa Salihu, Imaizumi, Takahiro, Irish, Georgina, Jindal, Kailash, Kashihara, Naoki, Kelly, Dearbhla M., Lalji, Rowena, Liu, Bi-Cheng, Maruyama, Shoichi, Nalado, Aisha M., Neuen, Brendon L., Nie, Jing, Nishiyama, Akira, Olanrewaju, Timothy O., Osman, Mohamed A., Petrova, Anna, Riaz, Parnian, Saad, Syed, Sakajiki, Aminu Muhammad, See, Emily, Sozio, Stephen M., Tang, Sydney C.W., Tiv, Sophanny, Tungsanga, Somkanya, Viecelli, Andrea, Wainstein, Marina, Yanagita, Motoko, Yang, Chih-Wei, Yang, Jihyun, Yeung, Emily K., Yu, Xueqing, Zaidi, Deenaz, Zhang, Hong, and Zhou, Lili
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Globally, there remain significant disparities in the capacity and quality of kidney care, as evidenced by the third edition of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA). In the ISN North and East Asia region, the chronic kidney disease (CKD) burden varied widely; Taiwan had the heaviest burden of treated kidney failure (3679 per million population [pmp]) followed by Japan and South Korea. Except in Hong Kong, hemodialysis (HD) was the main dialysis modality for all other countries in the region and was much higher than the global median prevalence. Kidney transplantation services were generally available in the region, but the prevalence was much lower than that of dialysis. Most countries had public funding for kidney replacement therapy (KRT). The median prevalence of nephrologists was 28.7 pmp, higher than that of any other ISN region, with variation across countries. Home HD was available in only 17% of the countries, whereas conservative kidney management was available in 50%. All countries had official registries for dialysis and transplantation; however, only China and Japan had CKD registries. Advocacy groups for CKD, kidney failure, and KRT were uncommon throughout the region. Overall, all countries in the region had capacity for KRT, albeit with some shortages in their kidney care workforce. These data are useful for stakeholders to address gaps in kidney care and to reduce workforce shortages through increased use of multidisciplinary teams and telemedicine, policy changes to promote prevention and treatment of kidney failure, and increased advocacy for kidney disease in the region.
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- 2024
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42. Capacity for the management of kidney failure in the International Society of Nephrology Middle East region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
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Karam, Sabine, Amouzegar, Atefeh, Alshamsi, Iman Rashed, Al Ghamdi, Saeed M.G., Anwar, Siddiq, Ghnaimat, Mohammad, Saeed, Bassam, 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, Abu-Alfa, Ali K., Savaj, Shokoufeh, Abou-Jaoudeh, Pauline, Al Hussain, Turki, Al Salmi, Issa Salim Amur, Alrukhaimi, Mona, Alyousef, Anas, Bahous, Sola Aoun, Cai, Guangyan, Cheikh Hassan, Hicham I., Cho, Yeoungjee, Davids, M. Razeen, Davison, Sara N., Diongole, Hassane M., Divyaveer, Smita, Ekrikpo, Udeme E., Ethier, Isabelle, Fung, Winston Wing-Shing, Ghimire, Anukul, Hooman, Nakysa, Houston, Ghenette, Htay, Htay, Ibrahim, Kwaifa Salihu, Irish, Georgina, Jindal, Kailash, Kelly, Dearbhla M., Lalji, Rowena, Mitwali, Ahmed, Mortazavi, Mojgan, Nalado, Aisha M., Neuen, Brendon L., Olanrewaju, Timothy O., Osman, Mohamed A., Ossareh, Shahrzad, Petrova, Anna, Riaz, Parnian, Saad, Syed, Sakajiki, Aminu Muhammad, See, Emily, Sozio, Stephen M., Tiv, Sophanny, Tungsanga, Somkanya, Viecelli, Andrea, Wainstein, Marina, Wannous, Hala, Yeung, Emily K., and Zaidi, Deenaz
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The highest financial and symptom burdens and the lowest health-related quality-of-life scores are seen in people with kidney failure. A total of 11 countries in the International Society of Nephrology (ISN) Middle East region responded to the ISN-Global Kidney Health Atlas. The prevalence of chronic kidney disease (CKD) in the region ranged from 4.9% in Yemen to 12.2% in Lebanon, whereas prevalence of kidney failure treated with dialysis or transplantation ranged from 152 per million population (pmp) in the United Arab Emirates to 869 pmp in Kuwait. Overall, the incidence of kidney transplantation was highest in Saudi Arabia (20.2 pmp) and was lowest in Oman (2.2 pmp). Chronic hemodialysis (HD) and peritoneal dialysis (PD) services were available in all countries, whereas kidney transplantation was available in most countries of the region. Public government funding that makes acute dialysis, chronic HD, chronic PD, and kidney transplantation medications free at the point of delivery was available in 54.5%, 72.7%, 54.5%, and 54.5% of countries, respectively. Conservative kidney management was available in 45% of countries. Only Oman had a CKD registry; 7 countries (64%) had dialysis registries, and 8 (73%) had kidney transplantation registries. The ISN Middle East region has a high burden of kidney disease and multiple challenges to overcome. Prevention and detection of kidney disease can be improved by the design of tailored guidelines, allocation of additional resources, improvement of early detection at all levels of care, and implementation of sustainable health information systems.
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- 2024
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43. Capacity for the management of kidney failure in the International Society of Nephrology South Asia region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
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Wijewickrama, Eranga, Alam, Muhammad Rafiqul, Bajpai, Divya, Divyaveer, Smita, Iyengar, Arpana, Kumar, Vivek, Qayyum, Ahad, Yadav, Shankar Prasad, Yadla, Manjusha, 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, Singh Shah, Dibya, Prasad, Narayan, Agarwal, Anil K., Ahmed, Ejaz, Alexander, Suceena, Amouzegar, Atefeh, Anandh, Urmila, Bansal, Shyam Bihari, Chhetri, Pramod Kumar, Cho, Yeoungjee, Choden, Ugyen, Chowdury, Nizamuddin, Conjeevaram, Arvind, Davids, M. Razeen, Davison, Sara N., Diongole, Hassane M., Ekrikpo, Udeme E., Ethier, Isabelle, Mervin, Edwin Fernando, Wing-Shing Fung, Winston, George, Reena Rachel, Ghimire, Anukul, Gopal, Basu, Guditi, Swarnalatha, Herath, Chula, Houston, Ghenette, Htay, Htay, Ibrahim, Kwaifa Salihu, Irish, Georgina, Jindal, Kailash, Kaihan, Ahmad Baseer, Kar, Shubharthi, Kashem, Tasnuva, Kelly, Dearbhla M., Khanam, Asia, Kher, Vijay, Lalji, Rowena, Mahajan, Sandeep, Nalado, Aisha M., Naqvi, Rubina, Nayak, K.S., Neuen, Brendon L., Olanrewaju, Timothy O., Osman, Mohamed A., Parameswaran, Sreejith, Paudel, Klara, Petrova, Anna, Rashid, Harun Ur, Riaz, Parnian, Saad, Syed, Sahay, Manisha, Sakajiki, Aminu Muhammad, See, Emily, Shankar, Mythri, Sharma, Ajay P., Sharma, Sourabh, Shiham, Ibrahim, Singh, Geetika, Sozio, Stephen M., Tiv, Sophanny, Trivedi, Mayuri, Tungsanga, Somkanya, Viecelli, Andrea, Wainstein, Marina, Wazil, Abdul, Wijayaratne, Dilushi, Yeung, Emily K., and Zaidi, Deenaz
- Abstract
The South Asia region is facing a high burden of chronic kidney disease (CKD) with limited health resources and low expenditure on health care. In addition to the burden of CKD and kidney failure from traditional risk factors, CKD of unknown etiologies from India and Sri Lanka compounds the challenges of optimal management of CKD in the region. From the third edition of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA), we present the status of CKD burden, infrastructure, funding, resources, and health care personnel using the World Health Organization’s building blocks for health systems in the ISN South Asia region. The poor status of the public health care system and low health care expenditure resulted in high out-of-pocket expenditures for people with kidney disease, which further compounded the situation. There is insufficient country capacity across the region to provide kidney replacement therapies to cover the burden. The infrastructure was also not uniformly distributed among the countries in the region. There were no chronic hemodialysis centers in Afghanistan, and peritoneal dialysis services were only available in Bangladesh, India, Nepal, Pakistan, and Sri Lanka. Kidney transplantation was not available in Afghanistan, Bhutan, and Maldives. Conservative kidney management was reported as available in 63% (n = 5) of the countries, yet no country reported availability of the core CKM care components. There was a high hospitalization rate and early mortality because of inadequate kidney care. The lack of national registries and actual disease burden estimates reported in the region prevent policymakers’ attention to CKD as an important cause of morbidity and mortality. Data from the 2023 ISN-GKHA, although with some limitations, may be used for advocacy and improving CKD care in the region.
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- 2024
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44. 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)
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Alparslan, Caner, Malyszko, Jolanta, Caskey, Fergus J., Aleckovic-Halilovic, Mirna, Hrušková, Zdenka, Arruebo, Silvia, Bello, Aminu K., Damster, Sandrine, Donner, Jo-Ann, Jha, Vivekanand, Johnson, David W., Levin, Adeera, Malik, Charu, Nangaku, Masaomi, Okpechi, Ikechi G., Tonelli, Marcello, Ye, Feng, Tesar, Vladimir, Racki, Sanjin, Amouzegar, Atefeh, Aydin, Zehra, Barbullushi, Myftar, Bek, Sibel, Bumblyte, Inga Arune, Cho, Yeoungjee, Davids, M. Razeen, Davison, Sara N., Deltas, Constantinos, Diongole, Hassane M., Divyaveer, Smita, Ekrikpo, Udeme E., Ethier, Isabelle, Fogo, Agnes B., Wing-Shing Fung, Winston, Ghimire, Anukul, Honsova, Eva, Houston, Ghenette, Htay, Htay, Ibrahim, Kwaifa Salihu, Irish, Georgina, Jindal, Kailash, Kazancıoğlu, Rümeyza, Kelly, Dearbhla M., Krajewska, Magdalena, Laganovic, Mario, Lalji, Rowena, Nalado, Aisha M., Naumovic, Radomir, Neuen, Brendon L., Nikolova-Vlahova, Milena Krasimirova, Nistor, Ionut, Olanrewaju, Timothy O., Osman, Mohamed A., Ots-Rosenberg, Mai, Petrova, Anna, Podracka, Ludmila, Resic, Halima, Riaz, Parnian, Rosivall, Laszlo, Saad, Syed, Sakajiki, Aminu Muhammad, See, Emily, Sever, Mehmet Sukru, Sozio, Stephen M., Spasovski, Goce, Tiv, Sophanny, Tuglular, Serhan, Tungsanga, Somkanya, Viecelli, Andrea, Wainstein, Marina, Yeung, Emily K., and Zaidi, Deenaz
- 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 health care 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 health care in the region.
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- 2024
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45. Capacity for the management of kidney failure in the International Society of Nephrology Western Europe region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
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Pippias, Maria, Alfano, Gaetano, Kelly, Dearbhla M., Soler, Maria Jose, De Chiara, Letizia, Olanrewaju, Timothy O., 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, Coppo, Rosanna, Lightstone, Liz, Amouzegar, Atefeh, Anders, Hans-Joachim, Baharani, Jyoti, Banerjee, Debasish, Bikbov, Boris, Brown, Edwina A., Cho, Yeoungjee, Claes, Kathleen, Clyne, Naomi, Davids, M. Razeen, Davison, Sara N., Diongole, Hassane M., Divyaveer, Smita, Dreyer, Gavin, Dudley, Jan, Ekrikpo, Udeme E., Ethier, Isabelle, Evans, Rhys D.R., Fan, Stanley L.S., Wing-Shing Fung, Winston, Gallieni, Maurizio, Ghimire, Anukul, Houston, Ghenette, Htay, Htay, Ibrahim, Kwaifa Salihu, Irish, Georgina, Jindal, Kailash, Khwaja, Arif, Lalji, Rowena, Liakopoulos, Vassilios, Luyckx, Valerie A., Macia, Manuel, Marti, Hans Peter, Messa, Piergiorgio, Müller, Thomas F., Nalado, Aisha M., Neuen, Brendon L., Nitsch, Dorothea, Nolasco, Fernando, Oberbauer, Rainer, Osman, Mohamed A., Papagianni, Aikaterini, Petrova, Anna, Piccoli, Giorgina Barbara, Plant, Liam, Remuzzi, Giuseppe, Riaz, Parnian, Roelofs, Joris J., Rudnicki, Michael, Saad, Syed, Sakajiki, Aminu Muhammad, Scheppach, Johannes B., See, Emily, Shroff, Rukshana, Solbu, Marit D., Sozio, Stephen M., Strippoli, Giovanni FM., Taal, Maarten W., Ashu, James Tataw, Tiv, Sophanny, Tungsanga, Somkanya, van der Net, Jeroen B., Vanholder, Raymond C., Viecelli, Andrea, Vinen, Katie, Vogt, Bruno, Wainstein, Marina, Weinstein, Talia, Wheeler, David C., Yeung, Emily K., and Zaidi, Deenaz
- Abstract
Western Europe boasts advanced health care systems, robust kidney care guidelines, and a well-established health care workforce. Despite this, significant disparities in kidney replacement therapy incidence, prevalence, and transplant access exist. This paper presents the third International Society of Nephrology Global Kidney Health Atlas’s findings on kidney care availability, accessibility, affordability, and quality in 22 Western European countries, representing 99% of the region’s population. The known chronic kidney disease (CKD) prevalence across Western Europe averages 10.6%, slightly above the global median. Cardiovascular diseases account for a substantial portion of CKD-related deaths. Kidney failure incidence varies. Government health expenditure differs; however, most countries offer government-funded acute kidney injury, dialysis, and kidney transplantation care. Hemodialysis and peritoneal dialysis are universally available, with variations in the number of dialysis centers. Kidney transplantation is available in all countries (except for 3 microstates), with variable transplant center prevalence. Conservative kidney management (CKM) is increasingly accessible. The region’s kidney care workforce is substantial, exceeding global averages; however, workforce shortages are reported. Barriers to optimal kidney care include limited workforce capacity, lack of surveillance mechanisms, and suboptimal integration into national noncommunicable disease (NCD) strategies. Policy recognition of CKD as a health priority varies across countries. Although Western Europe exhibits strong kidney care infrastructure, opportunities for improvement exist, particularly in CKD prevention, surveillance, awareness, and policy implementation. Efforts to improve CKD care should include automated detection, educational support, and enhanced workflows. Based on these findings, health care professionals, stakeholders, and policymakers are called to act to enhance kidney care across the region.
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- 2024
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46. Capacity for the management of kidney failure in the International Society of Nephrology Newly Independent States and Russia region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
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Prikhodina, Larisa, Komissarov, Kirill, Bulanov, Nikolay, 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, Gaipov, Abduzhappar, Amouzegar, Atefeh, Kyzy, Aiperi Asanbek, Cho, Yeoungjee, Davids, M. Razeen, Davison, Sara N., Diongole, Hassane M., Divyaveer, Smita, Ekrikpo, Udeme E., Ethier, Isabelle, Wing-Shing Fung, Winston, Ghimire, Anukul, Houston, Ghenette, Htay, Htay, Ibrahim, Kwaifa Salihu, Irish, Georgina, Ivanov, Dmytro, Jindal, Kailash, Kelly, Dearbhla M., Khamzaev, Komiljon, Lalji, Rowena, Nalado, Aisha M., Neuen, Brendon L., Olanrewaju, Timothy O., Osman, Mohamed A., Riaz, Parnian, Saad, Syed, Sakajiki, Aminu Muhammad, Sarishvili, Nora, Sarkissian, Ashot, See, Emily, Sharapov, Olimkhon N., Sozio, Stephen M., Tchokhonelidze, Irma, Tiv, Sophanny, Tungsanga, Somkanya, Viecelli, Andrea, Vishnevskii, Konstantin, Vorobyeva, Olga A., Wainstein, Marina, Yeung, Emily K., Zaidi, Deenaz, and Zakharova, Elena
- Abstract
The International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) was established to aid understanding of 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 they are globally (2.5% and 822.8 pmp, respectively). Capacity to provide an adequate frequency of hemodialysis (HD) and kidney transplantation services is present in all the countries (100%). In spite of significant economic advancement, the region has 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. Although national registries for dialysis and kidney transplantation are available in most of the countries across the ISN NIS and Russia region, few registries exist for nondialysis CKD and acute kidney injury. Although a national strategy for improving care for CKD patients is presented in more than half of the countries, no country in the region had a CKD-specific policy. 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.
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- 2024
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47. Update on variability in organization and structures of kidney care across world regions
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Okpechi, Ikechi G., Bello, Aminu K., Levin, Adeera, and Johnson, David W.
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- 2024
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48. 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)
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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, and Zaidi, Deenaz
- 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.
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- 2024
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49. Variations in kidney care management and access: regional assessments of the 2023 International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA)
- Author
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Bello, Aminu K., Okpechi, Ikechi G., Levin, Adeera, and Johnson, David W.
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- 2024
- Full Text
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50. 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)
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Tannor, Elliot Koranteng, Davidson, Bianca, Nlandu, Yannick, Bagasha, Peace, Bilchut, Workagegnehu Hailu, Davids, M. Razeen, Diongole, Hassane M., Ekrikpo, Udeme E., Hafiz, Ehab O.A., Ibrahim, Kwaifa Salihu, Kalyesubula, Robert, Nalado, Aisha M., Olanrewaju, Timothy O., Onu, Ugochi Chika, Pereira-Kamath, Nikhil, Sakajiki, Aminu Muhammad, Salah, Mohamed, Vincent, Lloyd, 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, Ashuntantang, Gloria Enow, Arogundade, Fatiu Abiola, Gawad, Mohammed Abdel, Abderrahim, Ezzedine, Akl, Ahmed, Amekoudi, Eyram Makafui Yoan, Amouzegar, Atefeh, Awobusuyi, Jacob Olugbenga, Bakoush, Omran, Chissico, Elsa R., Cho, Yeoungjee, Coker, Joshua, Cullis, Brett, Dahwa, Rumbidzai, Darwish, Rasha Ahmed, Davison, Sara N., Divyaveer, Smita, Ethier, Isabelle, Fagoonee, Kevin, Fofana, Aboubacar Sidiki, Freercks, Robert, Wing-Shing Fung, Winston, Gandzali-Ngabe, Pierre Eric, Ghimire, Anukul, Gouda, Zaghloul Elsafy, Habyarimana, Oswald, Htay, Htay, Wan, Davy Ip Min, Irish, Georgina, Ismail, Wesam, Jagne, Abubacarr, Jarraya, Faiçal, Jindal, Kailash, Kabllo, Babikir G., Kalebi, Ahmed Y., Kaze Folefack, François F., Kelly, Dearbhla M., Lalji, Rowena, Lomatayo, Ben, Mah, Sidi Mohamed, Zalba Mahamat Abderraman, Guillaume, McCulloch, Mignon, Mengistu, Yewondwossen Tadesse, Moloi, Mothusi Walter, Mwaba, Chisambo, Neuen, Brendon L., Ngigi, John, Niang, Abdou, Nyandwi, Joseph, Odeh, Emad, Osman, Mohamed A., Le Grand Ouanekpone, Cédric Patrick, Petrova, Anna, Ranivoharisoa, Eliane M., Riaz, Parnian, Saad, Syed, See, Emily, Sokwala, Ahmed, Solarin, Adaobi Uzoamaka, Sozio, Stephen M., Houssani, Tarik Sqalli, Kiswaya, Ernest Sumaili, Tia, Weu Melanie, Tiv, Sophanny, Ts'enoli, Thabang, Tungsanga, Somkanya, Ulasi, Ifeoma I., Vanglist, Ssentamu John, Viecelli, Andrea, Wadee, Shoyab, Wainstein, Marina, Wearne, Nicola, Yeung, Emily K., and Zaidi, Deenaz
- 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.
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- 2024
- Full Text
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