Dialysis funding, eligibility, procurement, and protocols in low- and middle-income settings: results from the International Society of Nephrology collection survey

Kidney International Supplements
Valerie A LuyckxRoberto Pecoits-Filho

Abstract

Dialysis provisions and end-stage kidney disease (ESKD) care represents an important challenge, particularly in low-resource settings. The purpose of this project was to survey nephrologists from low- and lower middle-income countries about their experiences in the following domains: (i) Dialysis funding and eligibility; (ii) dialysis-procurement mechanisms; (iii) clinical protocols for dialysis; (iv) monitoring of dialysis outcomes; and (v) barriers to care for ESKD. One hundred and twenty responses from 31 low- and middle-income countries, from 8 ISN regions, were included in the analysis. When stratified by World Bank country income status, responses were received from 7 low-income countries, 12 lower middle-income countries, and 12 upper middle-income countries. Eighty-eight documents from 18 countries were uploaded, including country or institutional guidelines, protocols, and standard operating procedures. The International Society of Nephrology aims to develop a set of guidance documents that put forward a considered approach to dialysis provisions and ESKD care within resource limitations. As an initial step in this project, local practitioners from low-resource settings were surveyed about their experiences with dialys...Continue Reading

References

Mar 18, 2015·Lancet·Thaminda LiyanageVlado Perkovic
Jul 26, 2015·Journal of the American Society of Nephrology : JASN·James B Wetmore, Allan J Collins
May 24, 2017·Seminars in Nephrology·Valerie A LuyckxM Rafique Moosa
May 31, 2017·Nature Reviews. Nephrology·Raymond VanholderUNKNOWN European Kidney Health Alliance
Aug 28, 2018·Current Opinion in Nephrology and Hypertension·Abdou NiangValerie A Luyckx
Oct 6, 2018·Clinical Kidney Journal·Gunjeet KaurVivekanand Jha

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Citations

Oct 11, 2020·Kidney International·Dominique E MartinVivekanand Jha
Apr 11, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Arpana Iyengar, M I McCulloch
May 27, 2021·International Journal of Nephrology·Suceena AlexanderTushar Vachharajani
Aug 1, 2021·Seminars in Nephrology·Sualeha Siddiq Shekhani, Ali Asghar Lanewala

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