TY - JOUR
T1 - Capacity for the management of kidney failure in the International Society of Nephrology Western Europe region
T2 - report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
AU - Pippias, Maria
AU - Alfano, Gaetano
AU - Kelly, Dearbhla M.
AU - Soler, Maria Jose
AU - de Chiara, Letizia
AU - Olanrewaju, Timothy O.
AU - Arruebo, Silvia
AU - Bello, Aminu K.
AU - Caskey, Fergus J.
AU - Damster, Sandrine
AU - Donner, Jo-Ann
AU - Jha, Vivekanand
AU - Johnson, David W.
AU - Levin, Adeera
AU - Malik, Charu
AU - Nangaku, Masaomi
AU - Okpechi, Ikechi G.
AU - Tonelli, Marcello
AU - Ye, Feng
AU - Coppo, Rosanna
AU - Lightstone, Liz
AU - Regional Board and ISN-GKHA Team Authors
AU - Amouzegar, Atefeh
AU - Anders, Hans-Joachim
AU - Baharani, Jyoti
AU - Banerjee, Debasish
AU - Bikbov, Boris
AU - Brown, Edwina A.
AU - Cho, Yeoungjee
AU - Claes, Kathleen
AU - Clyne, Naomi
AU - Davids, M. Razeen
AU - Davison, Sara N.
AU - Diongole, Hassane M.
AU - Divyaveer, Smita
AU - Dreyer, Gavin
AU - Dudley, Jan
AU - Ekrikpo, Udeme E.
AU - Ethier, Isabelle
AU - Evans, Rhys D. R.
AU - Fan, Stanley L. S.
AU - Wing-Shing Fung, Winston
AU - Gallieni, Maurizio
AU - Ghimire, Anukul
AU - Houston, Ghenette
AU - Htay, Htay
AU - Ibrahim, Kwaifa Salihu
AU - Irish, Georgina
AU - Jindal, Kailash
AU - Khwaja, Arif
AU - Roelofs, Joris J.
N1 - Publisher Copyright: © 2024 International Society of Nephrology
PY - 2024/4/1
Y1 - 2024/4/1
N2 - 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.
AB - 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.
KW - Europe
KW - chronic kidney disease
KW - dialysis
KW - end-stage kidney disease
KW - kidney registries
KW - kidney transplantation
UR - http://www.scopus.com/inward/record.url?scp=85189560684&partnerID=8YFLogxK
U2 - 10.1016/j.kisu.2024.01.008
DO - 10.1016/j.kisu.2024.01.008
M3 - Review article
C2 - 38618502
SN - 2157-1724
VL - 13
SP - 136
EP - 151
JO - Kidney international. Supplement
JF - Kidney international. Supplement
IS - 1
ER -