Capturing and monitoring global differences in untreated and treated end-stage kidney disease, kidney replacement therapy modality, and outcomes

Roberto Pecoits-Filho, Ikechi G. Okpechi, Jo-Ann Donner, David C. H. Harris, Harith M. Aljubori, Aminu K. Bello, Ezequiel Bellorin-Font, Fergus J. Caskey, Allan Collins, Alfonso M. Cueto-Manzano, John Feehally, Bak Leong Goh, Kitty J. Jager, Masaomi Nangaku, Muhibur Rahman, Manisha Sahay, Abdulkarim Saleh, Laura Sola, Rumeyza Turan Kazancioglu, Rachael C. WalkerRobert Walker, Qiang Yao, Xueqing Yu, Ming-Hui Zhao, David W. Johnson

Research output: Contribution to journalReview articleAcademicpeer-review

52 Citations (Scopus)

Abstract

A large gap between the number of people with end-stage kidney disease (ESKD) who received kidney replacement therapy (KRT) and those who needed it has been recently identified, and it is estimated that approximately one-half to three-quarters of all people with ESKD in the world may have died prematurely because they could not receive KRT. This estimate is aligned with a previous report that estimated that >3 million people in the world died each year because they could not access KRT. This review discusses the reasons for the differences in treated and untreated ESKD and KRT modalities and outcomes and presents strategies to close the global KRT gap by establishing robust health information systems to guide resource allocation to areas of need, inform KRT service planning, enable policy development, and monitor KRT health outcomes.
Original languageEnglish
Pages (from-to)e3-e9
JournalKidney international. Supplement
Volume10
Issue number1
DOIs
Publication statusPublished - Mar 2020

Keywords

  • end-stage kidney disease
  • global health
  • health information systems
  • health services accessibility
  • kidney replacement therapy
  • registries

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