Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/22010
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dc.contributor.authorBello, Aminu K-
dc.contributor.authorLevin, Adeera-
dc.contributor.authorLunney, Meaghan-
dc.contributor.authorOsman, Mohamed A-
dc.contributor.authorYe, Feng-
dc.contributor.authorAshuntantang, Gloria E-
dc.contributor.authorBellorin-Font, Ezequiel-
dc.contributor.authorBenghanem Gharbi, Mohammed-
dc.contributor.authorDavison, Sara N-
dc.contributor.authorGhnaimat, Mohammad-
dc.contributor.authorHarden, Paul-
dc.contributor.authorHtay, Htay-
dc.contributor.authorJha, Vivekanand-
dc.contributor.authorKalantar-Zadeh, Kamyar-
dc.contributor.authorKerr, Peter G-
dc.contributor.authorKlarenbach, Scott-
dc.contributor.authorKovesdy, Csaba P-
dc.contributor.authorLuyckx, Valerie A-
dc.contributor.authorNeuen, Brendon L-
dc.contributor.authorO'Donoghue, Donal-
dc.contributor.authorOssareh, Shahrzad-
dc.contributor.authorPerl, Jeffrey-
dc.contributor.authorRashid, Harun Ur-
dc.contributor.authorRondeau, Eric-
dc.contributor.authorSee, Emily J-
dc.contributor.authorSaad, Syed-
dc.contributor.authorSola, Laura-
dc.contributor.authorTchokhonelidze, Irma-
dc.contributor.authorTesar, Vladimir-
dc.contributor.authorTungsanga, Kriang-
dc.contributor.authorTuran Kazancioglu, Rumeyza-
dc.contributor.authorWang, Angela Yee-Moon-
dc.contributor.authorWiebe, Natasha-
dc.contributor.authorYang, Chih-Wei-
dc.contributor.authorZemchenkov, Alexander-
dc.contributor.authorZhao, Ming-Hui-
dc.contributor.authorJager, Kitty J-
dc.contributor.authorCaskey, Fergus-
dc.contributor.authorPerkovic, Vlado-
dc.contributor.authorJindal, Kailash K-
dc.contributor.authorOkpechi, Ikechi G-
dc.contributor.authorTonelli, Marcello-
dc.contributor.authorFeehally, John-
dc.contributor.authorHarris, David C-
dc.contributor.authorJohnson, David W-
dc.date2019-
dc.date.accessioned2019-11-06T04:04:37Z-
dc.date.available2019-11-06T04:04:37Z-
dc.date.issued2019-
dc.identifier.citationBMJ (Clinical research ed.) 2019; 367: l5873-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/22010-
dc.description.abstractTo determine the global capacity (availability, accessibility, quality, and affordability) to deliver kidney replacement therapy (dialysis and transplantation) and conservative kidney management. International cross sectional survey. International Society of Nephrology (ISN) survey of 182 countries from July to September 2018. Key stakeholders identified by ISN's national and regional leaders. Markers of national capacity to deliver core components of kidney replacement therapy and conservative kidney management. Responses 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 (<10%) of 53 African countries reported these data. Of 159 countries, 102 (64%) provided public funding for kidney replacement therapy. Sixty eight (43%) of 159 countries charged no fees at the point of care delivery and 34 (21%) made some charge. Haemodialysis was reported as available in 156 (100%) of 156 countries, peritoneal dialysis in 119 (76%) of 156 countries, and kidney transplantation in 114 (74%) of 155 countries. Dialysis and kidney transplantation were available to more than 50% of patients in only 108 (70%) and 45 (29%) of 154 countries that offered these services, respectively. Conservative kidney management was available in 124 (81%) of 154 countries. Worldwide, the median number of nephrologists was 9.96 per million population, which varied with income level. These comprehensive data show the capacity of countries (including low income countries) to provide optimal care for patients with end stage kidney disease. They demonstrate substantial variability in the burden of such disease and capacity for kidney replacement therapy and conservative kidney management, which have implications for policy.-
dc.language.isoeng-
dc.titleStatus of care for end stage kidney disease in countries and regions worldwide: international cross sectional survey.-
dc.typeJournal Article-
dc.identifier.journaltitleBMJ (Clinical research ed.)-
dc.identifier.affiliationDepartment of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kongen
dc.identifier.affiliationDivision of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, AB T6B 2B7, Canada.-
dc.identifier.affiliationDivision of Nephrology, Bezmialem Vakif University, Istanbul, Turkeyen
dc.identifier.affiliationRichard Bright Renal Unit, Southmead Hospital, North Bristol NHS Trust, Bristol, UKen
dc.identifier.affiliationOxford Kidney Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UKen
dc.identifier.affiliationUniversity of Manchester, Manchester, UKen
dc.identifier.affiliationUniversity of Leicester, Leicester, UKen
dc.identifier.affiliationPan-American Health Organization/World Health Organization's Collaborating Centre in Prevention and Control of Chronic Kidney Disease, University of Calgary, Calgary, AB, Canadaen
dc.identifier.affiliationSorbonne Université, Paris, Franceen
dc.identifier.affiliationManipal Academy of Higher Education (MAHE), Manipal, Karnataka, Indiaen
dc.identifier.affiliationDivision of Nephrology, Department of Medicine, University of Toronto, Toronto, ON, Canadaen
dc.identifier.affiliationPeking-Tsinghua Center for Life Sciences, Beijing, Chinaen
dc.identifier.affiliationDepartment of Nephrology and Dialysis, Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russiaen
dc.identifier.affiliationDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canadaen
dc.identifier.affiliationDivision of Nephrology, Department of Medicine, University of British Columbia, Vancouver, BC, Canadaen
dc.identifier.affiliationDivision of Nephology and Hypertension, Department of Medicine, Saint Louis University, Saint Louis, MO, USAen
dc.identifier.affiliationRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USAen
dc.identifier.affiliationMemphis VA Medical Center, Memphis, TN, USAen
dc.identifier.affiliationUCLA Fielding School of Public Health in Irvine and Los Angeles, CA, USAen
dc.identifier.affiliationDepartment of Internal Disease and Nephrology, North-Western State Medical University named after I I Mechnikov, Saint Petersburg, Russiaen
dc.identifier.affiliationKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou, Taiwanen
dc.identifier.affiliationCollege of Medicine, Chang Gung University, Taoyuan, Taiwan..en
dc.identifier.affiliationCentre for Kidney Disease Research, University of Queensland, Brisbane, QLD, Australiaen
dc.identifier.affiliationTranslational Research Institute, Brisbane, QLD, Australiaen
dc.identifier.affiliationMetro South and Ipswich Nephrology and Transplant Services, Princess Alexandra Hospital, Brisbane, QLD, Australiaen
dc.identifier.affiliationCentre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Sydney, NSW, Australiaen
dc.identifier.affiliationGeorge Institute for Global Health, University of New South Wales Sydney, Sydney, NSW, Australiaen
dc.identifier.affiliationDepartment of Intensive Care, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationSchool of Medicine, University of Melbourne, Melbourne, VIC, Australiaen
dc.identifier.affiliationGeorge Institute for Global Health, Newtown, NSW, Australiaen
dc.identifier.affiliationDepartment of Nephrology, Monash Medical Centre, Monash Health, Clayton, VIC, Australiaen
dc.identifier.affiliationDepartment of Medicine, Monash University, Clayton, VIC, Australiaen
dc.identifier.affiliationDepartment of Medicine, University of Calgary, Calgary, AB, Canadaen
dc.identifier.affiliationDivision of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africaen
dc.identifier.affiliationPopulation Health Sciences, University of Bristol, Bristol, UKen
dc.identifier.affiliationRenal Division, Department of Medicine, Peking University First Hospital, Beijing, Chinaen
dc.identifier.affiliationKey Lab of Renal Disease, Ministry of Health of China, Beijing, Chinaen
dc.identifier.affiliationKey Lab of Chronic Kidney Disease Prevention and Treatment, Ministry of Education of China; Beijing, Chinaen
dc.identifier.affiliationDepartment of Medicine, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailanden
dc.identifier.affiliationBhumirajanagarindra Kidney Institute, Bangkok, Thailand..en
dc.identifier.affiliationIntensive Care Nephrology and Transplantation Department, Hopital Tenon, Assistance Publique-Hopitaux de Paris, Paris, Franceen
dc.identifier.affiliationDivision of Nephrology, St Michael's Hospital and the Keenan Research Centre in the Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, ON, Canadaen
dc.identifier.affiliationSalford Royal NHS Foundation Trust, Salford, UKen
dc.identifier.affiliationInstitute of Biomedical Ethics and the History of Medicine, University of Zurich, Zurich, Switzerlanden
dc.identifier.affiliationDepartment of Medicine, University of Tennessee Health Science Center, Memphis, TN, USAen
dc.identifier.affiliationDivision of Nephrology and Hypertension, University of California Irvine Medical Center, Orange, CA, USAen
dc.identifier.affiliationGeorge Institute for Global Health, UNSW, New Delhi, Indiaen
dc.identifier.affiliationNuffield Department of Clinical Medicine, University of Oxford, Oxford, UKen
dc.identifier.affiliationUniversity of Ottawa, Ottawa, ON, Canadaen
dc.identifier.affiliationDepartment of Renal Medicine, Singapore General Hospital, Singaporeen
dc.identifier.affiliationDivision of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, AB T6B 2B7, Canadaen
dc.identifier.affiliationNephrology Development Clinical Center, Tbilisi State Medical University, Tbilisi, Georgiaen
dc.identifier.affiliationDialysis Unit, CASMU-IAMPP, Montevideo, Uruguayen
dc.identifier.affiliationERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, Netherlandsen
dc.identifier.affiliationKidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africaen
dc.identifier.affiliationFaculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroon..-
dc.identifier.affiliationUrinary Tract Diseases Department, Faculty of Medicine and Pharmacy of Casablanca, University Hassan II of Casablanca, Casablanca, Morocco..-
dc.identifier.affiliationNephrology Division, Department of Internal Medicine, The Specialty Hospital, Amman, Jordan..-
dc.identifier.affiliationDivision of Nephrology, Department of Medicine, Hasheminejad Kidney Center, Iran University of Medical Sciences, Tehran, Iran..-
dc.identifier.affiliationDepartment of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh..-
dc.identifier.affiliationDepartment of Nephrology, General University Hospital, Charles University, Prague, Czech Republic..-
dc.identifier.doi10.1136/bmj.l5873-
dc.identifier.orcid0000-0002-6905-5937-
dc.identifier.pubmedid31672760-
dc.type.austinJournal Article-
dc.type.austinResearch Support, Non-U.S. Gov't-
local.name.researcherSee, Emily J
item.cerifentitytypePublications-
item.grantfulltextnone-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
crisitem.author.deptIntensive Care-
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