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Availability, Accessibility, and Quality of Conservative Kidney Management Worldwide
M. Lunney, AK. Bello, A. Levin, H. Tam-Tham, C. Thomas, MA. Osman, F. Ye, E. Bellorin-Font, M. Benghanem Gharbi, M. Ghnaimat, H. Htay, Y. Cho, V. Jha, S. Ossareh, E. Rondeau, L. Sola, I. Tchokhonelidze, V. Tesar, K. Tungsanga, RT. Kazancioglu,...
Language English Country United States
Document type Journal Article, Research Support, Non-U.S. Gov't
NLK
Free Medical Journals
from 2006 to 1 year ago
PubMed Central
from 2008 to 1 year ago
Europe PubMed Central
from 2008 to 1 year ago
Open Access Digital Library
from 2006-01-01
PubMed
33323461
DOI
10.2215/cjn.09070620
Knihovny.cz E-resources
- MeSH
- Kidney Failure, Chronic therapy MeSH
- Health Services Accessibility statistics & numerical data MeSH
- Internationality MeSH
- Conservative Treatment * standards MeSH
- Quality of Health Care * MeSH
- Humans MeSH
- Religion MeSH
- Surveys and Questionnaires MeSH
- Developing Countries statistics & numerical data MeSH
- Decision Making, Shared MeSH
- Social Support MeSH
- Patient Care Team statistics & numerical data MeSH
- Developed Countries statistics & numerical data MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
BACKGROUND AND OBJECTIVES: People with kidney failure typically receive KRT in the form of dialysis or transplantation. However, studies have suggested that not all patients with kidney failure are best suited for KRT. Additionally, KRT is costly and not always accessible in resource-restricted settings. Conservative kidney management is an alternate kidney failure therapy that focuses on symptom management, psychologic health, spiritual care, and family and social support. Despite the importance of conservative kidney management in kidney failure care, several barriers exist that affect its uptake and quality. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: The Global Kidney Health Atlas is an ongoing initiative of the International Society of Nephrology that aims to monitor and evaluate the status of global kidney care worldwide. This study reports on findings from the 2018 Global Kidney Health Atlas survey, specifically addressing the availability, accessibility, and quality of conservative kidney management. RESULTS: Respondents from 160 countries completed the survey, and 154 answered questions pertaining to conservative kidney management. Of these, 124 (81%) stated that conservative kidney management was available. Accessibility was low worldwide, particularly in low-income countries. Less than half of countries utilized multidisciplinary teams (46%); utilized shared decision making (32%); or provided psychologic, cultural, or spiritual support (36%). One-quarter provided relevant health care providers with training on conservative kidney management delivery. CONCLUSIONS: Overall, conservative kidney management is available in most countries; however, it is not optimally accessible or of the highest quality.
Australasian Kidney Trials Network University of Queensland Brisbane Queensland Australia
Bhumirajanagarindra Kidney Institute Bangkok Thailand
Department of Community Health Sciences University of Calgary Calgary Alberta Canada
Department of Family Medicine University of Ottawa Ottawa Ontario Canada
Department of Medicine University of Calgary Calgary Alberta Canada
Department of Nephrology General University Hospital Charles University Prague Czech Republic
Department of Renal Medicine Singapore General Hospital Singapore
Division of Nephology and Hypertension Saint Louis University St Louis Missouri
Division of Nephrology and Hypertension University of Cape Town Cape Town South Africa
Division of Nephrology Bezmialem Vakif University Istanbul Turkey
Division of Nephrology Faculty of Medicine Chulalongkorn University Bangkok Thailand
George Institute for Global Health University of New South Wales New Delhi India
Imperial College Renal and Transplant Centre Hammersmith Hospital London England
Key Lab of Renal Disease Ministry of Health of China Beijing China
Kidney and Hypertension Research Unit University of Cape Town Cape Town South Africa
Kidney Research Center Department of Nephrology Chang Gung Memorial Hospital Linkou Taiwan
Nephrology Development Clinical Center Tbilisi State Medical University Tbilisi Georgia
Nephrology Division Department of Internal Medicine The Specialty Hospital Amman Jordan
Peking Tsinghua Center for Life Sciences Beijing China
Prasanna School of Public Health Manipal Academy of Higher Education Manipal Karnataka India
Renal Division Department of Medicine Peking University 1st Hospital Beijing China
Translational Research Institute Brisbane Queensland Australia
References provided by Crossref.org
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- $a BACKGROUND AND OBJECTIVES: People with kidney failure typically receive KRT in the form of dialysis or transplantation. However, studies have suggested that not all patients with kidney failure are best suited for KRT. Additionally, KRT is costly and not always accessible in resource-restricted settings. Conservative kidney management is an alternate kidney failure therapy that focuses on symptom management, psychologic health, spiritual care, and family and social support. Despite the importance of conservative kidney management in kidney failure care, several barriers exist that affect its uptake and quality. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: The Global Kidney Health Atlas is an ongoing initiative of the International Society of Nephrology that aims to monitor and evaluate the status of global kidney care worldwide. This study reports on findings from the 2018 Global Kidney Health Atlas survey, specifically addressing the availability, accessibility, and quality of conservative kidney management. RESULTS: Respondents from 160 countries completed the survey, and 154 answered questions pertaining to conservative kidney management. Of these, 124 (81%) stated that conservative kidney management was available. Accessibility was low worldwide, particularly in low-income countries. Less than half of countries utilized multidisciplinary teams (46%); utilized shared decision making (32%); or provided psychologic, cultural, or spiritual support (36%). One-quarter provided relevant health care providers with training on conservative kidney management delivery. CONCLUSIONS: Overall, conservative kidney management is available in most countries; however, it is not optimally accessible or of the highest quality.
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