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Achievements, priorities and strategies in pediatric nephrology in Europe: need for unifying approaches or acceptance of differences
J. Ehrich, V. Tasic, VO. Edvardsson, E. Preka, L. Prikhodina, CJ. Stefanidis, R. Topaloglu, D. Shtiza, A. Sarkissian, T. Mueller-Sacherer, R. Fataliyeva, I. Kazyra, E. Levtchenko, D. Pokrajac, D. Roussinov, D. Milošević, A. Elia, T. Seeman, M....
Status neindexováno Jazyk angličtina Země Švýcarsko
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2013
Free Medical Journals
od 2013
PubMed Central
od 2013
Europe PubMed Central
od 2013
Open Access Digital Library
od 2013-01-01
Open Access Digital Library
od 2013-01-01
ROAD: Directory of Open Access Scholarly Resources
od 2013
- Publikační typ
- časopisecké články MeSH
BACKGROUND: There is a lack of information on the current healthcare systems for children with kidney diseases across Europe. The aim of this study was to explore the different national approaches to the organization and delivery of pediatric nephrology services within Europe. METHODS: In 2020, the European society for Paediatric Nephrology (ESPN) conducted a cross-sectional survey to identify the existing pediatric nephrology healthcare systems in 48 European countries covering a population of more than 200 million children. RESULTS: The reported three most important priorities in the care of children with kidney diseases were better training of staff, more incentives for physicians to reduce staff shortages, and more hospital beds. Positive achievements in the field of pediatric nephrology included the establishment of new specialized pediatric nephrology centers, facilities for pediatric dialysis and transplant units in 18, 16, and 12 countries, respectively. The most common problems included no access to any type of dialysis (12), inadequate transplant programs for all ages of children (12), lack of well-trained physicians and dialysis nurses (12), inadequate reimbursement of hospitals for expensive therapies (10), and lack of multidisciplinary care by psychologists, dieticians, physiotherapists, social workers and vocational counsellors (6). Twenty-five of 48 countries (52%) expected to have a shortage of pediatric nephrologists in the year 2025, 63% of clinical nurses and 56% of dialysis nurses. All three groups of health care professionals were expected to be lacking in 38% of countries. Prenatal assessment and postnatal management of renal malformations by a multidisciplinary team including obstetricians, geneticists, pediatricians, and pediatric surgeons was available in one third of countries. CONCLUSIONS: Our study shows that there are still very marked differences in pediatric health care systems across the European countries and highlights the need need for appropriate services for children with kidney disease in all European countries.
1st Department of Pediatrics Belarusian State Medical University Minsk Belarus
1st Department of Pediatrics Semmelweis University Budapest Hungary
Arabkir Joint Medical Centre Yerevan Yerevan State Medical University Yerevan Armenia
Clinical Center of Montenegro Institute for Sick Children Podgorica Montenegro
Department of Child and Adolescent Health Mater Dei Hospital Msida Malta
Department of Nephrology Kazakh National Medical University Almaty Kazakhstan
Department of Paediatrics and Adolescents Medicine Turku University Hospital Turku Finland
Department of Pediatric and Adolescent Medicine University Hospital of Oslo Oslo Norway
Department of Pediatric Nephrology and Gastroenterology Medical University of Vienna Vienna Austria
Department of Pediatric Nephrology Hacettepe University School of Medicine Ankara Türkiye
Department of Pediatric Nephrology University Children's Hospital Zurich Switzerland
Department of Pediatric Nephrology University Hospital Essen Essen Germany
Department of Pediatrics 2nd Medical Faculty Charles University Prague Prague Czech Republic
Department of Pediatrics and Adolescent Medicine Aarhus University Hospital Aarhus Denmark
Department of Pediatrics Comenius University Bratislava Slovakia
Department of Pediatrics University of Tartu Tartu Estonia
Division of Pediatric Nephrology Bērnuslimībuklīnika Nefroloģi Jasprofilavirsārste Riga Latvia
Division of Pediatric Nephrology Bristol Royal Hospital for Children Bristol United Kingdom
Division of Pediatric Nephrology Children's Health Ireland at Temple Street Dublin Ireland
Division of Pediatric Nephrology Children's Hospital Baku Azerbaijan
Division of Pediatric Nephrology Institute of Pediatrics NCZD Moscow Russia
Division of Pediatric Nephrology Makarios Children Hospital Nicosia Cyprus
Division of Pediatric Nephrology Marmara University Istanbul Türkiye
Division of Pediatric Nephrology Medical Centre Mrcheveli Tbilisi Georgia
Division of Pediatric Nephrology Mitera Children's Hospital Athens Greece
Division of Pediatric Nephrology Pediatric Medical Institute Tashkent Uzbekistan
Division of Pediatric Nephrology Regina Margherita Children's Hospital Torino Italy
Division of Pediatric Nephrology University Children's Hospital Sarajevo Bosnia and Herzegovina
Division of Pediatric Nephrology University Hospital Centre Mother Teresa Tirana Albania
Medical School University Children's Hospital Skopje North Macedonia
Nephrology and RRT Department Shupyk National Healthcare University of Ukraine Kyiv Ukraine
Nephrology Unit National Institute of Health Care for Mother and Child Chisinau Moldova
Pediatric Center Institute of Clinical Medicine Vilnius University Vilnius Lithuania
Pediatric Clinic University Hospital Center Zagreb Zagreb Croatia
Pediatric Nephrology Centre Hospitalier de Luxembourg Luxembourg Luxembourg
Pediatric Nephrology Division Centro Hospitalar Universitário do Porto Porto Portugal
Pediatric Nephrology Fundeni Clincal Institute Bucharest Romania
Pediatric Nephrology Pediatrics University Hospital 12 Octubre Madrid Spain
Citace poskytuje Crossref.org
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- $a Ehrich, Jochen $u Department of Pediatric Kidney, Liver, Metabolic and Neurological Diseases, Children's Hospital, Hannover Medical School, Hannover, Germany
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- $a Achievements, priorities and strategies in pediatric nephrology in Europe: need for unifying approaches or acceptance of differences / $c J. Ehrich, V. Tasic, VO. Edvardsson, E. Preka, L. Prikhodina, CJ. Stefanidis, R. Topaloglu, D. Shtiza, A. Sarkissian, T. Mueller-Sacherer, R. Fataliyeva, I. Kazyra, E. Levtchenko, D. Pokrajac, D. Roussinov, D. Milošević, A. Elia, T. Seeman, M. Faerch, I. Vainumae, J. Kataja, M. Tsimaratos, I. Rtskhiladze, PF. Hoyer, G. Reusz, A. Awan, D. Lotan, L. Peruzzi, N. Nigmatullina, N. Beishebaeva, E. Jeruma, A. Jankauskiene, O. Niel, V. Said-Conti, A. Ciuntu, S. Pavićević, M. Oosterveld, A. Bjerre, M. Tkaczyk, A. Teixeira, AC. Lungu, A. Tsygin, V. Stojanović, L. Podracka, TK. Levart, M. Espino-Hernández, P. Brandström, G. Sparta, H. Alpay, D. Ivanov, J. Dudley, K. Khamzaev, D. Haffner
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- $a BACKGROUND: There is a lack of information on the current healthcare systems for children with kidney diseases across Europe. The aim of this study was to explore the different national approaches to the organization and delivery of pediatric nephrology services within Europe. METHODS: In 2020, the European society for Paediatric Nephrology (ESPN) conducted a cross-sectional survey to identify the existing pediatric nephrology healthcare systems in 48 European countries covering a population of more than 200 million children. RESULTS: The reported three most important priorities in the care of children with kidney diseases were better training of staff, more incentives for physicians to reduce staff shortages, and more hospital beds. Positive achievements in the field of pediatric nephrology included the establishment of new specialized pediatric nephrology centers, facilities for pediatric dialysis and transplant units in 18, 16, and 12 countries, respectively. The most common problems included no access to any type of dialysis (12), inadequate transplant programs for all ages of children (12), lack of well-trained physicians and dialysis nurses (12), inadequate reimbursement of hospitals for expensive therapies (10), and lack of multidisciplinary care by psychologists, dieticians, physiotherapists, social workers and vocational counsellors (6). Twenty-five of 48 countries (52%) expected to have a shortage of pediatric nephrologists in the year 2025, 63% of clinical nurses and 56% of dialysis nurses. All three groups of health care professionals were expected to be lacking in 38% of countries. Prenatal assessment and postnatal management of renal malformations by a multidisciplinary team including obstetricians, geneticists, pediatricians, and pediatric surgeons was available in one third of countries. CONCLUSIONS: Our study shows that there are still very marked differences in pediatric health care systems across the European countries and highlights the need need for appropriate services for children with kidney disease in all European countries.
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