Capacity for the management of kidney failure in the International Society of Nephrology Middle East region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)

IF 19.3 2区医学 Q1 UROLOGY & NEPHROLOGY

Kidney International Supplements Pub Date : 2024-04-01 DOI:10.1016/j.kisu.2024.01.009

Sabine Karam , Atefeh Amouzegar , Iman Rashed Alshamsi , Saeed M.G. Al Ghamdi , Siddiq Anwar , Mohammad Ghnaimat , Bassam Saeed , Silvia Arruebo , Aminu K. Bello , Fergus J. Caskey , Sandrine Damster , Jo-Ann Donner , Vivekanand Jha , David W. Johnson , Adeera Levin , Charu Malik , Masaomi Nangaku , Ikechi G. Okpechi , Marcello Tonelli , Feng Ye , Deenaz Zaidi

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Abstract

The highest financial and symptom burdens and the lowest health-related quality-of-life scores are seen in people with kidney failure. A total of 11 countries in the International Society of Nephrology (ISN) Middle East region responded to the ISN-Global Kidney Health Atlas. The prevalence of chronic kidney disease (CKD) in the region ranged from 4.9% in Yemen to 12.2% in Lebanon, whereas prevalence of kidney failure treated with dialysis or transplantation ranged from 152 per million population (pmp) in the United Arab Emirates to 869 pmp in Kuwait. Overall, the incidence of kidney transplantation was highest in Saudi Arabia (20.2 pmp) and was lowest in Oman (2.2 pmp). Chronic hemodialysis (HD) and peritoneal dialysis (PD) services were available in all countries, whereas kidney transplantation was available in most countries of the region. Public government funding that makes acute dialysis, chronic HD, chronic PD, and kidney transplantation medications free at the point of delivery was available in 54.5%, 72.7%, 54.5%, and 54.5% of countries, respectively. Conservative kidney management was available in 45% of countries. Only Oman had a CKD registry; 7 countries (64%) had dialysis registries, and 8 (73%) had kidney transplantation registries. The ISN Middle East region has a high burden of kidney disease and multiple challenges to overcome. Prevention and detection of kidney disease can be improved by the design of tailored guidelines, allocation of additional resources, improvement of early detection at all levels of care, and implementation of sustainable health information systems.

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国际肾脏病学会中东地区肾衰竭管理能力：2023 年 ISN 全球肾脏健康图集 (ISN-GKHA) 报告

肾衰竭患者的经济负担和症状负担最高，与健康相关的生活质量得分最低。国际肾脏病学会（ISN）中东地区共有11个国家对ISN-全球肾脏健康地图集做出了回应。该地区慢性肾脏病（CKD）的患病率从也门的4.9%到黎巴嫩的12.2%不等，而接受透析或移植治疗的肾衰竭患病率从阿拉伯联合酋长国的每百万人口152人到科威特的每百万人口869人不等。总体而言，沙特阿拉伯的肾移植发病率最高（每百万人口 20.2 例），阿曼最低（每百万人口 2.2 例）。所有国家都提供慢性血液透析（HD）和腹膜透析（PD）服务，而该地区大多数国家都提供肾移植服务。分别有 54.5%、72.7%、54.5% 和 54.5%的国家由政府提供公共资金，免费提供急性透析、慢性血液透析、慢性腹膜透析和肾移植药物。45%的国家提供保守的肾脏治疗。只有阿曼建立了慢性肾脏病登记处；7 个国家（64%）建立了透析登记处，8 个国家（73%）建立了肾移植登记处。ISN 中东地区肾病负担沉重，需要克服多重挑战。通过制定有针对性的指南、分配额外资源、改善各级医疗机构的早期检测以及实施可持续的医疗信息系统，可以改善肾脏疾病的预防和检测。

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来源期刊

Kidney International Supplements UROLOGY & NEPHROLOGY-

CiteScore

11.80

自引率

0.00%

发文量

期刊介绍： Kidney International Supplements is published on behalf of the International Society of Nephrology (ISN) and comes complimentary as part of a subscription to Kidney International. Kidney International Supplements is a peer-reviewed journal whose focus is sponsored, topical content of interest to the nephrology community.