Advances in kidney disease and health最新文献_第4页

Role of National and International Renal Organizations in Providing Kidney Care in Disasters. 国家和国际肾脏组织在灾害中提供肾脏护理的作用。

IF 3.1

Advances in kidney disease and health Pub Date : 2025-11-01 DOI: 10.1053/j.akdh.2026.01.005

Jeffrey Silberzweig, Lily Fanwick, Vivekanand Jha, Raymond Vanholder

引用次数: 0

Nephrology Care in Man-Made and Natural Disasters: Addressing the Unique Challenges for the Provision of Home Dialysis in Disasters. 人为和自然灾害中的肾病护理：解决灾害中提供家庭透析的独特挑战。

IF 3.1

Advances in kidney disease and health Pub Date : 2025-11-01 DOI: 10.1053/j.akdh.2025.11.004

Faisal Althunayan, Michael Che, Nory Aldosari, Fredric Finkelstein, Christopher T Chan

{"title":"Nephrology Care in Man-Made and Natural Disasters: Addressing the Unique Challenges for the Provision of Home Dialysis in Disasters.","authors":"Faisal Althunayan, Michael Che, Nory Aldosari, Fredric Finkelstein, Christopher T Chan","doi":"10.1053/j.akdh.2025.11.004","DOIUrl":"10.1053/j.akdh.2025.11.004","url":null,"abstract":"Dialysis-dependent patients, especially those on peritoneal dialysis and home hemodialysis, rely heavily on uninterrupted access to electricity, clean water, and supply chains. Disasters, both natural and man-made, disrupt these critical systems, placing patients at significant risk of treatment interruptions, hospitalization, and mortality. Preparing for these challenges is vital to ensure continuity of life-saving care during crises. This review aims to examine the unique challenges faced by dialysis patients during disasters, including logistical barriers, workforce shortages, and infrastructure dependency. It also highlights the role of organizations in ensuring dialysis care continuity through preparedness strategies and collaborative efforts. A comprehensive literature review was conducted using PubMed, focusing on dialysis care during natural and man-made disasters. Keywords included dialysis, natural disasters, peritoneal dialysis, home hemodialysis, and disaster preparedness. Case studies and systematic reviews were analyzed to evaluate the impact of crises on dialysis care and identify actionable solutions. Disasters result in increased hospitalization rates among dialysis patients, compounded by communication failures, infrastructure damage, and limited access to essential resources. Case studies such as Hurricane Katrina and the Christchurch earthquake demonstrate the multifaceted nature of these challenges. The review also underscores the advantages of home dialysis modalities during crises, such as their operational flexibility, while highlighting their limitations, including dependence on utilities and patient preparedness. Ensuring dialysis care during emergencies requires strategies for reliable infrastructure, patient awareness, and resource readiness. Strengthening support systems and health care coordination is the key to minimizing disruptions and protecting vulnerable patients.","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 6","pages":"494-499"},"PeriodicalIF":3.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating Challenges and Adapting Innovations in Acute Kidney Injury and Kidney Failure. 在急性肾损伤和肾衰竭中导航挑战和适应创新。

IF 3.1

Advances in kidney disease and health Pub Date : 2025-11-01 DOI: 10.1053/j.akdh.2026.01.001

Serhan Tuglular, Dmytro Ivanov, Adrian Liew

{"title":"Navigating Challenges and Adapting Innovations in Acute Kidney Injury and Kidney Failure.","authors":"Serhan Tuglular, Dmytro Ivanov, Adrian Liew","doi":"10.1053/j.akdh.2026.01.001","DOIUrl":"10.1053/j.akdh.2026.01.001","url":null,"abstract":"Acute kidney injury and kidney failure represent critical health challenges, requiring continuous and specialized care. The impact of natural disasters, such as earthquakes, floods, and hurricanes, alongside man-made crises like armed conflicts and pandemics, exacerbates the complexities of managing these conditions. Disasters disrupt health care infrastructure, cause resource shortages, and pose ethical dilemmas in care allocation, often leading to surges in acute kidney injury cases and interruptions in kidney failure treatment. This article examines these challenges and underscores the importance of resilience and adaptability in nephrology care during crises. Recent advancements, including portable dialysis technologies, telemedicine, and remote monitoring systems, have demonstrated significant potential to mitigate disaster-induced disruptions. Moreover, adaptive care models-centered on preparedness, ethical resource allocation, and patient empowerment-are crucial for improving outcomes. Collaborative efforts by international nephrology organizations, nongovernmental organizations, and local health care systems play a pivotal role in integrating kidney care into disaster response frameworks. This comprehensive review synthesizes lessons learned from past crises and provides a framework for enhancing acute kidney injury and kidney failure management during disasters. By leveraging innovative technologies, fostering collaboration, and addressing the psychological and logistical needs of patients and providers, the nephrology community can improve care delivery and build resilience for future emergencies.","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 6","pages":"473-478"},"PeriodicalIF":3.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rising From the Storm: Applying Lessons From Disasters. 从风暴中崛起：从灾难中吸取教训。

IF 3.1

Advances in kidney disease and health Pub Date : 2025-11-01 DOI: 10.1053/j.akdh.2026.02.002

Kyung Don Yoo, Hassan Hatim, Ali K Abu-Alfa, Mehmet Sukru Sever

{"title":"Rising From the Storm: Applying Lessons From Disasters.","authors":"Kyung Don Yoo, Hassan Hatim, Ali K Abu-Alfa, Mehmet Sukru Sever","doi":"10.1053/j.akdh.2026.02.002","DOIUrl":"10.1053/j.akdh.2026.02.002","url":null,"abstract":"Disasters, whether natural or man-made, adversely impact patients with kidney diseases, particularly those reliant on dialysis or transplantation, due to disrupted health care systems and limited access to essential therapies. CKD affects approximately 10% of the global population, leaving millions vulnerable during catastrophes. Acute kidney injury is common in disasters, with crush-related acute kidney injury being the most recognized, although other etiologies also contribute. Lessons from past disasters such as earthquakes, hurricanes, and conflicts reveal critical gaps in preparedness and response. Key findings include the importance of early dialysis, efficient logistical planning, and international collaboration. For instance, the Marmara and Kahramanmaras earthquakes underscored the need for rapid hyperkalemia management in crush victims, whereas Hurricane Katrina highlighted the vulnerability of dialysis-dependent patients even in well-developed health care systems. Ethical dilemmas in resource allocation during crises demand transparent and equitable decision-making. This review synthesizes experiences to propose strategies for improving outcomes, including patient education on emergency protocols, enhanced disaster training for health care providers, and robust international partnerships. By applying lessons from past events, the global nephrology community can mitigate risks and improve survival for kidney patients during future disasters.","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 6","pages":"522-528"},"PeriodicalIF":3.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Managing Pediatric Kidney Diseases Amid Disasters: Challenges and Solutions. 在灾难中管理儿科肾脏疾病：挑战和解决方案。

IF 3.1

Advances in kidney disease and health Pub Date : 2025-11-01 DOI: 10.1053/j.akdh.2026.01.004

Sevcan A Bakkaloglu, Ayşe Balat, Rupesh Raina, Mignon McCulloch

{"title":"Managing Pediatric Kidney Diseases Amid Disasters: Challenges and Solutions.","authors":"Sevcan A Bakkaloglu, Ayşe Balat, Rupesh Raina, Mignon McCulloch","doi":"10.1053/j.akdh.2026.01.004","DOIUrl":"10.1053/j.akdh.2026.01.004","url":null,"abstract":"Disasters, including man-made disasters such as armed conflict and natural disasters such as floods, storms, and earthquakes, can impact children's kidney disease. These events are prevalent not only in less well-resourced settings but also in high-income countries. Disruption of infrastructure and sanitation results in limited access to food, water, and medical care which can lead to dehydration and worsen underlying kidney disease. Climate change has also contributed to challenges in providing kidney replacement therapy, as it requires reliable electricity and water supplies. Acute kidney injury is prevalent and requires rapid action for early recognition and management, including improvised techniques for the treatment of crush syndrome. Chronic kidney care for children with pre-existing kidney conditions is also a priority, particularly maintaining access to medications and ensuring uninterrupted dialysis. Education about disaster preparedness for medical professionals, including collaboration and planning among various national and international groups, is essential in managing kidney challenges, especially in children following these unexpected events.","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 6","pages":"500-509"},"PeriodicalIF":3.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Overcoming Logistical Challenges in Kidney Disease Treatment and Workflow Management in Disasters. 克服肾脏疾病治疗中的后勤挑战和灾害中的工作流程管理。

IF 3.1

Advances in kidney disease and health Pub Date : 2025-11-01 DOI: 10.1053/j.akdh.2025.11.002

Judith Exantus, Ewa Pawlowicz-Szlarska, Eiman Hag, Hicham El Berri, Valerie Ann Luyckx

{"title":"Overcoming Logistical Challenges in Kidney Disease Treatment and Workflow Management in Disasters.","authors":"Judith Exantus, Ewa Pawlowicz-Szlarska, Eiman Hag, Hicham El Berri, Valerie Ann Luyckx","doi":"10.1053/j.akdh.2025.11.002","DOIUrl":"10.1053/j.akdh.2025.11.002","url":null,"abstract":"Sustaining dialysis and kidney care services in emergencies is highly dependent on the resilience of the health system and the quality and breadth of predisaster planning. Emergencies tend to occur in regions where health systems are not strong. This multiplies patient vulnerability. Patients with kidney diseases should be prepared in how to react in emergencies to best protect their health and their lives. The logistics of maintaining uninterrupted dialysis and transplant care should not be underestimated. Meeting these needs safely and fast can be enhanced through transparent and constructive engagement with all relevant stakeholders before and during disasters. This relies on robust data on service needs and capacity being available predisaster and the capacity to monitor and respond to the situation as it evolves in real time. Patients who are forced to evacuate may have special needs which require careful planning and reliable information sharing. Kidney care workers must be supported to provide the best possible care under the circumstances and be protected themselves against burnout and moral distress. Data collected about adequacy of responses and lessons learned after disaster can support heath systems resilience, future disaster responsiveness, and more effective postdisaster recovery.","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 6","pages":"479-487"},"PeriodicalIF":3.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Empowering Nephrology Professionals in Disaster Through Training and Capacity Building. 通过培训和能力建设增强灾害中的肾病专业人员的能力。

IF 3.1

Advances in kidney disease and health Pub Date : 2025-11-01 DOI: 10.1053/j.akdh.2025.12.002

Rümeyza Kazancıoğlu, Brett Cullis

引用次数: 0

Resilient Kidney Care in Crises: Practical Experiences, Lessons Learned and Policy Insights. 危机中的弹性肾脏护理：实践经验、教训和政策见解。

IF 2.6

Advances in kidney disease and health Pub Date : 2025-11-01 DOI: 10.1053/j.akdh.2026.01.003

Prakash Gudsoorkar, Sabine Karam, Ali K Abu-Alfa

引用次数: 0

Water and Sanitation Challenges for the Provision of Hemodialysis in Disasters. 灾害中提供血液透析的水和卫生挑战。