国际肾脏病学会东欧和中欧地区肾衰竭管理能力:2023 年国际肾脏病学会全球肾脏健康地图集(ISN-GKHA)报告

IF 19.3 2区 医学 Q1 UROLOGY & NEPHROLOGY
Caner Alparslan , Jolanta Malyszko , Fergus J. Caskey , Mirna Aleckovic-Halilovic , Zdenka Hrušková , Silvia Arruebo , Aminu K. Bello , Sandrine Damster , Jo-Ann Donner , Vivekanand Jha , David W. Johnson , Adeera Levin , Charu Malik , Masaomi Nangaku , Ikechi G. Okpechi , Marcello Tonelli , Feng Ye , Vladimir Tesar , Sanjin Racki , Deenaz Zaidi
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引用次数: 0

摘要

在全球范围内,肾衰竭(KF)护理服务的提供存在很大差距;甚至在一些国家,肾衰竭意味着患者生命的终结。国际肾脏病学会全球肾脏健康图集(ISN-GKHA)试图解决肾衰竭护理方面的差距,并使全球肾脏病护理标准化。在第三版 ISN-GKHA 中,我们提供了 ISN 东欧和中欧地区国家的数据。慢性肾脏病的中位患病率(12.8%)和接受过治疗的 KF 的中位患病率(873.5 pmp)分别高于全球患病率。在成人中,血液透析是治疗 KF 的首选方式,而在儿童中,肾脏替代疗法更为均衡。尽管该地区大多数国家的收入水平处于中下和中上水平,但肾脏保健的医疗支出几乎普遍由政府承担。在所有国家,肾科医生都负责为 KF 患者提供肾脏医疗服务。该地区有足够的基础设施来提供各种肾脏护理治疗。肥胖率高、吸烟率高、巴尔干肾病是地方病等地区特点,再加上劳动力和资金短缺,继续对该地区的肾脏护理产生不利影响。通过做出组织和立法安排,与国家当局和协会建立伙伴关系,可加快改善该地区的肾脏保健。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Capacity for the management of kidney failure in the International Society of Nephrology Eastern and Central Europe region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)

Delivery of care for kidney failure (KF) globally has a significant disparity; even in some countries, it means end of life for the person. The International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) tries to address gaps in KF care and standardize global nephrology care. From the third iteration of the ISN-GKHA, we present data for countries in the ISN Eastern and Central Europe region. The median prevalences of chronic kidney disease (12.8%) and treated KF (873.5 pmp) were higher than the global rates, respectively. Hemodialysis was the most preferred modality for KF in adults, whereas kidney replacement therapy was more balanced in children. Although most of the countries in the region had lower-middle–income and upper-middle–income levels, health expenditures for kidney health care were almost generally covered publicly. Nephrologists were responsible for the medical kidney care of people with KF in all countries. There was adequate infrastructure to provide all kinds of treatment for kidney care in the region. Regional characteristics such as high levels of obesity, smoking, and Balkan nephropathy as an endemic disease coupled with a shortage of workforce and finance continued to affect kidney care in the region negatively. By making organizational and legislative arrangements, partnerships with national authorities and societies may accelerate the improvement of kidney health care in the region.

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来源期刊
Kidney International Supplements
Kidney International Supplements UROLOGY & NEPHROLOGY-
CiteScore
11.80
自引率
0.00%
发文量
13
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.
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