拉丁美洲慢性肾脏疾病和肾衰竭患者孕期护理的可及性：国际比较的最新进展

IF 3.5 3区医学 Q2 UROLOGY & NEPHROLOGY

Seminars in nephrology Pub Date : 2025-01-01 DOI:10.1016/j.semnephrol.2025.151610

Alejandra Orozco MSc , Rasha Shemies MD , Luis Enrique Álvarez Rangel MD , Hernan Trimarchi MD , Guilherme Ribeiro Ramirez de Jesus MD , Iasmina M. Craici MD , Alice Schmidt MD , Ghada Ankawi MD , Nada Sellami MD , I Wen Wu MD , Wisit Cheungpasitporn MD , Natalia Kozlovskaya MD , Elena Zakharova MD, PhD , Ifeoma I. Ulasi MD , Shilpanjali Jesudason MD , Giorgina Barbara Piccoli MD, PhD

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引用次数: 0

摘要

与许多其他中低收入国家一样，获得肾脏护理在拉丁美洲也是一个问题。在包括北美（墨西哥）和中南美洲在内的世界广大地区，不均衡的获取和严重的保健质量差异困扰着这一地区。妊娠期间获得肾脏护理可被视为肾脏病学总体成就和需求的标志。我们建议在评估卫生保健系统时，应该系统地考虑和比较这一问题。如果做到了这一点，怀孕将成为人们关注的焦点，这将提高人们对需要处理的问题的认识，并可以指导干预措施，改善年轻女性的肾脏护理。这篇综述讨论了一些流行病学和临床问题，以及在墨西哥和其他拉丁美洲国家遇到的慢性肾脏疾病患者妊娠最佳护理的障碍，并简要概述了其他大陆的障碍和挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Access to Care During Pregnancy for Patients With Chronic Kidney Disease and Kidney Failure in Latin America: A State of the Art with an International Comparison

Access to kidney care is a problem in Latin America, similar to many other low- to medium-income countries. Uneven access and deep discrepancies in quality of care beset this large part of the world that encompasses North America (Mexico) and Central and South America.

Access to kidney care during pregnancy can be seen as a marker of overall achievements and needs in nephrology. We suggest that this issue should be systematically considered and compared across settings when health care systems are evaluated. If this were done, pregnancy would be in the spotlight, and this would increase awareness of the problems that need to be dealt with and could guide interventions to improve kidney care in young women.

This review discusses some epidemiological and clinical issues, as well as barriers to optimal care of pregnancy in patients with chronic kidney disease encountered in Mexico and other Latin American countries, contextualized with a brief overview on barriers and challenges in other continents.

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来源期刊

Seminars in nephrology 医学-泌尿学与肾脏学

CiteScore

5.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Seminars in Nephrology is a timely source for the publication of new concepts and research findings relevant to the clinical practice of nephrology. Each issue is an organized compendium of practical information that serves as a lasting reference for nephrologists, internists and physicians in training.