An effective approach to chronic kidney disease in South Africa

Moosa, Mohammed Rafique; Meyers, A. M.; Gottlich, Errol; Naicker, Saraladevi

doi:10.7196/samj.2016.v106i2.9928

Cited by 24 publications

(30 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A summit meeting was recently held between stakeholders in the care of patients with ESRF and the South African National Department of Health. From this meeting a report was issued which highlighted the gross deficiency of RRT and placed much of the onus of improving access to RRT on the South African government . Some initiatives may improve the treatment of ESRF in future.…”

Section: Discussionmentioning

confidence: 99%

The state of renal replacement therapy for children in South Africa: Data from the first report of the re‐established National Renal Registry

Biljon

Karusseit

2017

Nephrology

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

The state of renal replacement therapy for children in South Africa: Data from the first report of the re‐established National Renal Registry

Biljon

Karusseit

2017

Nephrology

View full text Add to dashboard Cite

show abstract

“…SA nephrologists report on a summit that Moosa et al [17] ('An effective approach to chronic kidney disease in South Africa') claim marks the first step in a process that, it is hoped, will ultimately culminate in universal access to renal replacement treatment for all South Africans.…”

Section: Transplantation In Samentioning

confidence: 99%

Ed's Choice

Seggie

2016

S Afr Med J

View full text Add to dashboard Cite

“…HIV-associated renal diseases overwhelm acute, chronic, and predialysis renal services. This has placed an enormous strain on a health system already struggling under the pressure of restricted resources and compounded by a coexisting tuberculosis epidemic [15]. Renal involvement occurs due to HIV itself or/and due to the opportunistic infections frequently accompanying HIV infection (as well as the drugs used in treatment).…”

Section: Predialysis Carementioning

confidence: 99%

Nephrology in South Africa: Not Yet <b><i>ubuntu</i></b>

2019

View full text Add to dashboard Cite

Background: South Africa (SA) is an upper middle-income country with a human immunodeficiency virus (HIV) epidemic, an accelerated burden of non-communicable diseases, and a concurrent epidemic of tuberculosis. These conditions overwhelm a health system struggling under the pressure of restricted resources, including an insufficient workforce. Private practice has become more involved in the care of patients in the country but serves mainly those who are members of a Medical Aid. These Medical Aids will usually cover up to 100% of the costs for management of chronic kidney disease (CKD). Summary: There are currently 2.3 nephrologists per million individuals, which is far lower than the global average and grossly inadequate to meet the nephrology care needs in SA. Covert chronic dialysis rationing has occurred in the public sector since the 1960s. However, the lack of formality triggered the formation of explicit rationing guidelines in one province. These guidelines have been ethically endorsed but not embraced nationally. The demand for hemodialysis (HD) has led some provinces to practicing “PD-First” programs. SA remains one of only 12 countries within Africa that perform renal transplantation, and it is the only country in Africa that relies on deceased donation for the majority of its transplants. The first kidney transplant in SA took place at the University of the Witwatersrand, Johannesburg, in 1966 and the first dialysis was performed by a general practitioner working in a town close to Johannesburg in 1957. The University of Cape Town successfully pioneered the transplantation of kidneys from HIV-positive donors to positive recipients. SA was the second country in the world to form a National Kidney Foundation as well as a renal society. Nephrology training is in place and incorporates master’s and PhD programs in nephrology. Despite the numerous challenges, SA nephrologists have been among the leading researchers in nephrology from the African continent.

show abstract

An effective approach to chronic kidney disease in South Africa

Cited by 24 publications

References 15 publications

The state of renal replacement therapy for children in South Africa: Data from the first report of the re‐established National Renal Registry

The state of renal replacement therapy for children in South Africa: Data from the first report of the re‐established National Renal Registry

Ed's Choice

Nephrology in South Africa: Not Yet <b><i>ubuntu</i></b>

Contact Info

Product

Resources

About