International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Oceania and South East Asia

Éthier, Isabelle; Johnson, David W.; Bello, Aminu K.; Ye, Feng; Osman, Mohamed A.; Levin, Adeera; Harris, David C.H.; Kerr, Peter G.; Liew, Adrian; Lunney, Meaghan; Saad, Syed; Zaidi, Deenaz; Khan, Maryam; Jha, Vivekanand; Okpechi, Ikechi G.; Viecelli, Andrea K.

doi:10.1016/j.kisu.2021.01.004

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…The Pacific Islands nations and some lower-middle-income South East Asian countries have limited KRT capacity. These countries have not yet prioritized kidney health at the national level even though CKD has a significant negative impact on death rates and disability-adjusted life years [ 19 ]. Cambodia has recently been able to establish KRT facilities with the help of multilateral partnership and collaboration with organizations (ISN) and neighboring countries (Japan) [ 17 ].…”

Section: Global Kidney Health Atlas: a Spotlight On Asiamentioning

confidence: 99%

Global Kidney Health Atlas: a spotlight on the Asia-Pacific sector

Bharati

Jha

2022

Kidney Res Clin Pract

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Chronic kidney disease (CKD) is a unique public health problem in terms of high expenses required for its management and its increasing worldwide incidence. Understanding the existing structure of CKD treatment and its epidemiology is pivotal for equitable kidney care globally. The Global Kidney Health Atlas (GKHA) was launched by the International Society of Nephrology (ISN) in 2017 as a part of its “Bridging the Gaps” strategy with a vision to understand the global kidney care capacity. Two rounds of GKHA surveys were conducted and published in 2017 and 2019, respectively. The GKHA surveys showed significant variability in kidney care among global regions. Asia is the largest of all continents and distinct for its heterogeneity. The Asia-Pacific sector comprises four main regional constructs of the ISN; North and East Asia, Oceania and South East Asia, South Asia, and the Middle East. Kidney care capacity varies among these regions in terms of government spending, epidemiology of kidney diseases, and workforce availability. In this narrative review, we highlight the differences in kidney care delivery among the regions of the Asia-Pacific sector based on information from GKHA and emphasize the priority areas on which stakeholders should concentrate their efforts.

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Section: Global Kidney Health Atlas: a Spotlight On Asiamentioning

confidence: 99%

Global Kidney Health Atlas: a spotlight on the Asia-Pacific sector

Bharati

Jha

2022

Kidney Res Clin Pract

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“…Moreover, the NGO-UBPI is an academic organization, and we have published papers on our outcomes [3,4] and presented papers at dialysis-related meetings (Figure 4). Such academic activities are important, and ours were recently featured in an ISN public affairs publication [5]. have also been able to conduct activities as part of a Japan International Cooperation Agency (JICA) project.…”

Section: Discussionmentioning

confidence: 99%

Overseas Support in the Field of Vascular Access

Naganuma

Hyodo²,

Hanaoka

et al. 2021

Kidney and Dialysis

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Since joining the Non-Governmental Organization Ubiquitous Blood Purification International in 2014, professionals who are mainly members of the Japanese Society for Dialysis Therapy (JSDT) have worked toward promoting dialysis therapy in several countries through help with organization of local nephrology societies and conducting educational activities. Since 2016, training at our hospital has been provided for doctors and dialysis staff from these countries as part of the activities of the JSDT. These activities also involve technical training for vascular access (VA) surgery and management. To date, lectures and practical teaching on VA procedures have been given in Cambodia and Vietnam, and a hands-on seminar on echo-guided puncture and VA management was held in Mongolia. In Mongolia and Myanmar, a plan to provide systemic VA surgery education has been developed, at the request of local nephrology societies. Doctors and medical staff from Vietnam, Laos, Cambodia, Nepal and Indonesia have visited our hospital and have observed operations as part of their training. To achieve sustainable medical support and academic activities, we have found it to be important to have a counterpart society in each country, and guidance has been provided when required on organization of a national nephrology society.

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“…This retrospective study also represents the first attempt to comprehensively define the incidence of ESKD in Fiji but was limited by incomplete administrative and health records (5). Estimates suggest the overall prevalence of CKD may be the third highest in the Oceania and Southeast Asia region, at 14% (7), but limited data are available on the prevalence of milder stages of CKD in Fiji. Although regular measurement of serum creatinine and creatinine clearance became available in the early 1970s (8), interruptions in the supply of reagents, the use of older assay methods, and uncertainty regarding the accuracy of results in public laboratories continue to be major challenges to reliable CKD detection, monitoring, and clinical research.…”

Section: Ckdmentioning

confidence: 99%

“…The number of nephrologists in Fiji has increased from one to three in the last 2 years, equating to approximately 3.3 pmp. Although this is more than most neighboring Pacific Islands, it remains below the median nephrology workforce for the Oceania and Southeast Asia region (5.66 pmp; interquartile range, 1.08–16.59) (7). Local and international training, including the ISN Fellowship Program, have supported nephrology in Fiji, but low wages and high migration present challenges to maintaining consistency.…”

Section: Kidney Care In Fijimentioning

confidence: 99%