Increasing access to integrated ESKD care as part of universal health coverage

被引：112

作者：

Harris, David C. H. ^{[1
]}

Davies, Simon J. ^{[2
,4
]}

Finkelstein, Fredric O. ^{[3
]}

Jha, Vivekanand ^{[4
,5
]}

Donner, Jo-Ann ^{[6
]}

Abraham, Georgi ^{[7
]}

Bello, Aminu K. ^{[8
]}

Caskey, Fergus J. ^{[9
,10
,11
]}

Garcia Garcia, Guillermo ^{[12
]}

Harden, Paul ^{[13
]}

Hemmelgarn, Brenda ^{[14
,15
]}

Johnson, David W. ^{[16
,17
,18
]}

Levin, Nathan W. ^{[19
]}

Luyckx, Valerie A. ^{[20
,21
]}

Martin, Dominique E. ^{[22
]}

McCulloch, Mignon I. ^{[23
]}

Moosa, Mohammed Rafique ^{[24
,25
]}

O'Connell, Philip J. ^{[26
,27
]}

Okpechi, Ikechi G. ^{[28
,29
]}

Pecoits Filho, Roberto ^{[30
,31
]}

Shah, Kamal D. ^{[32
]}

Sola, Laura ^{[33
]}

Swanepoel, Charles ^{[34
]}

Tonelli, Marcello ^{[35
]}

Twahir, Ahmed ^{[36
,37
]}

van Biesen, Wim ^{[38
]}

Varghese, Cherian ^{[39
]}

Yang, Chih-Wei ^{[40
]}

Zuniga, Carlos ^{[41
]}

Abu Alfa, Ali K. ^{[42
]}

Aljubori, Harith M. ^{[43
]}

Alrukhaimi, Mona N. ^{[44
]}

Andreoli, Sharon P. ^{[45
]}

Ashuntantang, Gloria ^{[46
]}

Bellorin-Font, Ezequiel ^{[47
]}

Bernieh, Bassam ^{[48
,49
]}

Ibhais, Fuad M. ^{[50
]}

Blake, Peter G. ^{[51
,52
,53
]}

Brown, Mark ^{[54
]}

Brown, Edwina ^{[55
]}

Bunnag, Sakarn ^{[56
]}

Chan, Tak Mao ^{[57
]}

Chen, Yuqing ^{[58
,59
,60
]}

Claure-Del Granado, Rolando ^{[61
]}

Claus, Stefaan ^{[62
]}

Collins, Allan ^{[63
,64
]}

Coppo, Rosanna ^{[65
]}

Couchoud, Cecile ^{[66
]}

Cueto-Manzano, Alfonso ^{[67
]}

Cullis, Brett ^{[68
]}

机构：

[1] Univ Sydney, Westmead Inst Med Res, Ctr Transplantat & Renal Res, Sydney, NSW, Australia

[2] Keele Univ, Fac Med & Hlth Sci, Keele, Staffs, England

[3] Yale Univ, Dept Med, New Haven, CT 06520 USA

[4] George Inst Global Hlth India, New Delhi, India

[5] Univ Oxford, Oxford, England

[6] Int Soc Nephrol, Brussels, Belgium

[7] Madras Med Mission Hosp, Pondicherry Inst Med Sci, Nephrol Div, Chennai, Tamil Nadu, India

[8] Univ Alberta, Dept Med, Edmonton, AB, Canada

[9] Southmead Hosp, UK Renal Registry, Learning & Res, Bristol, Avon, England

[10] Univ Bristol, Populat Hlth Sci, Bristol, Avon, England

[11] North Bristol NHS Trust, Southmead Hosp, Richard Bright Renal Unit, Bristol, Avon, England

[12] Univ Guadalajara, Hlth Sci Ctr, Hosp Civil Guadalajara Fray Antonio Alcalde, Serv Nefrol,Hosp 278, Guadalajara, Jalisco, Mexico

[13] Oxford Univ Hosp NHS Fdn Trust, Oxford Kidney Unit, Oxford, England

[14] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

[15] Univ Calgary, Dept Med, Calgary, AB, Canada

[16] Univ Queensland, Ctr Kidney Dis Res, Brisbane, Qld, Australia

[17] Translat Res Inst, Brisbane, Qld, Australia

[18] Princess Alexandra Hosp, Metro South & Ipswich Nephrol & Transplant Serv M, Brisbane, Qld, Australia

[19] Icahn Sch Med Mt Sinai, New York, NY 10029 USA

[20] Univ Zurich, Inst Biomed Eth, Zurich, Switzerland

[21] Harvard Med Sch, Brigham & Womens Hosp, Div Renal, Boston, MA 02115 USA

[22] Deakin Univ, Sch Med, Melbourne, Vic, Australia

[23] Univ Cape Town, Red Cross War Mem Childrens Hosp, Paediat Intens & Crit Unit, Cape Town, South Africa

[24] Stellenbosch Univ, Fac Med & Hlth Sci, Dept Med, Div Nephrol, Cape Town, South Africa

[25] Tygerberg Acad Hosp, Cape Town, South Africa

[26] Univ Sydney, Westmead Hosp, Renal Unit, Sydney, NSW, Australia

[27] Westmead Inst Med Res, Westmead Clin Sch, Westmead, NSW, Australia

[28] Univ Cape Town, Div Nephrol & Hypertens, Cape Town, South Africa

[29] Univ Cape Town, Kidney & Hypertens Res Unit, Cape Town, South Africa

[30] Pontificia Univ Catolica Parana, Sch Med, Curitiba, Parana, Brazil

[31] Arbor Res Collaborat Hlth, Ann Arbor, MI USA

[32] NephroPlus Dialysis Ctr, Hyderabad, Telangana, India

[33] CASMU IAMPP, Dialysis Unit, Montevideo, Uruguay

[34] Univ Cape Town, Fac Hlth Sci, Dept Med, Div Nephrol & Hypertens, Cape Town, South Africa

[35] Univ Calgary, Dept Med, Calgary, AB, Canada

[36] Parklands Kidney Ctr, Nairobi, Kenya

[37] Aga Khan Univ Hosp, Dept Med, Nairobi, Kenya

[38] Ghent Univ Hosp, Dept Nephrol, Ghent, Belgium

[39] World Hlth Org, Geneva, Switzerland

[40] Chang Gung Univ, Chang Gung Mem Hosp, Coll Med, Kidney Res Ctr,Dept Nephrol, Taoyuan, Taiwan

[41] Catholic Univ Santisima Concepcion, Sch Med, Concepcion, Chile

[42] Amer Univ Beirut, Dept Internal Med, Div Nephrol & Hypertens, Beirut, Lebanon

[43] Alqassimi Hosp, Dept Nephrol, Sharjah, U Arab Emirates

[44] Dubai Med Coll, Dept Med, Dubai, U Arab Emirates

[45] Indiana Univ, Med Ctr, Dept Pediat, Pediat Nephrol, Indianapolis, IN USA

[46] Univ Yaounde, Yaounde Gen Hosp, Fac Med & Biomed Sci, Yaounde 1, Cameroon

[47] St Louis Univ, Dept Med, Div Nephol & Hypertens, St Louis, MO 63103 USA

[48] HHD Home Dialysis, Al Ain, U Arab Emirates

[49] Heart Med Ctr, Al Ain, U Arab Emirates

[50] Yatta Govt Hosp, Yatta, Palestine

来源：

KIDNEY INTERNATIONAL | 2019年 / 95卷 / 04期

关键词：

advocacy; conservative care; dialysis; end-stage kidney disease; ESKD; funding; training; transplantation; universal health coverage; CHRONIC KIDNEY-DISEASE; STAGE RENAL-DISEASE; INCIDENT DIALYSIS PATIENTS; PERITONEAL-DIALYSIS; REPLACEMENT THERAPY; SUPPORTIVE CARE; COMPARATIVE SURVIVAL; DEVELOPING-COUNTRIES; WEEKLY HEMODIALYSIS; RATIONING DIALYSIS;

D O I：

10.1016/j.kint.2018.12.005

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The global nephrology community recognizes the need for a cohesive strategy to address the growing problem of end-stage kidney disease (ESKD). In March 2018, the International Society of Nephrology hosted a summit on integrated ESKD care, including 92 individuals from around the globe with diverse expertise and professional backgrounds. The attendees were from 41 countries, including 16 participants from 11 low- and lower-middle-income countries. The purpose was to develop a strategic plan to improve worldwide access to integrated ESKD care, by identifying and prioritizing key activities across 8 themes: (i) estimates of ESKD burden and treatment coverage, (ii) advocacy, (iii) education and training/workforce, (iv) financing/funding models, (v) ethics, (vi) dialysis, (vii) transplantation, and (viii) conservative care. Action plans with prioritized lists of goals, activities, and key deliverables, and an overarching performance framework were developed for each theme. Examples of these key deliverables include improved data availability, integration of core registry measures and analysis to inform development of health care policy; a framework for advocacy; improved and continued stakeholder engagement; improved workforce training; equitable, efficient, and cost-effective funding models; greater understanding and greater application of ethical principles in practice and policy; definition and application of standards for safe and sustainable dialysis treatment and a set of measurable quality parameters; and integration of dialysis, transplantation, and comprehensive conservative care as ESKD treatment options within the context of overall health priorities. Intended users of the action plans include clinicians, patients and their families, scientists, industry partners, government decision makers, and advocacy organizations. Implementation of this integrated and comprehensive plan is intended to improve quality and access to care and thereby reduce serious health-related suffering of adults and children affected by ESKD worldwide.

引用

页码：S1 / S33

页数：33

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