International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Newly Independent States and Russia

  • Elena Zakharova
    Affiliations
    Department of Nephrology, Moscow City Hospital named after S.P. Botkin, Moscow, Russian Federation

    Department of Nephrology, Moscow State University of Medicine and Dentistry, Moscow, Russian Federation

    Department of Nephrology, Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation
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  • Abduzhappar Gaipov
    Affiliations
    Department of Clinical Sciences, Nazarbayev University School of Medicine, Nur-Sultan, Kazakhstan
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  • Author Footnotes
    25 AKB and DWG are co-chairs for International Society of Nephrology Global Kidney Health Atlas Project.
    Aminu K. Bello
    Footnotes
    25 AKB and DWG are co-chairs for International Society of Nephrology Global Kidney Health Atlas Project.
    Affiliations
    Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
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  • Author Footnotes
    25 AKB and DWG are co-chairs for International Society of Nephrology Global Kidney Health Atlas Project.
    David W. Johnson
    Footnotes
    25 AKB and DWG are co-chairs for International Society of Nephrology Global Kidney Health Atlas Project.
    Affiliations
    Department of Nephrology, Metro South and Ipswich Nephrology and Transplant Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia

    Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital, Brisbane, Queensland, Australia

    Translation Research Institute, Brisbane, Queensland, Australia
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  • Vivekanand Jha
    Affiliations
    George Institute for Global Health, University of New South Wales, New Delhi, India

    School of Public Health, Imperial College, London, UK

    Manipal Academy of Higher Education, Manipal, India
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  • David C.H. Harris
    Affiliations
    Centre for Transplantation and Renal Research, The Westmead Institute for Medical Research, University of Sydney, Westmead, New South Wales, Australia
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  • Adeera Levin
    Affiliations
    Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
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  • Syed Saad
    Affiliations
    Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
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  • Maryam Khan
    Affiliations
    Faculty of Science, University of Alberta, Edmonton, Alberta, Canada
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  • Deenaz Zaidi
    Affiliations
    Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
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  • Mohamed A. Osman
    Affiliations
    Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada
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  • Feng Ye
    Affiliations
    Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
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  • Meaghan Lunney
    Affiliations
    Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
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  • Marcello Tonelli
    Affiliations
    Department of Medicine, University of Calgary, Calgary, Alberta, Canada

    Pan-American Health Organization/World Health Organization’s Collaborating Centre in Prevention and Control of Chronic Kidney Disease, University of Calgary, Calgary, Alberta, Canada
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  • Ikechi G. Okpechi
    Affiliations
    Department of Medicine, University of Alberta, Edmonton, Alberta, Canada

    Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa

    Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa
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  • Alexander Zemchenkov
    Affiliations
    Department of Internal Disease, Clinical Pharmacology and Nephrology, North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia

    Department of Nephrology and Dialysis, Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia
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  • Irma Tchokhonelidze
    Correspondence
    Correspondence: Irma Tchokhonelidze, High Technology Medical Center University Clinic, Tbilisi State Medical University, Tbilisi, Georgia.
    Affiliations
    High Technology Medical Center University Clinic, Tbilisi State Medical University, Tbilisi, Georgia
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  • on behalf of theISN Newly Independent States and Russia Regional Board
  • Author Footnotes
    25 AKB and DWG are co-chairs for International Society of Nephrology Global Kidney Health Atlas Project.
      The International Society of Nephrology Global Kidney Health Atlas analyzed the current state of kidney care in Newly Independent States and Russia. Our results demonstrated that the Newly Independent States and Russia region was not an exception and showed the same effect of chronic kidney disease on health and its outcomes, facing many difficulties and challenges in terms of improving kidney care across the countries. This work summarized and presented demographics, health information systems, statistics, and national health policy of the region, as well as characteristics of the burden of chronic kidney disease and kidney failure (KF) of participating countries. Besides significant economic advancement in the region, the collected data revealed existing shortage in KF care providers, essential medications, and health product access for KF care. Moreover, there was low reporting of kidney replacement therapy (dialysis and kidney transplantation) quality indicators and low capacity for long-term hemodialysis, peritoneal dialysis, and kidney transplantation. The financial issues and funding structures for KF care across the region needs strategic support for fundamental changes and further advancement. This article emphasizes the urgent need for further effective regional and international collaborations and partnership for establishment of universal health care systems for KF management.

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