Understanding distribution and variability in care organization and services for the management of kidney care across world regions

  • Author Footnotes
    13 AKB and DWJ are co-chairs for the International Society of Nephrology Global Kidney Health Atlas Project.
    Aminu K. Bello
    Correspondence
    Correspondence: Aminu Bello, Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
    Footnotes
    13 AKB and DWJ are co-chairs for the 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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  • 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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  • 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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  • Author Footnotes
    13 AKB and DWJ are co-chairs for the International Society of Nephrology Global Kidney Health Atlas Project.
    David W. Johnson
    Footnotes
    13 AKB and DWJ are co-chairs for the 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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  • Author Footnotes
    13 AKB and DWJ are co-chairs for the International Society of Nephrology Global Kidney Health Atlas Project.
      Chronic kidney disease (CKD) is a major global public health problem. In 2017, CKD affected nearly 700 million people and caused approximately 1.2 million deaths worldwide.
      • Bikbov B.
      • Purcell C.
      • Levey A.
      • et al.
      Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.
      Progression of CKD to kidney failure is associated with significant morbidity, loss of life years, reduced quality of life, increased cost of treatment, and death. The International Society of Nephrology (ISN), the world’s umbrella nephrology body, continues to engage in advocacy for implementation of innovative strategies to improve care for patients with kidney disease worldwide. Significant variations exist in the availability and accessibility of kidney care services, yet reliably quantifying these gaps, especially between countries at different levels of development, has been an ongoing challenge. The ISN has recognized the need to identify these gaps as an initial step toward fulfilling its mandate of improving kidney care around the world.
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