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

  • Author Footnotes
    32 LZ and JW contributed equally to this work.
    Luxia Zhang
    Footnotes
    32 LZ and JW contributed equally to this work.
    Affiliations
    Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China

    Peking University Institute of Nephrology, Peking University, Beijing, China

    Key Laboratory of Renal Disease, National Health and Family Planning Commission of China, Beijing, China

    Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Ministry of Education of China, Beijing, China

    Center for Data Science in Health and Medicine, Peking University, Beijing, China

    National Institute of Health Data Science at Peking University, Beijing, China

    Research Units of Diagnosis and Treatment of Immune-Mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China
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  • Author Footnotes
    32 LZ and JW contributed equally to this work.
    Jinwei Wang
    Footnotes
    32 LZ and JW contributed equally to this work.
    Affiliations
    Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China

    Peking University Institute of Nephrology, Peking University, Beijing, China

    Key Laboratory of Renal Disease, National Health and Family Planning Commission of China, Beijing, China

    Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Ministry of Education of China, Beijing, China

    Research Units of Diagnosis and Treatment of Immune-Mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing, China
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  • Chih-Wei Yang
    Affiliations
    Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
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  • Sydney Chi-wai Tang
    Affiliations
    Division of Nephrology, Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China
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  • Naoki Kashihara
    Affiliations
    Department of Nephrology and Hypertension, Kawasaki Medical School, Okayama, Japan
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  • Yong-soo Kim
    Affiliations
    Division of Nephrology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
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  • Ariunaa Togtokh
    Affiliations
    Division of Nephrology, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
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  • Syed Saad
    Affiliations
    Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
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  • Feng Ye
    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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  • Meaghan Lunney
    Affiliations
    Department of Community Health Sciences, 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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  • 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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  • 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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  • Author Footnotes
    33 DWJ and AKB are co-chairs for the International Society of Nephrology Global Kidney Health Atlas Project.
    David W. Johnson
    Footnotes
    33 DWJ and AKB 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
    33 DWJ and AKB are co-chairs for the International Society of Nephrology Global Kidney Health Atlas Project.
    Aminu K. Bello
    Footnotes
    33 DWJ and AKB 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, Canada
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  • Ming-hui Zhao
    Correspondence
    Correspondence: Ming-Hui Zhao, Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China.
    Affiliations
    Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China

    Peking University Institute of Nephrology, Peking University, Beijing, China

    Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Ministry of Education of China, Beijing, China

    Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China

    Peking-Tsinghua Center for Life Sciences, Beijing, China
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  • on behalf of theISN North and East Asia Regional Board
  • Author Footnotes
    32 LZ and JW contributed equally to this work.
    33 DWJ and AKB are co-chairs for the International Society of Nephrology Global Kidney Health Atlas Project.
      Kidney failure (KF) is a public health problem in all regions of the world. We aim to provide comprehensive information regarding the disease burden of KF and capacity for providing optimal care in the International Society of Nephrology North and East Asia region based on data from the International Society of Nephrology Global Kidney Health Atlas project. Seven of eight jurisdictions participated, and wide variation was found in terms of KF burden and care capacity. Prevalence of long-term dialysis ranged from 88.4 per million population in mainland China to 3251 per million population in Taiwan. Hemodialysis was the predominant modality of dialysis in all jurisdictions, except for Hong Kong, where peritoneal dialysis (PD) was much more prevalent than hemodialysis. All jurisdictions provided public funding for kidney replacement therapy (dialysis and transplantation). Although the frequency and duration of hemodialysis followed a standard pattern in all investigated jurisdictions, the density of nephrologists and kidney replacement therapy centers varied according to income level. Conservative care, whether medically advised or chosen by patients, was available in most jurisdictions. All jurisdictions had official registries for KF and recognized KF as a health priority. These comprehensive data provide information about the burden of KF and capacity to provide optimal care in North and East Asia, which varied greatly across jurisdictions in the region.

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