TY - JOUR
T1 - Burden, access, and disparities in kidney disease
AU - for the World Kidney Day Steering Committee
AU - Crews, Deidra C.
AU - Bello, Aminu K.
AU - Saadi, Gamal
N1 - Funding Information:
The authors thank the Global Kidney Health Atlas Team, M. Lunney, and M.A. Osman.
Publisher Copyright:
© 2019, World Kidney Day 2019 Steering Committee.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Kidney disease is a global public health problem, affecting over 750 million persons worldwide. The burden of kidney disease varies substantially across the world, as does its detection and treatment. In many settings, rates of kidney disease and the provision of its care are defined by socio-economic, cultural, and political factors leading to significant disparities. World Kidney Day 2019 offers an opportunity to raise awareness of kidney disease and highlight disparities in its burden and current state of global capacity for prevention and management. Here, we highlight that many countries still lack access to basic diagnostics, a trained nephrology workforce, universal access to primary health care, and renal replacement therapies. We point to the need for strengthening basic infrastructure for kidney care services for early detection and management of acute kidney injury and chronic kidney disease across all countries and advocate for more pragmatic approaches to providing renal replacement therapies. Achieving universal health coverage worldwide by 2030 is one of the World Health Organization’s Sustainable Development Goals. While universal health coverage may not include all elements of kidney care in all countries, understanding what is feasible and important for a country or region with a focus on reducing the burden and consequences of kidney disease would be an important step toward achieving kidney health equity.
AB - Kidney disease is a global public health problem, affecting over 750 million persons worldwide. The burden of kidney disease varies substantially across the world, as does its detection and treatment. In many settings, rates of kidney disease and the provision of its care are defined by socio-economic, cultural, and political factors leading to significant disparities. World Kidney Day 2019 offers an opportunity to raise awareness of kidney disease and highlight disparities in its burden and current state of global capacity for prevention and management. Here, we highlight that many countries still lack access to basic diagnostics, a trained nephrology workforce, universal access to primary health care, and renal replacement therapies. We point to the need for strengthening basic infrastructure for kidney care services for early detection and management of acute kidney injury and chronic kidney disease across all countries and advocate for more pragmatic approaches to providing renal replacement therapies. Achieving universal health coverage worldwide by 2030 is one of the World Health Organization’s Sustainable Development Goals. While universal health coverage may not include all elements of kidney care in all countries, understanding what is feasible and important for a country or region with a focus on reducing the burden and consequences of kidney disease would be an important step toward achieving kidney health equity.
KW - Acute kidney injury
KW - End stage renal disease
KW - Global health
KW - Health equity
KW - Social determinants of health
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U2 - 10.1007/s00467-019-4197-2
DO - 10.1007/s00467-019-4197-2
M3 - Editorial
C2 - 30758679
AN - SCOPUS:85061479189
SN - 0931-041X
VL - 34
SP - 541
EP - 548
JO - Pediatric Nephrology
JF - Pediatric Nephrology
IS - 4
ER -