Disparities in Access to Kidney Transplantation in Developing Countries

Elrggal, Mohamed E; Bek, Sibel Gökçay; Shendi, Ali; Tannor, Elliot Koranteng; Nlandu, Yannick Mayamba; Gaipov, Abduzhappar

doi:10.1097/tp.0000000000003585

Cited by 14 publications

(7 citation statements)

References 10 publications

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“…In some regions, the uptake of kidney transplantation and home dialysis is low either due to lack of availability ( Table 1 ) or significant cultural and religious barriers. 30 In Lebanon, deceased organ donation is commonly refused because of unfamiliarity with the concept of brain death, denial, and the expectation of a miracle. In some regions, conservative kidney care management is not pursued as it is perceived to be a pathway of abandonment.…”

Section: Barriers To Implementing Environmentally Sustainable Kidney ...mentioning

confidence: 99%

Challenges to Implementing Environmentally Sustainable Kidney Care in LMICs: An Opinion Piece

Bajpai,

Hailu,

Bagasha

et al. 2024

Can J Kidney Health Dis

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Section: Barriers To Implementing Environmentally Sustainable Kidney ...mentioning

confidence: 99%

Challenges to Implementing Environmentally Sustainable Kidney Care in LMICs: An Opinion Piece

Bajpai,

Hailu,

Bagasha

et al. 2024

Can J Kidney Health Dis

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“…African countries face many challenges with kidney transplantation. These include poor public knowledge of the importance of organ donation, organ shortages, limited acceptance of deceased organs, cultural, religious and spiritual barriers, the unavailability of trained transplant teams and the absence of an established legal framework [36]. Other challenges include organ trafficking, insufficient health expenditure and lack of tissue typing in transplant patients' work-up.…”

Section: Low Transplant Ratesmentioning

confidence: 99%

“…Governments need to be encouraged to reimburse providers of RRT to make dialysis services more available to reduce morbidity and mortality. Improving infrastructure, expanding the nephrology workforce, promoting organ donors and better community education are ways we propose to improve dialysis and transplant rates in Africa [36].…”

Section: Improving Access To Renal Replacement Therapymentioning

confidence: 99%

Kidney Health for All – Bridging the gap to better kidney care in Africa

Tannor

Nlandu

Elrggal³

et al. 2022

AJN

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Introduction: The prevalence of chronic kidney disease (CKD) in Africa is generally higher than global averages. Moreover, the management of patients with CKD suffers huge disparities compared to the rest of the world. We reviewed the literature on the major challenges in the management of kidney disease in Africa and suggest ways to bridge the gap for better kidney care on the African continent. Results and recommendations: The prevalence of CKD in Africa is 15.8%. Kidney failure is associated with increased morbidity and mortality as a result of limited infrastructure and out-of-pocket payment for renal replacement therapy in most parts of the continent. The increasing prevalence of CKD results from epidemiological transition with increasing non-communicable diseases (NCDs) and established communicable diseases. Furthermore, Africa has unique risk factors and causes of kidney disease such as sickle cell disease, APOL1 risk alleles, and chronic infections such HIV, and hepatitis B and C. Challenges facing kidney care in Africa include poverty, weak health systems, inadequate primary health care, misplaced priorities by political leaders, a relatively low nephrology workforce, poor identification of acute kidney injury (AKI), low transplantation rates as well as a lack of sustainable prevention policies and renal registries. To bridge the gap to better kidney care, there should be more community engagement, advocacy for increased government support into kidney care, comprehensive renal registries, training of a greater nephrology workforce, task shifting of nephrology services to non-nephrologists, expanded access to renal replacement therapy and promotion of organ donation. Conclusion: Africa needs greater investment in kidney health. Keywords: chronic kidney disease, Africa, sub-saharan Africa, Kidney failure, kidney health

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“…Approximately 30,000 people in the UK were reported as receiving dialysis in 2023, with a yearly rate of 3,000 transplant recipients [3]. Inequities in access to renal transplantation, the optimal form of renal replacement therapy, have been documented for decades [4][5][6][7][8]. These imbalances have been associated with sociocultural factors such as gender, race/ethnicity, income status, and immigrant status.…”

Section: Introductionmentioning

confidence: 99%

Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality

Nonterah

2024

Transpl Int

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Patients from minoritized backgrounds based on race/ethnicity, gender, sexuality, and other social identities are more likely to experience inequities in access in kidney transplantation. Although these inequities have been reported over the decades, limited research focuses on the experiences of patients with intersecting minoritized social statuses and the mechanisms that contribute to their reduced access to transplantation. Intersectionality, a framework for understanding the ways in which multiple social identities represent interacting systems of oppression and privilege, offers a nuanced approach for understanding the experiences of patients diagnosed with end-stage organ disease with intersecting social identities. This article outlines complex systems that perpetuate inequities by highlighting the value of intersectionality in studying disparate outcomes to transplant and providing recommendations for the transplant community. This article aligns with the ESOT call for action to promote equity in transplantation worldwide.

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Disparities in Access to Kidney Transplantation in Developing Countries

Cited by 14 publications

References 10 publications

Challenges to Implementing Environmentally Sustainable Kidney Care in LMICs: An Opinion Piece

Challenges to Implementing Environmentally Sustainable Kidney Care in LMICs: An Opinion Piece

Kidney Health for All – Bridging the gap to better kidney care in Africa

Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality

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