The state of the global nephrology workforce: a joint ASN–ERA-EDTA–ISN investigation

Sozio, Stephen M.; Pivert, Kurtis; Caskey, Fergus; Levin, Adeera

doi:10.1016/j.kint.2021.07.029

Cited by 28 publications

(26 citation statements)

References 11 publications

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“…The authors estimate that NI has 13.8 WTE nephrologists per million population (27). This compares to a value of 7.4 for the United Kingdom and a value of 20.1 per million population for Europe (28).…”

Section: Challenges and Conclusionmentioning

confidence: 66%

Global Perspectives in Acute Kidney Injury: Ireland

Redahan

Murray

2022

Kidney360

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Section: Challenges and Conclusionmentioning

confidence: 66%

Global Perspectives in Acute Kidney Injury: Ireland

Redahan

Murray

2022

Kidney360

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“…There is also a shortage of allied health professionals and technical expertise in most parts of Africa, which needs to be bridged for better kidney care [25]. According to a recent joint report from the American Society of Nephrology (ASN), the European Renal Association and the European Dialysis and Transplant Association (ERA-EDTA) and the ISN, the number of nephrologists is 0.5 pmp in SSA, 5.9 pmp in the Middle East and North Africa, and 25.3 pmp in North America [31].…”

Section: Small Nephrology Workforcementioning

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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“…The nephrology workforce in Uganda is too small for the need. The nephrologist to population ratio is 0.3 nephrologists per million people (pmp), compared with the global median of 9.1 nephrologists pmp (14).…”

Section: Access To Dialysis Services In Ugandamentioning

confidence: 99%