Lou-Meda R
Fundación para el Niño Enfermo Renal - FUNDANIER, Hospital Roosevelt, Guatemala.
Clin Nephrol. 2010 Nov;74 Suppl 1:S126-8. doi: 10.5414/cnp74s126.
The rapidly growing burden of chronic kidney diseases (CKD) is a major public health problem that will stretch the healthcare system of all countries, especially those not yet industrialized. Guatemala has a population of approximately 14 million, of which 60% are younger than 20 years. It is estimated that only 35% of Guatemalan patients with CKD Stage 5 (ESRD) are diagnosed and treated. Therefore, the cost of death and disability due to CKD in this young population is particularly profound. CKD programs have to compete with many demands (often viewed in the short term as more urgent or widespread) for finite healthcare resources. FUNDANIER (Foundation for Children with Kidney Diseases) has been the instrument that facilitated changes in the Guatemalan health system, in order to establish a comprehensive Pediatric Nephrology program. FUNDANIER is the first local initiative to provide comprehensive prevention and management of kidney disease in children and adolescents in Guatemala. Through an agreement with the National Health Authorities, FUNDANIER is involved in the primary, secondary and tertiary prevention of CKD in the pediatric population. This might be a model applicable in other developing countries.
慢性肾脏病（CKD）迅速增长的负担是一个重大的公共卫生问题，这将给所有国家的医疗体系带来压力，尤其是那些尚未工业化的国家。危地马拉人口约1400万，其中60%年龄在20岁以下。据估计，危地马拉仅35%的CKD 5期（终末期肾病，ESRD）患者得到了诊断和治疗。因此，CKD在这个年轻人群中导致的死亡和残疾成本尤为巨大。CKD项目必须与对有限医疗资源的诸多需求（通常在短期内被视为更紧迫或更普遍）竞争。危地马拉儿童肾病基金会（FUNDANIER）一直是推动危地马拉卫生系统变革的工具，目的是建立一个全面的儿科肾脏病项目。FUNDANIER是危地马拉首个为儿童和青少年提供全面的肾病预防和管理的本地倡议。通过与国家卫生当局达成的一项协议，FUNDANIER参与了儿科人群CKD的一级、二级和三级预防。这可能是一个适用于其他发展中国家的模式。
