Zakharova Elena, Gaipov Abduzhappar, Bello Aminu K, Johnson David W, Jha Vivekanand, Harris David C H, Levin Adeera, Saad Syed, Khan Maryam, Zaidi Deenaz, Osman Mohamed A, Ye Feng, Lunney Meaghan, Tonelli Marcello, Okpechi Ikechi G, Zemchenkov Alexander, Tchokhonelidze Irma
Department of Nephrology, Moscow City Hospital named after S.P. Botkin, Moscow, Russian Federation.
Department of Nephrology, Moscow State University of Medicine and Dentistry, Moscow, Russian Federation.
Kidney Int Suppl (2011). 2021 May;11(2):e57-e65. doi: 10.1016/j.kisu.2021.01.003. Epub 2021 Apr 12.
The International Society of Nephrology Global Kidney Health Atlas analyzed the current state of kidney care in Newly Independent States and Russia. Our results demonstrated that the Newly Independent States and Russia region was not an exception and showed the same effect of chronic kidney disease on health and its outcomes, facing many difficulties and challenges in terms of improving kidney care across the countries. This work summarized and presented demographics, health information systems, statistics, and national health policy of the region, as well as characteristics of the burden of chronic kidney disease and kidney failure (KF) of participating countries. Besides significant economic advancement in the region, the collected data revealed existing shortage in KF care providers, essential medications, and health product access for KF care. Moreover, there was low reporting of kidney replacement therapy (dialysis and kidney transplantation) quality indicators and low capacity for long-term hemodialysis, peritoneal dialysis, and kidney transplantation. The financial issues and funding structures for KF care across the region needs strategic support for fundamental changes and further advancement. This article emphasizes the urgent need for further effective regional and international collaborations and partnership for establishment of universal health care systems for KF management.
国际肾脏病学会全球肾脏健康地图集分析了新独立国家和俄罗斯的肾脏护理现状。我们的结果表明，新独立国家和俄罗斯地区也不例外，慢性肾脏病对健康及其后果有着相同的影响，在改善各国肾脏护理方面面临诸多困难和挑战。这项工作总结并展示了该地区的人口统计学、健康信息系统、统计数据和国家卫生政策，以及参与国慢性肾脏病和肾衰竭（KF）负担的特征。除了该地区显著的经济进步外，收集到的数据显示KF护理提供者、基本药物以及KF护理所需健康产品的获取存在短缺。此外，肾脏替代治疗（透析和肾移植）质量指标的报告率较低，长期血液透析、腹膜透析和肾移植的能力也较低。该地区KF护理的财务问题和资金结构需要战略支持以实现根本性变革和进一步发展。本文强调迫切需要进一步开展有效的区域和国际合作与伙伴关系，以建立用于KF管理的全民医疗保健系统。
