Bharati Joyita, Jha Vivekanand
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
The George Institute for Global Health, New Delhi, India.
Kidney Res Clin Pract. 2022 Jan;41(1):22-30. doi: 10.23876/j.krcp.21.236. Epub 2022 Jan 13.
Chronic kidney disease (CKD) is a unique public health problem in terms of high expenses required for its management and its increasing worldwide incidence. Understanding the existing structure of CKD treatment and its epidemiology is pivotal for equitable kidney care globally. The Global Kidney Health Atlas (GKHA) was launched by the International Society of Nephrology (ISN) in 2017 as a part of its "Bridging the Gaps" strategy with a vision to understand the global kidney care capacity. Two rounds of GKHA surveys were conducted and published in 2017 and 2019, respectively. The GKHA surveys showed significant variability in kidney care among global regions. Asia is the largest of all continents and distinct for its heterogeneity. The Asia-Pacific sector comprises four main regional constructs of the ISN; North and East Asia, Oceania and South East Asia, South Asia, and the Middle East. Kidney care capacity varies among these regions in terms of government spending, epidemiology of kidney diseases, and workforce availability. In this narrative review, we highlight the differences in kidney care delivery among the regions of the Asia-Pacific sector based on information from GKHA and emphasize the priority areas on which stakeholders should concentrate their efforts.
慢性肾脏病(CKD)是一个独特的公共卫生问题,因其管理所需费用高昂且在全球范围内发病率不断上升。了解CKD治疗的现有结构及其流行病学对于全球公平的肾脏护理至关重要。国际肾脏病学会(ISN)于2017年推出了《全球肾脏健康地图集》(GKHA),作为其“弥合差距”战略的一部分,旨在了解全球肾脏护理能力。分别于2017年和2019年进行并发布了两轮GKHA调查。GKHA调查显示,全球各地区的肾脏护理存在显著差异。亚洲是所有大洲中面积最大的,且因其多样性而独具特色。亚太地区包括ISN的四个主要区域架构;东北亚、大洋洲和东南亚、南亚以及中东。这些地区在政府支出、肾脏疾病流行病学和劳动力供应方面的肾脏护理能力各不相同。在这篇叙述性综述中,我们根据GKHA提供的信息,突出亚太地区各区域在肾脏护理服务方面的差异,并强调利益相关者应集中精力关注的优先领域。