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Framework for establishing integrated kidney care programs in low- and middle-income countries
Marcello Tonelli1,2, Victoria Nkunu1, Cherian Varghese3
1Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Kidney International Supplements
|March 10, 2020
Summary
Kidney failure is a growing global challenge, particularly in low- and middle-income countries (LMICs). This review proposes an integrated kidney care framework to sustainably manage kidney disease prevention and treatment.
Area of Science:
- Public Health
- Nephrology
- Health Systems Research
Background:
- Rising kidney failure rates pose significant challenges for global health systems, especially in resource-limited LMICs.
- The high cost of kidney replacement therapies necessitates balancing treatment with prevention and management of kidney disease and other noncommunicable diseases.
- Kidney failure is preventable through primary prevention of risk factors and timely management of chronic kidney disease.
Purpose of the Study:
- To present a framework for establishing integrated kidney care programs in LMICs.
- To address the lack of a standardized approach for LMIC governments to prevent and treat kidney failure.
- To guide policymakers in LMICs on establishing and scaling up kidney care programs.
Main Methods:
- This review synthesizes existing knowledge on kidney disease prevention and treatment strategies.
- It proposes a framework for "integrated kidney care," combining preventive measures with kidney replacement therapies (conservative care, transplantation, dialysis).
- The framework considers resource allocation and sustainability for LMIC health systems.
Main Results:
- Integrated kidney care offers potential benefits for patients, families, and healthcare providers.
- This approach promotes a more sustainable model for managing kidney failure by considering resource use.
- A proposed framework is detailed to assist LMIC policymakers.
Conclusions:
- Integrated kidney care is a promising strategy for managing the increasing burden of kidney failure in LMICs.
- The suggested framework provides a practical approach for policymakers to implement comprehensive kidney care programs.
- Sustainable and equitable kidney care requires integrating prevention, treatment, and resource management.
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