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Nefrología en Nepal: Cómo comenzó y dónde estamos
Deepak Sharma1, Taranath Sharma2, Jie Tang3
1Department of Internal Medicine and Nephrology, Dhulikhel Hospital, Kathmandu University School of Medical Science, Dhulikhel, Nepal.
Kidney360
|September 3, 2025
Resumen
El Nepal
Área de la Ciencia:
- Nefrología
- Salud pública
- Sistemas de salud
Sus antecedentes:
- Los servicios de nefrología de Nepal evolucionaron de no existir en la década de 1980 a una atención integral del riñón.
- El crecimiento incluye más de 60 centros de diálisis y múltiples instalaciones de trasplante.
- Las iniciativas gubernamentales han mejorado el acceso, pero persisten las disparidades.
Objetivo del estudio:
- Revisar el desarrollo y el estado actual de la atención en nefrología en Nepal.
- Identificar los avances y los retos persistentes en el manejo de la enfermedad renal.
- Esbozar las direcciones futuras para mejorar los servicios de nefrología.
Principales métodos:
- Revisión de los datos históricos y la infraestructura actual de atención médica en Nepal.
- Análisis de las políticas gubernamentales y su impacto en la accesibilidad a la atención renal.
- Evaluación de los retos en la diálisis, el trasplante y la atención previa a la diálisis.
Principales resultados:
- Expansión significativa de los servicios de diálisis y trasplante desde la década de 1980.
- Disparidades persistentes en el acceso y la calidad debido a problemas de mano de obra e infraestructura.
- Cuidados pre-diálisis poco desarrollados y desafíos con la adopción de la diálisis peritoneal.
- El creciente programa de trasplante de riñón y la emergente nefrología de cuidados intensivos.
Conclusiones:
- Nepal ha logrado un progreso sustancial en el cuidado de los riñones, pero se enfrenta a desafíos significativos.
- Abordar la escasez de mano de obra y el control de calidad es crucial para un acceso equitativo.
- Se necesitan inversiones estratégicas y asociaciones mundiales para avanzar en los servicios de nefrología.
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