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慢性透析的血管和腹膜通道的全球变异性
Anukul Ghimire1,2, Samveg Shah1, Ikechi G Okpechi1
1Division of Nephrology and Immunology, University of Alberta, Edmonton, Alberta, Canada.
Nephrology (Carlton, Vic.)
|November 29, 2023
概括
全球透析接入显示出显著的差异. 低收入国家面临着手术专业知识的严重短缺以及血管和腹膜透析的资源短缺,这影响了患者的护理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 全球健康 全球健康
- 进行手术的机会.
背景情况:
- 血管和腹腔内接入对于全球维持慢性透析计划至关重要.
- 关于全球可用性,使用模式,资金和透析接入工作人员的数据有限.
研究的目的:
- 评估透析的血管和腹膜通道的全球情况.
- 识别不同收入国家在获取,资金和劳动力方面的差异.
主要方法:
- 一项电子调查分发给了脏病学,消费者组织和政策制定者的国家领导人.
- 该调查于2018年进行,从167个国家收集了透析启动方法,资金和提供商可用性的数据.
主要成果:
- 许多国家,特别是低收入国家 (LICs),在启动血液透析 (HD) 时严重依赖临时导管.
- 与高收入国家 (HIC) 相比,低发达国家 (LIC) 普遍存在血管和腹腔透析 (PD) 医生的短缺.
- 各种透析接入程序的公共资金可用性因国家而异,在LICs中可用性较低.
结论:
- 在透析服务的可用性,资金,劳动力和使用方面存在重大全球差异.
- 低收入国家在基本透析获取资源方面存在重大差距,需要有针对性的干预措施.
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