透析的获取和使用的全球差异 - - 非洲,处于不利地位的大陆
Elliot Koranteng Tannor1, Bianca Davidson2, Yannick M Nlandu3
1Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; Renal Unit, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Advances in kidney disease and health
|August 16, 2025
概括
非洲的慢性病 (CKD) 管理面临着严重的透析治疗的获取和利用差异,影响患者的治疗结果和经济. 解决方案包括预防,改善对护理的准入和增加政府资金.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 慢性病 (CKD) 的全球负担正在上升,非洲的管理和治疗机会存在重大不平等.
- 现有文献强调,与全球标准相比,非洲国家在透析接入和利用方面存在重大差距.
研究的目的:
- 审查和分析非洲透析 (血液透析和腹腔透析) 的获取和使用方面的差异.
- 将非洲透析统计数据与全球其他地区和中位数进行比较.
- 确定这些差异对健康,经济和社会的影响,并提出可行的解决方案.
主要方法:
- 系统审查关于非洲CKD管理和透析的现有文献.
- 对非洲的透析接入率和利用率与全球中位数和其他地区的比较分析.
- 确定导致差异的因素和潜在的干预措施.
主要成果:
- 中心血液透析在非洲大陆范围内可用,但在非洲国家中显示出显著的获取和利用差距.
- 家庭血液透析很少可用,腹腔透析利用率远低于全球平均水平.
- 这些差异导致不良的健康结果,降低生活质量,增加发病率和可预防的死亡率.
结论:
- 解决非洲的CKD差异需要采取多方面的方法,包括预防,改善药物获取和增加腹膜透析的使用.
- 投资培训和留住科工作人员,改善脏移植的准入,以及当地生产消耗品至关重要.
- 增加政府对脏护理的资金对于改善患者的治疗结果至关重要,特别是在撒哈拉以南非洲.
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