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https://ahro.austin.org.au/austinjspui/handle/1/24485| Title: | Hemodialysis Use and Practice Patterns: An International Survey Study. | Austin Authors: | Htay, Htay;Bello, Aminu K;Levin, Adeera;Lunney, Meaghan;Osman, Mohamed A;Ye, Feng;Ashuntantang, Gloria E;Bellorin-Font, Ezequiel;Gharbi, Mohammed Benghanem;Davison, Sara N;Ghnaimat, Mohammad;Harden, Paul;Jha, Vivekanand;Kalantar-Zadeh, Kamyar;Kerr, Peter G;Klarenbach, Scott;Kovesdy, Csaba P;Luyckx, Valerie A;Neuen, Brendon;O'Donoghue, Donal;Ossareh, Shahrzad;Perl, Jeffrey;Rashid, Harun Ur;Rondeau, Eric;See, Emily J ;Saad, Syed;Sola, Laura;Tchokhonelidze, Irma;Tesar, Vladimir;Tungsanga, Kriang;Kazancioglu, Rumeyza Turan;Yee-Moon Wang, Angela;Yang, Chih-Wei;Zemchenkov, Alexander;Zhao, Ming-Hui;Jager, Kitty J;Caskey, Fergus J;Perkovic, Vlado;Jindal, Kailash K;Okpechi, Ikechi G;Tonelli, Marcello;Harris, David C;Johnson, David W | Affiliation: | Renal Unit, Southmead Hospital, North Bristol NHS Trust, Bristol, UK Salford Royal NHS Foundation Trust, Salford, UK University of Manchester, Manchester, UK Department of Renal Medicine, Singapore General Hospital, Singapore Institute of Biomedical Ethics and the History of Medicine, University of Zurich, Zurich, Switzerland Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA Population Health Sciences, University of Bristol, Bristol, UK Metro South and Ipswich Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Australia School of Medicine, University of Melbourne, Melbourne, Australia Division of Nephrology, St. Michael's Hospital and the Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Nephrology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada The George Institute for Global Health, University of New South Wales Sydney, Sydney, New South Wales, Australia Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada The George Institute for Global Health, Newtown, New South Wales, Australia Centre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Sydney, New South Wales, Australia Department of Nephrology, Monash Medical Centre, Monash Health, Clayton, Victoria, Australia Department of Medicine, Monash University, Clayton, Victoria, Australia Intensive Care Department of Medicine, University of Calgary, Calgary, Alberta, Canada; Pan-American Health Organization/World Health Organization's Collaborating Centre in Prevention and Control of Chronic Kidney Disease, University of Calgary, Calgary, Alberta, Canada Centre for Kidney Disease Research, University of Queensland, Brisbane, Australia Translational Research Institute, Brisbane, Australia Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroon Division of Nephology and Hypertension, Department of Medicine, Saint Louis University, Saint Louis, Missouri, USA Urinary Tract Diseases Department, Faculty of Medicine and Pharmacy of Casablanca, University Hassan II of Casablanca, Casablanca, Morocco Nephrology Division, Department of Internal Medicine, The Specialty Hospital, Amman, Jordan Oxford Kidney Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK George Institute for Global Health, UNSW, New Delhi, India; Manipal Academy of Higher Education, Manipal, India; School of Public Health, Imperial College, London, UK Division of Nephrology and Hypertension and Kidney Transplantation, University of California Irvine Medical Center, Orange, California, USA University of Tennessee Health Science Center, Memphis, Tennessee, USA Division of Nephrology, Department of Medicine, Hasheminejad Kidney Center, Iran University of Medical Sciences, Tehran, Iran Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh Intensive Care Nephrology and Transplantation Department, Hopital Tenon, Assistance Publique-Hopitaux de Paris, Paris, France; Sorbonne Université, Paris, France Dialysis Unit, CASMU-IAMPP, Montevideo, Uruguay Nephrology Development Clinical Center, Tbilisi State Medical University, Tbilisi, Georgia Department of Nephrology, General University Hospital, Charles University, Prague, Czech Republic Department of Medicine, Faculty of Medicine, King Chulalong Memorial Hospital, Chulalongkorn University, Bangkok, Thailand; Bhumirajanagarindra Kidney Institute, Bangkok, Thailand Division of Nephrology, Bezmialem Vakif University, Istanbul, Turkey Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan Department of Internal Disease, Clinical Pharmacology and Nephrology, North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia; Department of Nephrology and Dialysis, Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China; Key Lab of Renal Disease, Ministry of Health of China, Beijing, China; Key Lab of Chronic Kidney Disease Prevention and Treatment, Ministry of Education of China; Beijing, China; Peking-Tsinghua Center for Life Sciences (CLS), Beijing, China ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, the Netherlands Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa; Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa |
Issue Date: | Mar-2021 | Date: | 2020-08-12 | Publication information: | American Journal of Kidney Diseases 2020; 77(3):326-335.e1 | Abstract: | Hemodialysis (HD) is the most common form of kidney replacement therapy. The study aimed to examine the use, availability, accessibility, affordability and quality of HD care worldwide. A cross-sectional survey SETTING & PARTICIPANTS: Stakeholders (clinicians, policymakers, consumer representatives) in 182 countries were convened by the International Society of Nephrology between July to September 2018. Use, availability, accessibility, affordability and quality of HD care ANALYTICAL APPROACH: Descriptive statistics RESULTS: Overall, representatives from 160 countries (88%) participated. Median country-specific use of chronic HD was 298.4 (interquartile range: 80.5-599.4) per million population (pmp). The global median HD use among new kidney failure patients was 98.0 (81.5-140.8) pmp and the median number of HD centers was 4.5 (1.2-9.9) pmp. Adequate HD services (3-4 hours, 3 times weekly) were generally available in 27% of low-income countries. Home HD was generally available in 36% of high-income countries. Thirty-two percent of countries performed monitoring of patient-reported outcomes, 61% of small solute clearance, 60% of bone mineral markers, 51% of technique survival, and 60% of patient survival. At initiation of chronic dialysis, only 5% of countries used arteriovenous access in most patients. . Dialysis access education was suboptimal, funding for vascular access procedures was not uniform, and co-payments were greater in countries with lower levels of income. Patients in 23% of the low-income countries had to pay >75% of HD costs, compared with patients in only 4% high-income countries. A cross-sectional survey with possibility of response bias, social desirability bias, and limited data collection preventing in-depth analysis CONCLUSIONS: In summary, findings reveal substantial variations in global HD use, availability, accessibility, quality and affordability worldwide, with the lowest use evident in low and lower-middle-income countries. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/24485 | DOI: | 10.1053/j.ajkd.2020.05.030 | Journal: | American Journal of Kidney Diseases | PubMed URL: | 32800843 | Type: | Journal Article | Subjects: | Accessibility to hemodialysis Affordability Availability of hemodialysis ESKD care Funding for HD services Quality of HD services |
| Appears in Collections: | Journal articles |
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