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dc.contributor.authorHtay, Htay-
dc.contributor.authorBello, Aminu K-
dc.contributor.authorLevin, Adeera-
dc.contributor.authorLunney, Meaghan-
dc.contributor.authorOsman, Mohamed A-
dc.contributor.authorYe, Feng-
dc.contributor.authorAshuntantang, Gloria E-
dc.contributor.authorBellorin-Font, Ezequiel-
dc.contributor.authorGharbi, Mohammed Benghanem-
dc.contributor.authorDavison, Sara N-
dc.contributor.authorGhnaimat, Mohammad-
dc.contributor.authorHarden, Paul-
dc.contributor.authorJha, Vivekanand-
dc.contributor.authorKalantar-Zadeh, Kamyar-
dc.contributor.authorKerr, Peter G-
dc.contributor.authorKlarenbach, Scott-
dc.contributor.authorKovesdy, Csaba P-
dc.contributor.authorLuyckx, Valerie A-
dc.contributor.authorNeuen, Brendon-
dc.contributor.authorO'Donoghue, Donal-
dc.contributor.authorOssareh, Shahrzad-
dc.contributor.authorPerl, Jeffrey-
dc.contributor.authorRashid, Harun Ur-
dc.contributor.authorRondeau, Eric-
dc.contributor.authorSee, Emily J-
dc.contributor.authorSaad, Syed-
dc.contributor.authorSola, Laura-
dc.contributor.authorTchokhonelidze, Irma-
dc.contributor.authorTesar, Vladimir-
dc.contributor.authorTungsanga, Kriang-
dc.contributor.authorKazancioglu, Rumeyza Turan-
dc.contributor.authorYee-Moon Wang, Angela-
dc.contributor.authorYang, Chih-Wei-
dc.contributor.authorZemchenkov, Alexander-
dc.contributor.authorZhao, Ming-Hui-
dc.contributor.authorJager, Kitty J-
dc.contributor.authorCaskey, Fergus J-
dc.contributor.authorPerkovic, Vlado-
dc.contributor.authorJindal, Kailash K-
dc.contributor.authorOkpechi, Ikechi G-
dc.contributor.authorTonelli, Marcello-
dc.contributor.authorHarris, David C-
dc.contributor.authorJohnson, David W-
dc.identifier.citationAmerican Journal of Kidney Diseases 2020; 77(3):326-335.e1en
dc.description.abstractHemodialysis (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.en
dc.subjectAccessibility to hemodialysisen
dc.subjectAvailability of hemodialysisen
dc.subjectESKD careen
dc.subjectFunding for HD servicesen
dc.subjectQuality of HD servicesen
dc.titleHemodialysis Use and Practice Patterns: An International Survey Study.en
dc.typeJournal Articleen
dc.identifier.journaltitleAmerican Journal of Kidney Diseasesen
dc.identifier.affiliationDepartment of Renal Medicine, Singapore General Hospital, Singaporeen
dc.identifier.affiliationMetro South and Ipswich Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Australiaen
dc.identifier.affiliationSchool of Medicine, University of Melbourne, Melbourne, Australiaen
dc.identifier.affiliationDivision 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, Canadaen
dc.identifier.affiliationDivision of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canadaen
dc.identifier.affiliationThe George Institute for Global Health, University of New South Wales Sydney, Sydney, New South Wales, Australiaen
dc.identifier.affiliationDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canadaen
dc.identifier.affiliationThe George Institute for Global Health, Newtown, New South Wales, Australiaen
dc.identifier.affiliationCentre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Sydney, New South Wales, Australiaen
dc.identifier.affiliationDepartment of Nephrology, Monash Medical Centre, Monash Health, Clayton, Victoria, Australiaen
dc.identifier.affiliationDepartment of Medicine, Monash University, Clayton, Victoria, Australiaen
dc.identifier.affiliationIntensive Careen
dc.identifier.affiliationDepartment 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, Canadaen
dc.identifier.affiliationCentre for Kidney Disease Research, University of Queensland, Brisbane, Australiaen
dc.identifier.affiliationTranslational Research Institute, Brisbane, Australiaen
dc.identifier.affiliationDivision of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canadaen
dc.identifier.affiliationFaculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroonen
dc.identifier.affiliationDivision of Nephology and Hypertension, Department of Medicine, Saint Louis University, Saint Louis, Missouri, USAen
dc.identifier.affiliationUrinary Tract Diseases Department, Faculty of Medicine and Pharmacy of Casablanca, University Hassan II of Casablanca, Casablanca, Moroccoen
dc.identifier.affiliationNephrology Division, Department of Internal Medicine, The Specialty Hospital, Amman, Jordanen
dc.identifier.affiliationOxford Kidney Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UKen
dc.identifier.affiliationGeorge Institute for Global Health, UNSW, New Delhi, India; Manipal Academy of Higher Education, Manipal, India; School of Public Health, Imperial College, London, UKen
dc.identifier.affiliationDivision of Nephrology and Hypertension and Kidney Transplantation, University of California Irvine Medical Center, Orange, California, USAen
dc.identifier.affiliationUniversity of Tennessee Health Science Center, Memphis, Tennessee, USAen
dc.identifier.affiliationInstitute 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, USAen
dc.identifier.affiliationSalford Royal NHS Foundation Trust, Salford, UK; University of Manchester, Manchester, UKen
dc.identifier.affiliationDivision of Nephrology, Department of Medicine, Hasheminejad Kidney Center, Iran University of Medical Sciences, Tehran, Iranen
dc.identifier.affiliationDepartment of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladeshen
dc.identifier.affiliationIntensive Care Nephrology and Transplantation Department, Hopital Tenon, Assistance Publique-Hopitaux de Paris, Paris, France; Sorbonne Université, Paris, Franceen
dc.identifier.affiliationDialysis Unit, CASMU-IAMPP, Montevideo, Uruguayen
dc.identifier.affiliationNephrology Development Clinical Center, Tbilisi State Medical University, Tbilisi, Georgiaen
dc.identifier.affiliationDepartment of Nephrology, General University Hospital, Charles University, Prague, Czech Republicen
dc.identifier.affiliationDepartment of Medicine, Faculty of Medicine, King Chulalong Memorial Hospital, Chulalongkorn University, Bangkok, Thailand; Bhumirajanagarindra Kidney Institute, Bangkok, Thailanden
dc.identifier.affiliationDivision of Nephrology, Bezmialem Vakif University, Istanbul, Turkeyen
dc.identifier.affiliationDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kongen
dc.identifier.affiliationKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwanen
dc.identifier.affiliationDepartment 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, Russiaen
dc.identifier.affiliationRenal 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, Chinaen
dc.identifier.affiliationERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, the Netherlandsen
dc.identifier.affiliationPopulation Health Sciences, University of Bristol, Bristol, UK; Renal Unit, Southmead Hospital, North Bristol NHS Trust, Bristol, UKen
dc.identifier.affiliationDivision 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 Africaen
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