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Guidelines, policies, and barriers to kidney care: findings from a global survey

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dc.contributor.authorLunney, Meaghan
dc.contributor.authorAlrukhaimi, Mona
dc.contributor.authorAshuntantang, Gloria E.
dc.contributor.authorBello, Aminu K.
dc.contributor.authorBellorin-Font, Ezequiel
dc.contributor.authorGharbi, Mohammed Benghanem
dc.contributor.authorJha, Vivekanand
dc.contributor.authorJohnson, David W.
dc.contributor.authorKalantar-Zadeh, Kamyar
dc.contributor.authorKazancioglu, RÜMEYZA
dc.contributor.authorOlah, Michelle E.
dc.contributor.authorOlanrewaju, Timothy Olusegun
dc.contributor.authorOsman, Mohamed A.
dc.contributor.authorParpia, Yasin
dc.contributor.authorPerl, Jeffrey
dc.contributor.authorRashid, Harun Ur
dc.contributor.authorRateb, Ahmed
dc.contributor.authorRondeau, Eric
dc.contributor.authorSola, Laura
dc.contributor.authorTchokhonelidze, Irma
dc.contributor.authorTonelli, Marcello
dc.contributor.authorWiebe, Natasha
dc.contributor.authorWirzba, Isaac
dc.contributor.authorYang, Chih-Wei
dc.contributor.authorYe, Feng
dc.contributor.authorZemchenkov, Alexander
dc.contributor.authorZhao, Ming-hui
dc.contributor.authorLevin, Adeera
dc.contributor.institutionauthorKAZANCIOĞLU, RÜMEYZA
dc.date.accessioned2019-10-05T22:01:11Z
dc.date.available2019-10-05T22:01:11Z
dc.date.issued2018-02-01
dc.description.abstractAn international survey led by the International Society of Nephrology in 2016 assessed the current capacity of kidney care worldwide. To better understand how governance and leadership guide kidney care, items pertinent to government priority, advocacy, and guidelines, among others, were examined. Of the 116 responding countries, 36% (n = 42) reported CKD as a government health care priority, which was associated with having an advocacy group (χ2 = 11.57; P = 0.001). Nearly one-half (42%; 49 of 116) of countries reported an advocacy group for CKD, compared with only 19% (21 of 112) for AKI. Over one-half (59%; 68 of 116) of countries had a noncommunicable disease strategy. Similarly, 44% (48 of 109), 55% (57 of 104), and 47% (47 of 101) of countries had a strategy for nondialysis CKD, chronic dialysis, and kidney transplantation, respectively. Nearly one-half (49%; 57 of 116) reported a strategy for AKI. Most countries (79%; 92 of 116) had access to CKD guidelines and just over one-half (53%; 61 of 116) reported guidelines for AKI. Awareness and adoption of guidelines were low among nonnephrologist physicians. Identified barriers to kidney care were factors related to patients, such as knowledge and attitude (91%; 100 of 110), physicians (84%; 92 of 110), and geography (74%; 81 of 110). Specific to renal replacement therapy, patients and geography were similarly identified as a barrier in 78% (90 of 116) and 71% (82 of 116) of countries, respectively, with the addition of nephrologists (72%; 83 of 116) and the health care system (73%; 85 of 116). These findings inform how kidney care is currently governed globally. Ensuring that guidelines are feasible and distributed appropriately is important to enhancing their adoption, particularly in primary care. Furthermore, increasing advocacy and government priority, especially for AKI, may increase awareness and strategies to better guide kidney care.en
dc.identifier10.1227/01.neu.0000048186.18741.3c
dc.identifier.citationLunney M., Alrukhaimi M., Ashuntantang G. E. , Bello A. K. , Bellorin-Font E., Gharbi M. B. , Jha V., Johnson D. W. , Kalantar-Zadeh K., Kazancioglu R., et al., -Guidelines, policies, and barriers to kidney care: findings from a global survey-, KIDNEY INTERNATIONAL SUPPLEMENTS, cilt.8, ss.30-40, 2018
dc.identifier.doi10.1016/j.kisu.2017.10.007
dc.identifier.pubmed30675437
dc.identifier.scopus85041677190
dc.identifier.urihttps://hdl.handle.net/20.500.12645/8699
dc.identifier.wosWOS:000435181200002
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.titleGuidelines, policies, and barriers to kidney care: findings from a global survey
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameNEUROSURGERY
local.avesis.idd894175c-7e6d-4b33-b3a8-3dba15e7b1e8
local.avesis.response8575
local.publication.isinternational1
relation.isAuthorOfPublicationeca7bd30-6b6e-444d-96ae-2961c39f2107
relation.isAuthorOfPublication.latestForDiscoveryeca7bd30-6b6e-444d-96ae-2961c39f2107
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