Capacity for the management of kidney failure in the International Society of Nephrology Newly Independent States and Russia region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)

Prikhodina L. Komissarov K. Bulanov N. Arruebo S. Bello A.K. Caskey F.J. Damster S. Donner J.-A. Jha V. Johnson D.W. Levin A. Malik C. Nangaku M. Okpechi I.G. Tonelli M. Ye F. Gaipov A. Amouzegar A. Kyzy A.A. Cho Y. Davids M.R. Davison S.N. Diongole H.M. Divyaveer S. Ekrikpo U.E. Ethier I. Wing-Shing Fung W. Ghimire A. Houston G. Htay H. Ibrahim K.S. Irish G. Ivanov D. Jindal K. Kelly D.M. Khamzaev K. Lalji R. Nalado A.M. Neuen B.L. Olanrewaju T.O. Osman M.A. Riaz P. Saad S. Sakajiki A.M. Sarishvili N. Sarkissian A. See E. Sharapov O.N. Sozio S.M. Tchokhonelidze I. Tiv S. Tungsanga S. Viecelli A. Vishnevskii K. Vorobyeva O.A. Wainstein M. Yeung E.K. Zaidi D. Zakharova E.
April 2024 Elsevier B.V.

Kidney International Supplements
2024 #13 Issue 1 71 - 82 pp.

The International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) was established to aid understanding of the status and capacity of countries to provide optimal kidney care worldwide. This report presents the current characteristics of kidney care in the ISN Newly Independent States (NIS) and Russia region. Although the median prevalence of chronic kidney disease (CKD) was higher (11.4%) than the global median (9.5%), the median CKD-related death rate (1.4%) and prevalence of treated kidney failure (KF) in the region (411 per million population [pmp]) were lower than they are globally (2.5% and 822.8 pmp, respectively). Capacity to provide an adequate frequency of hemodialysis (HD) and kidney transplantation services is present in all the countries (100%). In spite of significant economic advancement, the region has critical shortages of nephrologists, dietitians, transplant coordinators, social workers, palliative care physicians, and kidney supportive care nurses. Home HD remains unavailable in any country in the region. Although national registries for dialysis and kidney transplantation are available in most of the countries across the ISN NIS and Russia region, few registries exist for nondialysis CKD and acute kidney injury. Although a national strategy for improving care for CKD patients is presented in more than half of the countries, no country in the region had a CKD-specific policy. Strategies that incorporate workforce training, planning, and development for all KF caregivers could help ensure sustainable kidney care delivery in the ISN NIS and Russia region.

chronic kidney disease , health workforce , kidney failure , kidney replacement therapy , NIS and Russia

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Division of Inherited & Acquired Kidney Diseases, Veltishev Research Clinical Institute for Pediatrics & Children Surgery, Pirogov Russian National Research Medical University, Moscow, Russian Federation
Russian Medical Academy of Continuous Postgraduate Education, Moscow, Russian Federation
Nephrology, Renal Replacement Therapy and Kidney Transplantation Department, State Institution “Minsk Scientific and Practical Center for Surgery, Transplantation and Hematology,”, Minsk, Belarus
Tareev Clinic of Internal Diseases, Sechenov First Moscow State Medical University, Moscow, Russian Federation
International Society of Nephrology, Brussels, Belgium
Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada
Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom
George Institute for Global Health, University of New South Wales (UNSW), New Delhi, India
School of Public Health, Imperial College, London, United Kingdom
Manipal Academy of Higher Education, Manipal, India
Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia; Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital, Brisbane, QLD, Australia
Translational Research Institute, Brisbane, QLD, Australia
Australasian Kidney Trials Network at the University of Queensland, Brisbane, QLD, Australia
Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada
Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan
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
Department of Medicine, University of Calgary, Calgary, AB, Canada
Canada and Pan-American Health Organization/World Health Organizations Collaborating Centre in Prevention and Control of Chronic Kidney Disease, University of Calgary, Calgary, AB, Canada
Department of Medicine, School of Medicine, Nazarbayev University, Astana, Kazakhstan
Clinical Academic Department of Internal Medicine, CF “University Medical Center,”, Astana, Kazakhstan

Division of Inherited & Acquired Kidney Diseases
Russian Medical Academy of Continuous Postgraduate Education
Nephrology
Tareev Clinic of Internal Diseases
International Society of Nephrology
Division of Nephrology and Immunology
Population Health Sciences
George Institute for Global Health
School of Public Health
Manipal Academy of Higher Education
Department of Kidney and Transplant Services
Translational Research Institute
Australasian Kidney Trials Network at the University of Queensland
Division of Nephrology
Division of Nephrology and Endocrinology
Division of Nephrology and Hypertension
Kidney and Hypertension Research Unit
Department of Medicine
Canada and Pan-American Health Organization/World Health Organizations Collaborating Centre in Prevention and Control of Chronic Kidney Disease
Department of Medicine
Clinical Academic Department of Internal Medicine

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