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Increasing access to integrated ESKD care as part of universal health coverage
Journal
Kidney International
ISSN
0085-2538
Date Issued
2019
Author(s)
Harris, David C.H.
Davies, Simon J.
Finkelstein, Fredric O.
Jha, Vivekanand
Donner, Jo-Ann
Abraham, Georgi
Bello, Aminu K.
Caskey, Fergus J.
García García, Guillermo
Harden, Paul
Hemmelgarn, Brenda
Johnson, David W.
Levin, Nathan W.
Luyckx, Valerie A.
Martin, Dominique E.
McCulloch, Mignon I.
Moosa, Mohammed Rafique
O’Connell, Philip J.
Okpechi, Ikechi G.
Pecoits-Filho, Roberto
Shah, Kamal D.
Sola, Laura
Swanepoel, Charles
Tonelli, Marcello
Twahir, Ahmed
Biesen, Wim van
Varghese, Cherian
Yang, Chih-Wei
Zuniga, Carlos
Abu Alfa, Ali K.
Aljubori, Harith M.
Alrukhaimi, Mona N.
Andreoli, Sharon P.
Ashuntantang, Gloria
Bellorin-Font, Ezequiel
Bernieh, Bassam
Ibhais, Fuad M.
Blake, Peter G.
Brown, Mark
Brown, Edwina
Bunnag, Sakarn
Mao Chan, Tak
Chen, Yuqing
Claure-Del Granado, Rolando
Claus, Stefaan
Collins, Allan
Couchoud, Cécile
Cueto-Manzano, Alfonso
Cullis, Brett
Douthat, Walter
Dreyer, Gavin
Eiam-Ong, Somchai
Eke, Felicia U.
Feehally, John
Ghnaimat, Mohammad A.
Goh, BakLeong
Hassan, Mohamed H.
Hou, Fan Fan
Jager, Kitty
Kalantar-Zadeh, Kamyar
Kazancioglu, Rumeyza T.
Levin, Adeera
Liew, Adrian
McKnight, Marla
Tadesse Mengistu, Yewondwassesn
Morton, Rachael L.
Muller, Elmi
Murtagh, Fliss E.M.
Naicker, Saraladevi
Nangaku, Masaomi
Niang, Abdou
Ossareh, Shahrzad
Perl, Jeffrey
Rahman, Muhibur
Rashid, Harun Ur
Richards, Marie
Rondeau, Eric
Sahay, Manisha
Saleh, Abdulkarim
Schneditz, Daniel
Tchokhonelidze, Irma
Tesar, Vladimir
Trask, Michele
Tungsanga, Kriang
Vachharajani, Tushar
Walker, Rachael C.
Walker, Robert
Were, Anthony J.O.
Yao, Qiang
Yeates, Karen
Yu, Xueqing
Zakharova, Elena
Zemchenkov, Alexander
Zhao, Ming-Hui
Type
Resource Types::text::journal::journal article
Abstract
The global nephrology community recognizes the need for a cohesive strategy to address the growing problem of end-stage kidney disease (ESKD). In March 2018, the International Society of Nephrology hosted a summit on integrated ESKD care, including 92 individuals from around the globe with diverse expertise and professional backgrounds. The attendees were from 41 countries, including 16 participants from 11 low- and lower-middle-income countries. The purpose was to develop a strategic plan to improve worldwide access to integrated ESKD care, by identifying and prioritizing key activities across 8 themes: (i) estimates of ESKD burden and treatment coverage, (ii) advocacy, (iii) education and training/workforce, (iv) financing/funding models, (v) ethics, (vi) dialysis, (vii) transplantation, and (viii) conservative care. Action plans with prioritized lists of goals, activities, and key deliverables, and an overarching performance framework were developed for each theme. Examples of these key deliverables include improved data availability, integration of core registry measures and analysis to inform development of health care policy; a framework for advocacy; improved and continued stakeholder engagement; improved workforce training; equitable, efficient, and cost-effective funding models; greater understanding and greater application of ethical principles in practice and policy; definition and application of standards for safe and sustainable dialysis treatment and a set of measurable quality parameters; and integration of dialysis, transplantation, and comprehensive conservative care as ESKD treatment options within the context of overall health priorities. Intended users of the action plans include clinicians, patients and their families, scientists, industry partners, government decision makers, and advocacy organizations. Implementation of this integrated and comprehensive plan is intended to improve quality and access to care and thereby reduce serious health-related suffering of adults and children affected by ESKD worldwide. Copyright © 2019 International Society of Nephrology. All rights reserved.