Paediatric nephrology in under-resourced areas.
Background: Nearly 50% of the world population and 60% of children aged 0 to 14 years live in low- or lower-middle–income countries. Paediatric nephrology (PN) in these countries is not a priority for allocation of limited health resources. This article explores advancements made and persisting limi...
| Publicado en: | Pediatric Nephrology Vol. 37; no. 5; pp. 959 - 973 |
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| Autores principales: | , , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Springer Nature
May2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156445103&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156445103 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0931041X EF1 jtl: Pediatric Nephrology issn: 0931041X maglogo: N pubinfo: dt: May2022 vid: 37 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156445103 149726944 156445103 156445103 10.1007/s00467-021-05059-y 156445103 ppf: 959 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Paediatric nephrology in under-resourced areas. aug: au: Banerjee, Sushmita Kamath, Nivedita Antwi, Sampson Bonilla-Felix, Melvin affil: Calcutta Medical Research Institute, Kolkata, India sug: subj: Medically Underserved Area Nephrology Pediatric Care Low and Middle Income Countries Health Care Delivery Kidney Transplantation ab: Background: Nearly 50% of the world population and 60% of children aged 0 to 14 years live in low- or lower-middle–income countries. Paediatric nephrology (PN) in these countries is not a priority for allocation of limited health resources. This article explores advancements made and persisting limitations in providing optimal PN services to children in such under-resourced areas (URA). Methods: Medline, PubMed and Google Scholar online databases were searched for articles pertaining to PN disease epidemiology, outcome, availability of services and infrastructure in URA. The ISN and IPNA offices were contacted for data, and two online questionnaire surveys of IPNA membership performed. Regional IPNA members were contacted for further detailed information. Results: There is a scarcity of published data from URA; where available, prevalence of PN diseases, managements and outcomes are often reported to be different from high income regions. Deficiencies in human resources, fluoroscopy, nuclear imaging, immunofluorescence, electron microscopy and genetic studies were identified. Several drugs and maintenance kidney replacement therapy are inaccessible to the majority of patients. Despite these issues, regional efforts with support from international bodies have led to significant advances in PN services and infrastructure in many URA. Conclusions: Equitable distribution and affordability of PN services remain major challenges in URA. The drive towards acquisition of regional data, advocacy to local government and non-government agencies and partnership with international support bodies needs to be continued. The aim is to optimise and achieve global parity in PN training, investigations and treatments, initially focusing on preventable and reversible conditions. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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