Global Kidney Health Atlas

[vc_row][vc_column][vc_column_text]Kidney disease is a significant worldwide public health problem. Acute kidney injury (AKI) and chronic kidney disease (CKD) are linked to high health care costs, poor quality of life, and serious adverse health outcomes.

Despite this burden, kidney disease is often not included in major chronic disease control strategies, presenting an obstacle when engaging with governments to address kidney diseases.

In an attempt to better define the current worldwide state of kidney care for AKI and CKD, and provide policy recommendations for improvements, the ISN launched a global survey project in 2016, the ISN Global Kidney Health Atlas (GKHA), to collect information on the current state of readiness, capacity, and competence for kidney health care delivery in each country and region.[/vc_column_text][vc_column_text]

Process

The ISN GKHA is a multinational survey conducted by the ISN to assess current capacity for kidney care. Designed to document the degree to which the six principles of Universal Health Coverage* are available in each country or region, data is gathered on the world status of existing resources, structures, and organizations available to patients with kidney diseases.

The survey was initially administered electronically in 2016 to individuals throughout 130 countries via the ISN’s Affiliated Societies and 10 regional boards. The first global report published in 2017 highlighted kidney disease as a silent epidemic and the neglect of treatment and prevention.

A second, updated ISN GKHA global report published in April 2019, drew attention to the growing burden of kidney diseases and the significant inequities in access to treatment across countries and regions.

*Health Finance, Health Policy, Service Delivery and Safety, Essential Medications and Health Products, Health Information and Statistics, and Health Workforce.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

The Reports

[/vc_column_text][/vc_column][vc_column width=”1/2″][porto_info_box icon=”far fa-file-alt” icon_size=”32″ icon_border_radius=”500″ title=”ISN GKHA – 1st Edition, 2017″ icon_color=”#f17762″]Highlights kidney disease as a silent epidemic and outlines the neglect of treatment and prevention in all countries. An estimated 1 in 10 people worldwide have chronic kidney disease.[/porto_info_box][vc_btn title=”Download Here” shape=”round” color=”danger” align=”center” link=”url:https%3A%2F%2Fwww.theisn.org%2Fwp-content%2Fuploads%2F2021%2F05%2FGKDAtlas_2017_FinalVersion-1.pdf||target:%20_blank|” el_class=”GKHA2017-booklet-download”][/vc_column][vc_column width=”1/2″][porto_info_box icon=”far fa-file-alt” icon_size=”32″ icon_border_radius=”500″ title=”ISN GKHA – 2nd Edition, 2019″ icon_color=”#f17762″]Highlights the growing burden of kidney disease and significant inequities in access to treatment across countries and regions.[/porto_info_box][vc_btn title=”Download Here” shape=”round” color=”danger” align=”center” link=”url:https%3A%2F%2Fwww.theisn.org%2Fwp-content%2Fuploads%2F2021%2F05%2FGKHAtlas_2019_WebFIle-1.pdf||target:%20_blank|” el_class=”GKHA2017-booklet-download”][/vc_column][/vc_row][vc_row equal_height=”yes” content_placement=”bottom”][vc_column][vc_column_text]

Tools and Resources

Region-specific slides

The ISN GKHA team has prepared summary slides of the ISN GKHA 2019 report focusing on each ISN region individually.

The ISN invites members to share the results from their region with colleagues and key stakeholders to support discussions on and advocate for kidney health care to relevant national and regional health, policy, and education officials.

A user manual and narrative script, in support of the presentation slides, are available to download here in pdf format.[/vc_column_text][/vc_column][vc_column width=”1/5″ el_class=”box-blue-isn” css=”.vc_custom_1599301891581{background-image: url(https://www.theisn.org/wp-content/uploads/2020/07/AFRICA_iStock_000001694963_Large.jpg?id=3017) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}”][vc_column_text]

Africa

User Manual
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Eastern and Central Europe

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Latin America

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The Middle East

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Newly Independent States and Russia

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North America and the Caribbean

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North and East Asia

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Oceania and South East Asia

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South Asia

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Western Europe

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Publications

First ISN GKHA issue published in 2017 (JAMA):
Bello AK, Levin A, Tonelli M, et al. Assessment of Global Kidney Health Care Status. JAMA. 2017;317(18):1864–1881. doi:10.1001/jama.2017.4046[/vc_column_text][vc_column_text]Second issue published in 2019 (BMJ):
Bello AK, Levin A, Lunney M, et al. Status of care for end stage kidney disease in countries and regions worldwide: international cross sectional survey. BMJ. 2019;367:l5873. Published 2019 Oct 31. doi:10.1136/bmj.l5873[/vc_column_text][/vc_tta_section][vc_tta_section title=”2017 ISN GKHA Associated Publications” tab_id=”2017-isn-gkha-associate-publications”][vc_column_text]Main manuscript

Protocol with supplements

Other

UHC (Universal Health Coverage) domains papers

Building blocks toward sustainable kidney care around the world: results from a multinational survey by the International Society of Nephrology. Kidney Int Suppl (2011). 2018 Feb

Guidelines, policies, and barriers to kidney care: findings from a global survey. Kidney Int Suppl (2011). 2018 Feb

Global overview of health systems oversight and financing for kidney care. Kidney Int Suppl (2011). 2018 Feb

Global nephrology workforce: gaps and opportunities toward a sustainable kidney care system. Kidney Int Suppl (2011). 2018 Feb

Global access of patients with kidney disease to health technologies and medications: findings from the Global Kidney Health Atlas project. Kidney Int Suppl (2011). 2018 Feb

Global coverage of health information systems for kidney disease: availability, challenges, and opportunities for development. Kidney Int Suppl (2011). 2018 Feb

Global capacity for clinical research in nephrology: a survey by the International Society of Nephrology. Kidney Int Suppl (2011). 2018 Feb[/vc_column_text][/vc_tta_section][vc_tta_section title=”2019 ISN GKHA Associated Publications” tab_id=”2019-isn-gkha-associated-publications”][vc_column_text]Main manuscript

UHC (Universal Health Coverage) domains papers 

UHC (Universal Health Coverage) regional papers 

Other in collaboration with KDIGO

[/vc_column_text][/vc_tta_section][vc_tta_section title=”Impact” tab_id=”impact”][vc_column_text]The ISN GKHA reports define the current state of kidney disease care, management, and prevention worldwide, and identify key gaps in specific areas and regions.

This information alerts local and international bodies to the initiatives and health care policies needed to improve outcomes.

Future work will include tools and strategies to address regional and national gaps over the long-term.

ISN GKHA media coverage

Discover the impact of the ISN GKHA through global media coverage.[/vc_column_text][/vc_tta_section][vc_tta_section title=”Next Steps” tab_id=”next-steps”][vc_column_text]The ISN GKHA data continues to be collected and analyzed from a balanced representation of national nephrology societies, policymakers, kidney foundations, patient organizations, and advocacy groups.

New editions will be released periodically, tracking progress on the state of readiness, capacity, and competence for the delivery of kidney health care worldwide.

The next issue of the ISN GKHA will be released in 2023.[/vc_column_text][/vc_tta_section][/vc_tta_accordion][vc_column_text]

Contact

For any inquiries on the ISN GKHA, contact the ISN Research Team at research@theisn.org.[/vc_column_text][/vc_column][/vc_row]