{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:47:08Z","timestamp":1790185628498,"version":"4.1.0"},"reference-count":70,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institute of Health Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100004411","name":"Heart and Stroke Foundation of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Kidney diseases have become a global epidemic with significant public health impact. Chronic kidney disease (CKD) is set to become the fifth largest cause of death by 2040, with major impacts on low-resource countries. This review is based on a recent report of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) which uncovered gaps in key vehicles of kidney care delivery assessed using World Health Organization building blocks for health systems (financing, services delivery, workforce, access to essential medicines, health information systems and leadership\/governance). High-income countries had more centres for kidney replacement therapies (KRT), higher KRT access, higher allocation of public funds to KRT, larger workforces, more health information systems, and higher government recognition of CKD and KRT as health priorities than low-income nations. Evidence identified from the current ISN-GKHA initiative should serve as template for generating and advancing policies and partnerships to address the global burden of kidney disease. The results provide opportunities for kidney health policymakers, nephrology leaders and organizations to initiate consultations to identify strategies for improving care delivery and access in equitable, resource-sensitive manners. Policies to increase use of public funding for kidney care, lower the cost of KRT and increase workforces should be a high priority in low-resource nations, while strategies that expand access to kidney care and maintain current status of care should be prioritized in high-income countries. In all countries, the perspectives of people with CKD should be exhaustively explored to identify core kidney care priorities.<\/jats:p>","DOI":"10.1093\/ndt\/gfae116","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T03:42:25Z","timestamp":1716262945000},"page":"1762-1771","source":"Crossref","is-referenced-by-count":16,"title":["Global kidney health priorities\u2014perspectives from the ISN-GKHA"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6545-9715","authenticated-orcid":false,"given":"Ikechi G","family":"Okpechi","sequence":"first","affiliation":[{"name":"Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta , Edmonton, Alberta ,","place":["Canada"]},{"name":"Division of Nephrology and Hypertension, Department of Medicine, University of Cape Town , Cape Town ,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7066-8135","authenticated-orcid":false,"given":"Valerie A","family":"Luyckx","sequence":"additional","affiliation":[{"name":"Department of Public and Global Health, Epidemiology, Biostatistics and Prevention Institute, University of Zurich ,","place":["Switzerland"]},{"name":"Renal Division, Brigham and Women's Hospital, Harvard Medical School , Boston, MA ,","place":["USA"]},{"name":"Department of Paediatrics and Child Health, University of Cape Town ,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somkanya","family":"Tungsanga","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta , Edmonton, Alberta ,","place":["Canada"]},{"name":"Division of General Internal Medicine-Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University , Bangkok ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anukul","family":"Ghimire","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta , Edmonton, Alberta ,","place":["Canada"]},{"name":"Division of Nephrology, Department of Medicine, University of Calgary , Calgary, Alberta ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivekanand","family":"Jha","sequence":"additional","affiliation":[{"name":"George Institute for Global Health, University of New South Wales (UNSW) , New Delhi ,","place":["India"]},{"name":"School of Public Health, Imperial College , London ,","place":["UK"]},{"name":"Prasanna School of Public Health, Manipal Academy of Higher Education , Manipal ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W","family":"Johnson","sequence":"additional","affiliation":[{"name":"Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital , Brisbane ,","place":["Australia"]},{"name":"Translational Research Institute , Brisbane ,","place":["Australia"]},{"name":"Department of Kidney and Transplant Services, Princess Alexandra Hospital , Brisbane ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aminu K","family":"Bello","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta , Edmonton, Alberta ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"key":"2024103009005894400_bib1","doi-asserted-by":"publisher","first-page":"1048","DOI":"10.1016\/j.kint.2019.07.012","article-title":"A single number for advocacy and communication-worldwide 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