{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T02:08:08Z","timestamp":1788746888362,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,10,6]],"date-time":"2024-10-06T00:00:00Z","timestamp":1728172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,10,6]],"date-time":"2024-10-06T00:00:00Z","timestamp":1728172800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009891","name":"International Society of Nephrology","doi-asserted-by":"publisher","award":["RES0033080"],"award-info":[{"award-number":["RES0033080"]}],"id":[{"id":"10.13039\/100009891","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Optimal care for patients with kidney failure reduces the risks of adverse health outcomes, including cardiovascular events and death. We evaluated data from the third iteration of the International Society of Nephrology Global Kidney Health Atlas (ISN\u2010GKHA) to assess the capacity for quality service delivery for kidney failure care across countries and regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We explored the quality of kidney failure care delivery and the monitoring of quality indicators from data provided by an international survey of stakeholders from countries affiliated with the ISN from July to September 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and sixty seven countries participated in the survey, representing about 97.4% of the world's population. In countries where haemodialysis (HD) was available, 81% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009134) provided standard HD sessions (three times weekly for 3\u20134\u2009h per session) to patients. Among countries with peritoneal dialysis (PD) services, 61% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009101) were able to provide standard PD care (3\u20134 exchanges per day). In high\u2010income countries, 98% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200962) reported that &gt;75% of centers regularly monitored dialysis water quality for bacteria compared to 28% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095) of low\u2010income countries (LICs). Capacity to monitor the administration of immunosuppression drugs was generally available in 21% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094) of LICs, compared to 90% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200957) of high\u2010income countries. There was significant variability between and within regions and country income groups in reporting the quality of services utilized for kidney replacement therapies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Quality assurance standards on diagnostic and treatment tools were variable and particularly infrequent in LICs. Standardization of delivered care is essential for improving outcomes for people with kidney failure.<\/jats:p>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/nep14402-gra-0001-m.png\">\n                          <jats:alt-text>image<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nep.14402","type":"journal-article","created":{"date-parts":[[2024,10,6]],"date-time":"2024-10-06T20:19:58Z","timestamp":1728245998000},"page":"873-883","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Structures for quality assurance and measurements for kidney replacement therapies: A multinational study from the\n                    <scp>ISN<\/scp>\n                    \u2010\n                    <scp>GKHA<\/scp>"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3911-5564","authenticated-orcid":false,"given":"Udeme E.","family":"Ekrikpo","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of Uyo Teaching Hospital  Uyo Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"Davidson","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension, Department of Medicine Groote Schuur Hospital, University of Cape Town  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9696-0529","authenticated-orcid":false,"given":"Viviane","family":"Calice\u2010Silva","sequence":"additional","affiliation":[{"name":"Pro\u2010Rim Foundation  Joinville Santa Catarina Brazil"},{"name":"Department of Clinical Medicine, Faculty of Medicine University of the Region of Joinville (UNIVILLE)  Joinville Santa Catarina Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Karam","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension, Department of Medicine University of Minnesota  Minneapolis Minnesota USA"},{"name":"Division of Nephrology and Hypertension, Department of Internal Medicine American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed A.","family":"Osman","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Arruebo","sequence":"additional","affiliation":[{"name":"The International Society of Nephrology  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fergus J.","family":"Caskey","sequence":"additional","affiliation":[{"name":"Population Health Sciences Bristol Medical School, University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandrine","family":"Damster","sequence":"additional","affiliation":[{"name":"The International Society of Nephrology  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u2010Ann","family":"Donner","sequence":"additional","affiliation":[{"name":"The International Society of Nephrology  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivekanand","family":"Jha","sequence":"additional","affiliation":[{"name":"George Institute for Global Health  New Delhi India"},{"name":"School of Public Health Imperial College  London UK"},{"name":"Manipal Academy of Higher Education  Manipal 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Pan\u2010American Health Organization\/World Health Organization Collaborating Centre in Prevention and Control of Chronic Kidney Disease University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Ye","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Immunology, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6545-9715","authenticated-orcid":false,"given":"Ikechi G.","family":"Okpechi","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Immunology, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"},{"name":"Division of Nephrology and Hypertension University of Cape Town  Cape Town South Africa"},{"name":"Kidney and Hypertension Research Unit University of Cape Town  Cape Town South 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