Capacity for the management of kidney failure in the International Society of Nephrology Western Europe region : report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
(2024) In Kidney International Supplements 13(1). p.136-151- Abstract
Western Europe boasts advanced health care systems, robust kidney care guidelines, and a well-established health care workforce. Despite this, significant disparities in kidney replacement therapy incidence, prevalence, and transplant access exist. This paper presents the third International Society of Nephrology Global Kidney Health Atlas's findings on kidney care availability, accessibility, affordability, and quality in 22 Western European countries, representing 99% of the region's population. The known chronic kidney disease (CKD) prevalence across Western Europe averages 10.6%, slightly above the global median. Cardiovascular diseases account for a substantial portion of CKD-related deaths. Kidney failure incidence varies.... (More)
Western Europe boasts advanced health care systems, robust kidney care guidelines, and a well-established health care workforce. Despite this, significant disparities in kidney replacement therapy incidence, prevalence, and transplant access exist. This paper presents the third International Society of Nephrology Global Kidney Health Atlas's findings on kidney care availability, accessibility, affordability, and quality in 22 Western European countries, representing 99% of the region's population. The known chronic kidney disease (CKD) prevalence across Western Europe averages 10.6%, slightly above the global median. Cardiovascular diseases account for a substantial portion of CKD-related deaths. Kidney failure incidence varies. Government health expenditure differs; however, most countries offer government-funded acute kidney injury, dialysis, and kidney transplantation care. Hemodialysis and peritoneal dialysis are universally available, with variations in the number of dialysis centers. Kidney transplantation is available in all countries (except for 3 microstates), with variable transplant center prevalence. Conservative kidney management (CKM) is increasingly accessible. The region's kidney care workforce is substantial, exceeding global averages; however, workforce shortages are reported. Barriers to optimal kidney care include limited workforce capacity, lack of surveillance mechanisms, and suboptimal integration into national noncommunicable disease (NCD) strategies. Policy recognition of CKD as a health priority varies across countries. Although Western Europe exhibits strong kidney care infrastructure, opportunities for improvement exist, particularly in CKD prevention, surveillance, awareness, and policy implementation. Efforts to improve CKD care should include automated detection, educational support, and enhanced workflows. Based on these findings, health care professionals, stakeholders, and policymakers are called to act to enhance kidney care across the region.
(Less)
- author
- contributor
- Clyne, Naomi
LU
- author collaboration
- organization
- publishing date
- 2024-04
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- chronic kidney disease, dialysis, end-stage kidney disease, Europe, kidney registries, kidney transplantation
- in
- Kidney International Supplements
- volume
- 13
- issue
- 1
- pages
- 136 - 151
- publisher
- Elsevier
- external identifiers
-
- pmid:38618502
- scopus:85189560684
- ISSN
- 2157-1724
- DOI
- 10.1016/j.kisu.2024.01.008
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2024 International Society of Nephrology
- id
- a46816b2-01a9-4998-b499-712bf773aa0b
- date added to LUP
- 2024-11-19 12:25:49
- date last changed
- 2025-07-16 08:20:14
@article{a46816b2-01a9-4998-b499-712bf773aa0b,
abstract = {{<p>Western Europe boasts advanced health care systems, robust kidney care guidelines, and a well-established health care workforce. Despite this, significant disparities in kidney replacement therapy incidence, prevalence, and transplant access exist. This paper presents the third International Society of Nephrology Global Kidney Health Atlas's findings on kidney care availability, accessibility, affordability, and quality in 22 Western European countries, representing 99% of the region's population. The known chronic kidney disease (CKD) prevalence across Western Europe averages 10.6%, slightly above the global median. Cardiovascular diseases account for a substantial portion of CKD-related deaths. Kidney failure incidence varies. Government health expenditure differs; however, most countries offer government-funded acute kidney injury, dialysis, and kidney transplantation care. Hemodialysis and peritoneal dialysis are universally available, with variations in the number of dialysis centers. Kidney transplantation is available in all countries (except for 3 microstates), with variable transplant center prevalence. Conservative kidney management (CKM) is increasingly accessible. The region's kidney care workforce is substantial, exceeding global averages; however, workforce shortages are reported. Barriers to optimal kidney care include limited workforce capacity, lack of surveillance mechanisms, and suboptimal integration into national noncommunicable disease (NCD) strategies. Policy recognition of CKD as a health priority varies across countries. Although Western Europe exhibits strong kidney care infrastructure, opportunities for improvement exist, particularly in CKD prevention, surveillance, awareness, and policy implementation. Efforts to improve CKD care should include automated detection, educational support, and enhanced workflows. Based on these findings, health care professionals, stakeholders, and policymakers are called to act to enhance kidney care across the region.</p>}},
author = {{Pippias, Maria and Alfano, Gaetano and Kelly, Dearbhla M. and Soler, Maria Jose and De Chiara, Letizia and Olanrewaju, Timothy O. and Arruebo, Silvia and Bello, Aminu K. and Caskey, Fergus J. and Damster, Sandrine and Donner, Jo Ann and Jha, Vivekanand and Johnson, David W. and Levin, Adeera and Malik, Charu and Nangaku, Masaomi and Okpechi, Ikechi G. and Tonelli, Marcello and Ye, Feng and Coppo, Rosanna and Lightstone, Liz}},
issn = {{2157-1724}},
keywords = {{chronic kidney disease; dialysis; end-stage kidney disease; Europe; kidney registries; kidney transplantation}},
language = {{eng}},
number = {{1}},
pages = {{136--151}},
publisher = {{Elsevier}},
series = {{Kidney International Supplements}},
title = {{Capacity for the management of kidney failure in the International Society of Nephrology Western Europe region : report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)}},
url = {{http://dx.doi.org/10.1016/j.kisu.2024.01.008}},
doi = {{10.1016/j.kisu.2024.01.008}},
volume = {{13}},
year = {{2024}},
}