Evidence map›Paper›PMID 30675440›Full record

ReviewKidney international supplements2018

Global access of patients with kidney disease to health technologies and medications: findings from the Global Kidney Health Atlas project.

Htay Htay, Mona Alrukhaimi, Gloria E Ashuntantang, Aminu K Bello, Ezequiel Bellorin-Font, Mohammed Benghanem Gharbi, Branko Braam, John Feehally, David C Harris, Vivekanand Jha and 27 more

Abstract readReview
In one paragraph

Review in Kidney international supplements, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Health-related quality of life in chronic kidney disease patients in low- and lower-middle income countries: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Pooled it
  3. Pooled it
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  8. "Kidney international reports · 2025
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  15. Framework of Guidelines for Management of CKD in Asia.Kidney international reports · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors.

Htay HtayDepartment of Nephrology, Metro South and Ipswich Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Australia.
Mona AlrukhaimiDepartment of Medicine, Dubai Medical College, Dubai, United Arab Emirates.
Gloria E AshuntantangFaculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroon.
Aminu K BelloDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Ezequiel Bellorin-FontDivision of Nephrology and Kidney Transplantation, Hospital Universitario de Caracas, Universidad Central de Venezuela, Caracas, Venezuela.
Mohammed Benghanem GharbiUrinary Tract Diseases Department, Faculty of Medicine and Pharmacy of Casablanca, University Hassan II of Casablanca, Casablanca, Morocco.
Branko BraamDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
John FeehallyDepartment of Infection, Inflammation and Immunity, University Hospitals of Leicester, University of Leicester, Leicester, UK.
David C HarrisCentre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Sydney, New South Wales, Australia.
Vivekanand JhaGeorge Institute for Global Health India, New Delhi, India.
Kailash JindalDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Kamyar Kalantar-ZadehDivision of Nephrology and Hypertension, University of California Irvine Medical Center, Orange, California, USA.
Rumeyza KazanciogluDivision of Nephrology, Bezmialem Vakif University, Istanbul, Turkey.
Peter G KerrDepartment of Nephrology, Monash Medical Centre, Monash Health, Clayton, Victoria, Australia.
Adeera LevinDepartment of Medicine, Division of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
Meaghan LunneyDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Ikechi G OkpechiDivision of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa.
Michelle E OlahDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Timothy Olusegun OlanrewajuDepartment of Medicine, College of Health Sciences, University of Ilorin, Ilorin, Nigeria.
Mohamed A OsmanDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Yasin ParpiaDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Jeffrey PerlDivision of Nephrology, St. Michael's Hospital and the Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Bilal QarniDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Harun Ur RashidDepartment of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh.
Ahmed RatebDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Eric RondeauIntensive Care Nephrology and Transplantation Department, Hopital Tenon, Assistance Publique-Hopitaux de Paris, Paris, France.
Babatunde Lawal SalakoDepartment of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Laura SolaDivision Epidemiologia, Direccion General de Salud-Ministerio Salud Publica, Montevideo, Uruguay.
Irma TchokhonelidzeNephrology Development Clinical Center, Tbilisi State Medical University, Tbilisi, Georgia.
Marcello TonelliDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Natasha WiebeDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Isaac WirzbaDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Chih-Wei YangKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Feng YeDepartment of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
Alexander ZemchenkovDepartment of Internal Disease and Nephrology, North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.
Ming-Hui ZhaoRenal Division, Department of Medicine, Peking University First Hospital, Beijing, China.
David W JohnsonDepartment of Nephrology, Metro South and Ipswich Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Access to essential medications and health products is critical to effective management of kidney disease. Using data from the ISN Global Kidney Health Atlas multinational cross-sectional survey, global access of patients with kidney disease to essential medications and health products was examined. Overall, 125 countries participated, with 118 countries, composing 91.5% of the world's population, providing data on this domain. Most countries were unable to access eGFR and albuminuria in their primary care settings. Only one-third of low-income countries (LICs) were able to measure serum creatinine and none were able to access eGFR or quantify proteinuria. The ability to monitor diabetes mellitus through serum glucose and glycated hemoglobin measurements was suboptimal. Pathology services were rarely available in tertiary care in LICs (12%) and lower middle-income countries (45%). While acute and chronic hemodialysis services were available in almost all countries, acute and chronic peritoneal dialysis services were rarely available in LICs (18% and 29%, respectively). Kidney transplantation was available in 79% of countries overall and in 12% of LICs. While over one-half of all countries publicly funded RRT and kidney medications with or without copayment, this was less common in LICs and lower middle-income countries. In conclusion, this study demonstrated significant gaps in services for kidney care and funding that were most apparent in LICs and lower middle-income countries.

Indexed as

acute kidney injury and chronic kidney disease carefunding for health carefunding for medicationsglobal health carehealth care service provisionrenal replacement therapy

Identifiers

PMID30675440
PMCPMC6336224

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.