Evidence map›Paper›PMID 33461978›Full record

ArticleBMJ global health2021

Workforce capacity for the care of patients with kidney failure across world countries and regions.

Parnian Riaz, Fergus Caskey, Mark McIsaac, Razeen Davids, Htay Htay, Vivekanand Jha, Kailash Jindal, Min Jun, Maryam Khan, Adera Levin and 10 more

Abstract read
In one paragraph

Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 'Southern African journal of infectious diseases · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Global kidney health priorities-perspectives from the ISN-GKHA.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Advances in Human-Centered Care to Address Contemporary Unmet Needs in Chronic Dialysis.International journal of nephrology and renovascular disease · 2024
    Review
  15. Review
  16. Article
  17. Article
  18. Optimizing Multidisciplinary Care of Patients with Chronic Kidney Disease and Type 2 Diabetes Mellitus.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Review
  19. Article
  20. Review
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

20 authors.

Parnian RiazMedicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada.
Fergus CaskeyPopulation Health Sciences, University of Bristol, Bristol, UK.
Mark McIsaacMedicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada.
Razeen DavidsFaculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Htay HtayMedicine, Singapore General Hospital, Singapore.
Vivekanand JhaGeorge Institute for Global Health, University of New South Wales (UNSW), New Delhi, India.
Kailash JindalMedicine, University of Alberta, Edmonton, Alberta, Canada.
Min JunThe George Institute for Global Health, Newtown, New South Wales, Australia.
Maryam KhanFaculty of Science, University of Alberta, Edmonton, Alberta, Canada.
Adera LevinDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
Meaghan LunneyDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Ikechi OkpechiMedicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada.ORCID 0000-0002-6545-9715
Roberto Pecoits-FilhoSchool of Medicine, Pontifical Catholic University of Paraná, Curitiba, Brazil.
Mohamed A OsmanMedicine, University of Alberta, Edmonton, Alberta, Canada.
Tushar VachharajaniDepartment of Nephrology and Hypertension, Cleveland Clinic, Glickman Urological and Kidney Institute, Cleveland, Ohio, USA.
Feng YeMedicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada.
David HarrisUniversity of Sydney at Westmead Hospital, Westmead, New South Wales, Australia.
Marcello TonelliDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
David JohnsonDepartment of Nephrology, Metro South and Ipswich Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Aminu BelloMedicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada aminu1@ualberta.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn effective workforce is essential for optimal care of all forms of chronic diseases. The objective of this study was to assess workforce capacity for kidney failure (KF) care across world countries and regions.

methodsData were collected from published online sources and a survey was administered online to key stakeholders. All country-level data were analysed by International Society of Nephrology region and World Bank income classification.

resultsThe general healthcare workforce varies by income level: high-income countries have more healthcare workers per 10 000 population (physicians: 30.3; nursing personnel: 79.2; pharmacists: 7.2; surgeons: 3.5) than low-income countries (physicians: 0.9; nursing personnel: 5.0; pharmacists: 0.1; surgeons: 0.03). A total of 160 countries responded to survey questions pertaining to the workforce for the management of patients with KF. The physicians primarily responsible for providing care to patients with KF are nephrologists in 92% of countries. Global nephrologist density is 10.0 per million population (pmp) and nephrology trainee density is 1.4 pmp. High-income countries reported the highest densities of nephrologists and nephrology trainees (23.2 pmp and 3.8 pmp, respectively), whereas low-income countries reported the lowest densities (0.2 pmp and 0.1 pmp, respectively). Low-income countries were most likely to report shortages of all types of healthcare providers, including nephrologists, surgeons, radiologists and nurses.

conclusionsResults from this global survey demonstrate critical shortages in workforce capacity to care for patients with KF across world countries and regions. National and international policies will be required to build a workforce capacity that can effectively address the growing burden of KF and deliver optimal care.

Indexed as

NephrologyRenal InsufficiencyHumansPovertySurveys and QuestionnairesWorkforceepidemiologyhealth services researchpublic health

Identifiers

PMID33461978
PMCPMC7816926

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.