Evidence map›Paper›PMID 37278919›Full record

ArticlePediatric nephrology (Berlin, Germany)2023

Lessons learned from regional training of paediatric nephrology fellows in Africa.

Mignon I McCulloch, Andrew C Argent, Brenda Morrow, Peter Nourse, Ashton Coetzee, Christel Du Buisson, Deveshni Reddy, Jonathan Buckley, Paul J Sinclair, Priya Gajjar and 5 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Little kidneys amid large global inequities.Pediatric nephrology (Berlin, Germany) · 2026
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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

15 authors at 6 institutions in 5 countries.

Mignon I McCullochDepartment of Paediatric Nephrology, Red Cross Children's Hospital, University of Cape Town, Rondebosch, Cape Town, South Africa. Mignon.mcculloch@uct.ac.za.ORCID http://orcid.org/0000-0003-2876-4785
Andrew C ArgentDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Brenda MorrowDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Peter NourseDepartment of Paediatric Nephrology, Red Cross Children's Hospital, University of Cape Town, Rondebosch, Cape Town, South Africa.
Ashton CoetzeeDepartment of Paediatric Nephrology, Red Cross Children's Hospital, University of Cape Town, Rondebosch, Cape Town, South Africa.
Christel Du BuissonDepartment of Paediatric Nephrology, Tygerberg Hospital Children's Hospital, University of Stellenbosch, Stellenbosch, South Africa.
Deveshni ReddyDepartment of Paediatric Nephrology, Red Cross Children's Hospital, University of Cape Town, Rondebosch, Cape Town, South Africa.
Jonathan BuckleyDepartment of Paediatric Nephrology, Red Cross Children's Hospital, University of Cape Town, Rondebosch, Cape Town, South Africa.
Paul J SinclairDepartment of Paediatric Nephrology, Red Cross Children's Hospital, University of Cape Town, Rondebosch, Cape Town, South Africa.
Priya GajjarDepartment of Paediatric Nephrology, Red Cross Children's Hospital, University of Cape Town, Rondebosch, Cape Town, South Africa.
Lucie SemanskaInternational Pediatric Nephrology Association (IPNA) Office Administration, IPNA Programs Coordinator, Kansa City, MO, USA.
Allison EddyProfessor Emeritus (Pediatrics), The University of British Columbia|Musqueam Traditional Territory, Investigator, BC Children's Hospital Research Institute, Scientific & Research Staff, BC Children's Hospital, Vancouver, Canada.
John FeehallyEmeritus Consultant Nephrologist, University Hospitals of Leicester, Honorary Visiting Fellow, Leicester, UK.
Francisco CanoPediatric Nephrologist, Luis Calvo Mackenna Children's Hospital, University of Chile, Santiago, Chile.
Bradley A WaradyDivision of Nephrology, Childrens Mercy, Kansas City, MO, USA.
University of Cape Town · ZABC Children's Hospital · CAChildren's Mercy Hospital · USHospital Luis Calvo Mackenna · CLStellenbosch University · ZAUniversity Hospitals of Leicester NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to care for children with kidney disease is limited in less well-resourced regions of the world and paediatric nephrology (PN) workforce development with good practical skills is critical.

methodsRetrospective review of a PN training program and trainee feedback from 1999 to 2021, based at Red Cross War Memorial Children's Hospital (RCWMCH), University of Cape Town.

resultsA regionally appropriate 1-2-year training program enrolled 38 fellows with an initial 100% return rate to their country of origin. Program funding included fellowships from the International Pediatric Nephrology Association (IPNA), International Society of Nephrology (ISN), International Society of Peritoneal Dialysis (ISPD), and the African Paediatric Fellowship Program (APFP). Fellows were trained on both in- and out-patient management of infants and children with kidney disorders. "Hands-on skills" training included examination, diagnosis and management skills, practical insertion of peritoneal dialysis catheters for management of acute kidney injury and kidney biopsies. Of 16 trainees who completed > 1 year of training, 14 (88%) successfully completed subspecialty exams and 9 (56%) completed a master's degree with a research component. PN fellows reported that their training was appropriate and enabled them to make a difference in their respective communities.

conclusionsThis training program has successfully equipped African physicians with the requisite knowledge and skills to provide PN services in resource-constrained areas for children with kidney disease. The provision of funding from multiple organizations committed to paediatric kidney disease has contributed to the success of the program, along with the fellows' commitment to build PN healthcare capacity in Africa. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

NephrologyPeritoneal DialysisAfricaCatheterizationChildFellowships and ScholarshipsHumansAcute kidney injuryDialysisHands-onKidney diseasePediatric nephrology fellowsTraining

Identifiers

PMID37278919
PMCPMC10243235
OpenAlexW4379508529

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.