Evidence map›Paper›PMID 37602143›Full record

ArticleKidney medicine2023

Access to Nephrology Care for Pregnancy-Related Acute Kidney Injury in Low- and Lower-Middle-Income Countries: A Perspective.

Mohamed E Elrggal, Divya Bajpai, Elliot Koranteng Tannor, Rabeea Azmat, Ahmed Muhammad Bashir, Justor Banda, Nzana Victorine B, Yannick Mayamba Nlandu, Bala Waziri, Winfred Baah and 2 more

Abstract read
In one paragraph

Article in Kidney medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
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

12 authors.

Mohamed E ElrggalKidney and Urology center, Alexanria.
Divya BajpaiSETH GSMC and KEM hospital, Mumbai, India.
Elliot Koranteng TannorKwame Nkrumah University of Science and Technology.
Rabeea AzmatAga Khan University Hospital ,Karachi, Pakistan.
Ahmed Muhammad BashirMogadishu Somali Turkey Training and Research Hospital, Mogadishu, Somalia.
Justor BandaNdola Teaching Hospital, Ndola, Zambia.
Nzana Victorine BFaculty of Medicine and Biomedical Sciences, University of Yaounde I Cameroon.
Yannick Mayamba NlanduKinshasa University Hospital, University of Kinshasa, DRC.
Bala WaziriIbrahim Badamasi Babangida Specialist Hospital, Minna. Nigeria.
Winfred BaahKorle Bu Teaching Hospital, Accra, Ghana.
Rumbidzai DahwaFaculty of Medicine and Health Sciences, University of Zimbabwe.
Rasha Samir ShemiesMansoura Nephrology and Dialysis Unit, Mansoura University, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pregnancy-related acute kidney injury (AKI) is a major public health problem with substantial maternal and fetal morbidity and mortality. Women with pregnancy-related AKI require immediate access to nephrology care to prevent deleterious kidney and health outcomes. Patients with pregnancy-related AKI in low-income and lower-middle-income countries experience disparities in access to comprehensive nephrology care for many reasons. In this perspective, we highlight the burden of pregnancy-related AKI and explore the challenges among different low-income and lower-middle-income countries. The lack of adequate nephrology workforce and infrastructure for kidney health care represents a fundamental component of the problem. A shortage of nephrologists hampers the care of patients with pregnancy-related AKI leading to poor outcomes. The lack of diagnostic tools and therapeutic options, including kidney replacement therapy, impedes the implementation of effective management strategies. International efforts are warranted to empower women to get the right services and support at the right time. Dedicated preventive and early care programs are urgently needed to decrease the magnitude of pregnancy-related AKI, a complication under-represented in the literature.

Indexed as

pregnancy related acute kidney injury, PRAKI, access to care, AKI

Identifiers

PMID37602143
PMCPMC10432998

What OpenQuestion holds

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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.