Evidence map›Paper›PMID 38618494›Full record

ReviewKidney international supplements2024

Capacity for the management of kidney failure in the International Society of Nephrology Africa region: report from the 2023 ISN Global Kidney Atlas (ISN-GKHA).

Elliot Koranteng Tannor, Bianca Davidson, Yannick Nlandu, Peace Bagasha, Workagegnehu Hailu Bilchut, M Razeen Davids, Hassane M Diongole, Udeme E Ekrikpo, Ehab O A Hafiz, Kwaifa Salihu Ibrahim and 24 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Kidney international supplements, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. "Kidney international reports · 2025
    Article
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  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 16 countries.

Elliot Koranteng TannorDepartment of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Bianca DavidsonDivision of Nephrology and Hypertension, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Yannick NlanduNephrology Unit, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.
Peace BagashaDepartment of Internal Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Workagegnehu Hailu BilchutDepartment of Internal Medicine/CMHS, University of Gondar, Gondar, Ethiopia.
M Razeen DavidsDivision of Nephrology, Department of Medicine, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.
Hassane M DiongoleDivision of Nephrology, Department of Medicine, National Hospital Zinder, Zinder, Niger.
Udeme E EkrikpoDepartment of Medicine, University of Uyo/University of Uyo Teaching Hospital, Uyo, Nigeria.
Ehab O A HafizElectron Microscopy Department, Clinical Laboratory Division, Theodor Bilharz Research Institute, Giza, Egypt.
Kwaifa Salihu IbrahimNephrology Unit, Department of Medicine, Wuse District Hospital, Abuja, Nigeria.
Robert KalyesubulaDepartment of Physiology, Makerere University College of Health Sciences, Kampala, Uganda.
Aisha M NaladoDepartment of Medicine, Bayero University Kano, Kano, Nigeria.
Timothy O OlanrewajuDivision of Nephrology, Department of Medicine, College of Health Sciences, University of Ilorin, Ilorin, Nigeria.
Ugochi Chika OnuRenal Unit, Department of Medicine, University of Nigeria Teaching Hospital, ItukuOzalla, Enugu State, Nigeria.
Nikhil Pereira-KamathAfrica Healthcare Network Tanzania Limited, Dar es Salaam, Tanzania.
Aminu Muhammad SakajikiDepartment of Medicine, Usmanu Danfodiyo University and Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
Mohamed SalahNational Institute of Urology & Nephrology, Cairo, Egypt.
Lloyd VincentAfrica Healthcare Network, Port Louis, Mauritius.
Silvia ArrueboThe International Society of Nephrology, Brussels, Belgium.
Aminu K BelloDivision of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Fergus J CaskeyPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Sandrine DamsterThe International Society of Nephrology, Brussels, Belgium.
Jo-Ann DonnerThe International Society of Nephrology, Brussels, Belgium.
Vivekanand JhaGeorge Institute for Global Health, University of New South Wales (UNSW), New Delhi, India.
David W JohnsonDepartment of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Adeera LevinDivision of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Charu MalikThe International Society of Nephrology, Brussels, Belgium.
Masaomi NangakuDivision of Nephrology and Endocrinology, the University of Tokyo Graduate School of Medicine, Tokyo, Japan.
Ikechi G OkpechiDivision of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Marcello TonelliDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Feng YeDivision of Nephrology and Immunology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Gloria Enow AshuntantangFaculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroon.
Fatiu Abiola ArogundadeRenal Unit, Department of Medicine, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Regional Board and ISN-GKHA Team Authors
University of Alberta · CAMakerere University · UGTranslational Research Institute · AUBayero University Kano · NGKomfo Anokye Teaching Hospital · GHManipal Academy of Higher Education · INMulago Hospital · UGNile University of Nigeria · NGObafemi Awolowo University · NGStellenbosch University · ZATheodor Bilharz Research Institute · EGThe University of Tokyo · JPUniversité André Salifou · NEUniversité de Yaoundé I · CMUniversity of Bristol · GBUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Cape Town · ZAUniversity of Gondar · ETUniversity of Ilorin · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The burden of chronic kidney disease and associated risk of kidney failure are increasing in Africa. The management of people with chronic kidney disease is fraught with numerous challenges because of limitations in health systems and infrastructures for care delivery. From the third iteration of the International Society of Nephrology Global Kidney Health Atlas, we describe the status of kidney care in the ISN Africa region using the World Health Organization building blocks for health systems. We identified limited government health spending, which in turn led to increased out-of-pocket costs for people with kidney disease at the point of service delivery. The health care workforce across Africa was suboptimal and further challenged by the exodus of trained health care workers out of the continent. Medical products, technologies, and services for the management of people with nondialysis chronic kidney disease and for kidney replacement therapy were scarce due to limitations in health infrastructure, which was inequitably distributed. There were few kidney registries and advocacy groups championing kidney disease management in Africa compared with the rest of the world. Strategies for ensuring improved kidney care in Africa include focusing on chronic kidney disease prevention and early detection, improving the effectiveness of the available health care workforce (e.g., multidisciplinary teams, task substitution, and telemedicine), augmenting kidney care financing, providing quality, up-to-date health information data, and improving the accessibility, affordability, and delivery of quality treatment (kidney replacement therapy or conservative kidney management) for all people living with kidney failure.

Indexed as

Africachronic kidney diseasekidney failurekidney replacement therapynephrology workforceout-of-pocket spending

Identifiers

PMID38618494
PMCPMC11010621
OpenAlexW4394580095

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.