Evidence map›Paper›PMID 39821314›Full record

ReviewPediatric nephrology (Berlin, Germany)2025

Current status and strategies to strengthen paediatric kidney replacement therapy in Nepal.

Ajaya Kumar Dhakal, Devendra Shrestha, Rishi Kumar Kafle, Daman Raj Poudel, Saurav Shrestha

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Ajaya Kumar DhakalDepartment of Paediatrics, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal. ajayakdhakal@gmail.com.ORCID http://orcid.org/0000-0002-2881-655X
Devendra ShresthaDepartment of Paediatrics, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.
Rishi Kumar KafleNational Kidney Center, Vanasthali, Kathmandu, Nepal.
Daman Raj PoudelDepartment of Paediatrics, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Saurav ShresthaDepartment of Paediatrics, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paediatric dialysis services have been available in Nepal for three decades but are limited to a few tertiary referral centres in major cities. The availability of a small number of paediatric nephrologists, an increasing number of adult nephrologists, and a modest increase in dialysis facilities have contributed to the gradual expansion of paediatric nephrology and kidney replacement therapy services in Nepal over the last decade. These services have grown steadily and will continue to grow because of the positive impact of government support for kidney replacement therapy and various public health initiatives to promote kidney health. Several challenges, such as the inaccessibility of healthcare, shortage of healthcare professionals, and scarcity of dialysis equipment, remain to be overcome to improve the delivery and effectiveness of kidney replacement therapy services for better health outcomes in paediatric kidney disease. This article discusses the history of paediatric dialysis, the current situation, and strategies to improve the availability of kidney replacement therapy for Nepalese children.

Indexed as

PediatricsRenal Replacement TherapyChildHealth Services AccessibilityHumansNepalNephrologyRenal DialysisDialysisKidneyKidney replacement therapyNepalPaediatric dialysis

Identifiers

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.