Thread by @vjha126

An inconvenient truth: 2–7 million people with kidney failure worldwide die prematurely because they do not have access to kidney replacement therapy (dialysis/transplantation) #ISNWCN @WHO

#Kidney #disease is the third fastest-growing cause of death, projected from the current 16th position to 5th in less than 20 years

There are huge inequities in access to kidney replacement therapy worldwide, with 94% patients being in high and upper-middle income countries

Dialysis is available in all countries but accessible to few - just 1% of all patients starting dialysis in Sub-Saharan Africa are still on dialysis one year later. Many people sell off their belongings and descend into deep poverty @valerie_luyckx

The @ISNkidneycare has developed a framework for developing and/or expanding kidney replacement therapy services in LMICs as part of its work in official relations with @drvarghesec @WHO tinyurl.com/vcfbu425

Covering clinical/echnical requirements for service distribution, infrastructure, human resources, patient management, shared decision making, protocols for dialysis delivery, and quality assurance, guidance on preparing dialysis services for future pandemics and other disasters.

- not a one-size-fits-all solution
- provides a resource-sensitive range of options
- maintain an acceptable standard of service delivery
- encourages robust monitoring, evaluation, and reporting
- track demand, quality, costing, and efficiency of KRT delivery

- Good-quality dialysis can only function within resilient
health systems
- wider socioeconomic context impacts pts ability to access care and manage their illness
- important to consider safe housing, employment, education, and gender equity

For more - go to thelancet.com/journals/lance… @ISNkidneycare @TheLancet @WHO @valerie_luyckx @davidharris_ISN @drvarghesec #ISNWCN