Kidney health programs in Latin America: Results of the SLANH survey 2024

Chronic kidney disease (CKD) is a health problem worldwide, but it is overexpressed in Latin America. With the aim of understanding the status of kidney health programs (KHP) and provide information to help create or direct kidney health policies, the Kidney Health Committee of the Latin American So...

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Autores:
Cueto-Manzano, Alfonso
Carlino-Bauza, María C.
Ríos-Sarro, Pablo G.
Vallejos, Augusto
Zúñiga-San Martín, Carlos A.
Zúñiga-Saravia, Eric A.
Bravo Zúñiga, Jessica Ivonne
Alles-Gamberale, Alberto M.
Solá-Schnir, Laura
Sánchez-Polo, Vicente
Robayo, Adriana
Rico-Fontalvo, Jorge
Álvarez-Estévez, Guillermo
Comité de Salud Renal
Sociedad Latinoamericana de Nefrología e Hipertensión
Tipo de recurso:
Fecha de publicación:
2025
Institución:
Universidad Simón Bolívar
Repositorio:
Repositorio Digital USB
Idioma:
eng
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oai:bonga.unisimon.edu.co:20.500.12442/16534
Acceso en línea:
https://hdl.handle.net/20.500.12442/16534
https://doi.org/10.1016/j.semnephrol.2025.151606
https://www.sciencedirect.com/science/article/abs/pii/S0270929525000439
Palabra clave:
Chronic kidney disease (CKD)
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closedAccess
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Attribution-NonCommercial-NoDerivatives 4.0 International
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dc.title.eng.fl_str_mv Kidney health programs in Latin America: Results of the SLANH survey 2024
title Kidney health programs in Latin America: Results of the SLANH survey 2024
spellingShingle Kidney health programs in Latin America: Results of the SLANH survey 2024
Chronic kidney disease (CKD)
title_short Kidney health programs in Latin America: Results of the SLANH survey 2024
title_full Kidney health programs in Latin America: Results of the SLANH survey 2024
title_fullStr Kidney health programs in Latin America: Results of the SLANH survey 2024
title_full_unstemmed Kidney health programs in Latin America: Results of the SLANH survey 2024
title_sort Kidney health programs in Latin America: Results of the SLANH survey 2024
dc.creator.fl_str_mv Cueto-Manzano, Alfonso
Carlino-Bauza, María C.
Ríos-Sarro, Pablo G.
Vallejos, Augusto
Zúñiga-San Martín, Carlos A.
Zúñiga-Saravia, Eric A.
Bravo Zúñiga, Jessica Ivonne
Alles-Gamberale, Alberto M.
Solá-Schnir, Laura
Sánchez-Polo, Vicente
Robayo, Adriana
Rico-Fontalvo, Jorge
Álvarez-Estévez, Guillermo
Comité de Salud Renal
Sociedad Latinoamericana de Nefrología e Hipertensión
dc.contributor.author.none.fl_str_mv Cueto-Manzano, Alfonso
Carlino-Bauza, María C.
Ríos-Sarro, Pablo G.
Vallejos, Augusto
Zúñiga-San Martín, Carlos A.
Zúñiga-Saravia, Eric A.
Bravo Zúñiga, Jessica Ivonne
Alles-Gamberale, Alberto M.
Solá-Schnir, Laura
Sánchez-Polo, Vicente
Robayo, Adriana
Rico-Fontalvo, Jorge
Álvarez-Estévez, Guillermo
Comité de Salud Renal
Sociedad Latinoamericana de Nefrología e Hipertensión
dc.subject.keywords.eng.fl_str_mv Chronic kidney disease (CKD)
topic Chronic kidney disease (CKD)
description Chronic kidney disease (CKD) is a health problem worldwide, but it is overexpressed in Latin America. With the aim of understanding the status of kidney health programs (KHP) and provide information to help create or direct kidney health policies, the Kidney Health Committee of the Latin American Society of Nephrology and Hypertension (SLANH) developed an electronic survey that was sent (February 1–May 30, 2024) to the national nephrology society, the Ministry of Health or a policymaker, and a recognized local nephrology leader of all SLANH member countries. Thirteen of 20 (65%) member countries had a KHP. Although with variability, most covers individuals with and without social security, targeting people with risk factors with or without CKD (61%) or general population (39%). In all but two countries with KHP, it is integrated into another noncommunicable disease program (diabetes, hypertension, obesity, and/or cardiovascular disease), and the national nephrology society is involved (except in three). Virtually all countries perform educative interventions for multidisciplinary health professionals and general population, the latter mainly in connection with World Kidney Day. Only eight (40%) countries have a registry of CKD stage 1-4 (seven of them had a KHP), and nine (45%) have a kidney health law, which was not different between countries with or without KHP. Only 25% of countries have active patient participation in kidney issues, regardless of the country having KHP or not. The SLANH-KHP survey showed heterogeneity in the way Latin American countries address kidney health. These findings could guide the implementation of strategies aimed at reducing the burden of CKD toward equitable and sustainable kidney disease care.
publishDate 2025
dc.date.accessioned.none.fl_str_mv 2025-05-05T15:16:51Z
dc.date.available.none.fl_str_mv 2025-05-05T15:16:51Z
dc.date.issued.none.fl_str_mv 2025
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dc.type.spa.none.fl_str_mv Artículo científico
dc.identifier.citation.eng.fl_str_mv Alfonso M. Cueto-Manzano, María C. Carlino-Bauza, Pablo G. Ríos-Sarro, Augusto C. Vallejos, Carlos A. Zúñiga-San Martín, Eric A. Zúñiga-Saravia, Jessica Bravo-Zúñiga, Alberto M. Alles-Gamberale, Laura Solá-Schnir, Vicente Sánchez-Polo, Adriana Robayo, Jorge Rico-Fontalvo, Guillermo Álvarez-Estévez, Kidney Health Programs in Latin America: Results of the SLANH Survey 2024, Seminars in Nephrology, 2025, 151606, ISSN 0270-9295, https://doi.org/10.1016/j.semnephrol.2025.151606. (https://www.sciencedirect.com/science/article/pii/S0270929525000439)
dc.identifier.issn.none.fl_str_mv 15584488 (Electrónico)
02709295 (Impreso)
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12442/16534
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1016/j.semnephrol.2025.151606
dc.identifier.url.none.fl_str_mv https://www.sciencedirect.com/science/article/abs/pii/S0270929525000439
identifier_str_mv Alfonso M. Cueto-Manzano, María C. Carlino-Bauza, Pablo G. Ríos-Sarro, Augusto C. Vallejos, Carlos A. Zúñiga-San Martín, Eric A. Zúñiga-Saravia, Jessica Bravo-Zúñiga, Alberto M. Alles-Gamberale, Laura Solá-Schnir, Vicente Sánchez-Polo, Adriana Robayo, Jorge Rico-Fontalvo, Guillermo Álvarez-Estévez, Kidney Health Programs in Latin America: Results of the SLANH Survey 2024, Seminars in Nephrology, 2025, 151606, ISSN 0270-9295, https://doi.org/10.1016/j.semnephrol.2025.151606. (https://www.sciencedirect.com/science/article/pii/S0270929525000439)
15584488 (Electrónico)
02709295 (Impreso)
url https://hdl.handle.net/20.500.12442/16534
https://doi.org/10.1016/j.semnephrol.2025.151606
https://www.sciencedirect.com/science/article/abs/pii/S0270929525000439
dc.language.iso.none.fl_str_mv eng
language eng
dc.rights.eng.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
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dc.publisher.spa.fl_str_mv Elsevier
institution Universidad Simón Bolívar
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spelling Cueto-Manzano, Alfonsoe632917d-4d2d-4245-a159-34f3dabeead5600Carlino-Bauza, María C.66bed92b-fdcd-452f-9ed1-95a8a0ad5ee1-1Ríos-Sarro, Pablo G.f9ddc33a-38e0-493d-88bc-88d05f890492-1Vallejos, Augustoe913141e-69d7-47ef-8326-179ac5d9e1cb600Zúñiga-San Martín, Carlos A.d6050587-305e-4e31-a108-dc0ae20b981a-1Zúñiga-Saravia, Eric A.888620b7-a8e6-46c2-ba90-91ffbf83ffad-1Bravo Zúñiga, Jessica Ivonne8ec1abfe-8f83-4be4-a6b6-a0c474917b22600Alles-Gamberale, Alberto M.21920c7d-b291-4d98-b006-d365ad20b653-1Solá-Schnir, Laura0457c362-c829-4f46-b15c-252769b6734a-1Sánchez-Polo, Vicentec7418f8f-984e-4af5-9305-00656177f4c2-1Robayo, Adrianad9cd60cc-d084-4e9f-9df3-882813ba0d2b-1Rico-Fontalvo, Jorge2bd4ffb4-736c-452e-b539-b12f0076145d600Álvarez-Estévez, Guillermo722ab409-9e4f-48a9-892d-12383fb8200d-1Comité de Salud Renald421afe1-5f8a-4efc-8fef-4e23955272d0-1Sociedad Latinoamericana de Nefrología e Hipertensión8bf7129d-a680-4eb4-bd8a-1cc3af5480a6-12025-05-05T15:16:51Z2025-05-05T15:16:51Z2025Alfonso M. Cueto-Manzano, María C. Carlino-Bauza, Pablo G. Ríos-Sarro, Augusto C. Vallejos, Carlos A. Zúñiga-San Martín, Eric A. Zúñiga-Saravia, Jessica Bravo-Zúñiga, Alberto M. Alles-Gamberale, Laura Solá-Schnir, Vicente Sánchez-Polo, Adriana Robayo, Jorge Rico-Fontalvo, Guillermo Álvarez-Estévez, Kidney Health Programs in Latin America: Results of the SLANH Survey 2024, Seminars in Nephrology, 2025, 151606, ISSN 0270-9295, https://doi.org/10.1016/j.semnephrol.2025.151606. (https://www.sciencedirect.com/science/article/pii/S0270929525000439)15584488 (Electrónico)02709295 (Impreso)https://hdl.handle.net/20.500.12442/16534https://doi.org/10.1016/j.semnephrol.2025.151606https://www.sciencedirect.com/science/article/abs/pii/S0270929525000439Chronic kidney disease (CKD) is a health problem worldwide, but it is overexpressed in Latin America. With the aim of understanding the status of kidney health programs (KHP) and provide information to help create or direct kidney health policies, the Kidney Health Committee of the Latin American Society of Nephrology and Hypertension (SLANH) developed an electronic survey that was sent (February 1–May 30, 2024) to the national nephrology society, the Ministry of Health or a policymaker, and a recognized local nephrology leader of all SLANH member countries. Thirteen of 20 (65%) member countries had a KHP. Although with variability, most covers individuals with and without social security, targeting people with risk factors with or without CKD (61%) or general population (39%). In all but two countries with KHP, it is integrated into another noncommunicable disease program (diabetes, hypertension, obesity, and/or cardiovascular disease), and the national nephrology society is involved (except in three). Virtually all countries perform educative interventions for multidisciplinary health professionals and general population, the latter mainly in connection with World Kidney Day. Only eight (40%) countries have a registry of CKD stage 1-4 (seven of them had a KHP), and nine (45%) have a kidney health law, which was not different between countries with or without KHP. Only 25% of countries have active patient participation in kidney issues, regardless of the country having KHP or not. The SLANH-KHP survey showed heterogeneity in the way Latin American countries address kidney health. These findings could guide the implementation of strategies aimed at reducing the burden of CKD toward equitable and sustainable kidney disease care.pdfengElsevierAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/closedAccesshttp://purl.org/coar/access_right/c_14cbKidney health programs in Latin America: Results of the SLANH survey 2024info:eu-repo/semantics/articleArtículo científicohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_2df8fbb1Chronic kidney disease (CKD)Jager K.J., Kovesdy C., Langham R., Rosenberg M., Jha V., Zoccali C.: A single number for advocacy and communication-worldwide more than 850 million individuals have kidney diseases. Kidney Int 2019; 96: pp. 1048-1050.GBD Chronic Kidney Disease Collaboration: Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2020; 395: pp. 709-733.Cueto-Manzano AM, Douthat W. Facing the challenge of kidney disease in Latin America. Accessed March 30, 2024. http://www.thelancet.com/campaigns/kidney/updates/kidney-disease-in-latin-americaEysenbach G.: Improving the quality of web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res 2004; 6: pp. e34.van der Velde M., Matsushita K., Coresh J., et. al.: Lower estimated glomerular filtration rate and higher albuminuria are associated with all-cause and cardiovascular mortality: a collaborative meta-analysis of high-risk population cohorts. Kidney Int 2011; 79: pp. 1341-1352.Levey A.S., Andreoli S.P., DuBose T., Provenzano R., Collins AJ.: CKD: common, harmful, and treatable—World Kidney Day 2007. Am J Kidney Dis 2007; 49: pp. 175-179.GBD Chronic Kidney Disease Collaboration: Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Glob Health 2024; 12: pp. e382-e395.Pan American Health Organization. Advancing towards universal health in Latin America and the Caribbean: lessons from the COVID-19 pandemic. Accessed March 31, 2024. https://www.paho.org/en/stories/advancing-towards-universal-health-latin-america-and-caribbean-lessons-covid-19-pandemicLuyckx V.A., Elmaghrabi A., Sahay M., et. al.: Equity and quality of global chronic kidney disease care: what are we waiting for?. Am J Nephrol 2023; Epub ahead of printNeuen B.L., Bello A.K., Levin A., et. al.: National health policies and strategies for addressing chronic kidney disease: data from the International Society of Nephrology Global Kidney Health Atlas. PLOS Glob Public Health 2023; 3:Mazzuchi N., Schwedt E., Solá L., González C., Ferreiro A.: Risk factors and prevention of end stage renal disease in Uruguay. Ren Fail 2006; 28: pp. 617-625.Rios P., Sola L., Ferreiro A., et. al.: Adherence to multidisciplinary care in a prospective chronic kidney disease cohort is associated with better outcomes. PLoS One 2022; 17:Stolpe S., Kowall B., Scholz C., Stang A., Blume C.: High unawareness of chronic kidney disease in Germany. Int J Environ Res Public Health 2021; 18:Marrón B., Craver L., Remón C., Prieto M., Gutiérrez J.M., Ortiz A.: Reality and desire' in the care of advanced chronic kidney disease. NDT Plus 2010; 3: pp. 431-435.Okpechi I.G., Bello A.K., Luyckx V.A., Wearne N., Swanepoel C.R., Jha V.: Building optimal and sustainable kidney care in low resource settings: the role of healthcare systems. Nephrology 2021; 26: pp. 948-960.World Health Organization. Health system governance. Accessed April 1, 2024. https://www.who.int/health-topics/health-systems-governance#tab=tab_1Schmidt RJ.: Leadership in nephrology: vital to the future of our profession. Adv Chronic Kidney Dis 2018; 25: pp. 472-473.Bello A.K., Ronksley P.E., Tangri N., et. al.: Quality of chronic kidney disease management in Canadian primary care. JAMA Netw Open 2019; 2:Luxardo R., Ceretta L., González-Bedat M., Ferreiro A., Rosa-Diez G.: The Latin American dialysis and renal transplantation registry: report 2019. Clin Kidney J 2022; 15: pp. 425-431.Cueto-Manzano A.M., Martínez-Ramírez H.R., Cortés-Sanabria L., Rojas Campos E.: CKD screening and prevention strategies in disadvantaged populations: the role of primary health care professionals.García-García G.Agodoa L.Y.Norris K.C.Chronic Kidney Disease in Disadvantaged Populations.2017.Elsevierpp. 329-335.Cortés-Sanabria L., Cabrera-Pivaral C.E., Cueto-Manzano A.M., et. al.: Improving care of patients with diabetes and CKD: a pilot study for a cluster-randomized trial. Am J Kidney Dis 2008; 51: pp. 777-788.Cueto-Manzano A.M., Martínez-Ramírez H.R., Cortés-Sanabria L.: Comparison of primary health-care models in the management of chronic kidney disease. Kidney Int Supplements 2013; 3: pp. 210-214.Chu L., Bhogal S.K., Lin P., et. al.: AWAREness of diagnosis and treatment of chronic kidney disease in adults with type 2 diabetes (AWARE-CKD in T2D). Can J Diabetes 2022; 46: pp. 464-472.Martínez-Martínez P., Cueto-Manzano A.M., Cortés-Sanabria L., HR Martínez-Ramírez, Rojas-Campos E., Hernández-Herrera A.: Can the implementation of clinical practice guidelines improve clinical competence of physicians and kidney function of patients with type 2 diabetes mellitus?. Front Med 2022; 9:Kraft S.A., Cho M.K., Gillespie K., et. al.: Beyond consent: building trusting relationships with diverse populations in precision medicine research. Am J Bioeth 2018; 18: pp. 3-20.den Hartog J.R., Reese P.P., Cizman B., Feldman H.I.: The costs and benefits of automatic estimated glomerular filtration rate reporting. Clin J Am Soc Nephrol 2009; 4: pp. 419-427.Cueto-Manzano A.M.: La Sociedad Latinoamericana de Nefrología e Hipertensión y los retos de la enfermedad renal crónica en nuestra región. Nefro Latinoam 2019; 16: pp. 13-19.Sociedad Latinoamericana de Nefrología e Hipertensión. Registro Latinoamericano de Diálisis y Trasplante. Reporte 2021. Accessed March 31, 2024. https://slanh.net/registros/Pan American Health Organization. Campus Virtual de Salud Pública. Prevención y Manejo de la Enfermedad Renal Crónica para Equipos del Primer Nivel de Atención. Accessed May 29, 2023. Available at: https://campus.paho.org/es/curso/curso-cerrado-prevencion-y-manejo-de-la-enfermedad-renal-cronica-para-equipos-del-primer-nivelPan American Health Organization. Campus Virtual de Salud Pública. Diálisis peritoneal para el equipo multidisciplinario del primer nivel de atención. Accessed May 29, 2023. Available at: https://campus.paho.org/es/curso/curso-cerrado-dialisis-peritoneal-para-el-equipo-multidisciplinario-del-primer-nivel-deSociedad Latinoamericana de Nefrología e Hipertensión. Guías Latinoamericana de Práctica Clínica sobre la Prevención, Diagnóstico y Tratamiento de los Estadios 1-5 de la Enfermedad Renal Crónica. Accessed April 1, 2024. https://slanh.net/wp-content/uploads/2021/12/enfermedad_renal_cronica.pdfORIGINALCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8899https://bonga.unisimon.edu.co/bitstreams/aed3b42c-ef5d-40b7-9b9b-754b8442a6b0/download3b6ce8e9e36c89875e8cf39962fe8920MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8381https://bonga.unisimon.edu.co/bitstreams/91275462-927a-4963-b189-712191e0a02e/download733bec43a0bf5ade4d97db708e29b185MD5320.500.12442/16534oai:bonga.unisimon.edu.co:20.500.12442/165342025-05-05 10:20:49.55http://creativecommons.org/licenses/by-nc-nd/4.0/Attribution-NonCommercial-NoDerivatives 4.0 Internationalmetadata.onlyhttps://bonga.unisimon.edu.coRepositorio Digital Universidad Simón Bolívarrepositorio.digital@unisimon.edu.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