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Strengthening Renal Registries and ESRD Research in Africa

机译:加强非洲肾脏注册管理机构及ESRD研究

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In Africa, the combination of noncommunicable diseases, infectious diseases, exposure to environmental toxins, and acute kidney injury related to trauma and childbirth are driving an epidemic of chronic kidney disease and end-stage renal disease (ESRD). Good registry data can inform the planning of renal services and can be used to argue for better resource allocation, audit the delivery and quality of care, and monitor the impact of interventions. Few African countries have established renal registries and most have failed owing to resource constraints. In this article we briefly review the burden of chronic kidney disease and ESRD in Africa, and then consider the research questions that could be addressed by renal registries. We describe examples of the impact of registry data and summarize the sparse primary literature on country-wide renal replacement therapy in African countries over the past 20 years. Finally, we highlight some initiatives and opportunities for strengthening research on ESRD and renal replacement therapy in Africa. These include the establishment of the African Renal Registry and the availability of new areas for research. We also discuss capacity building, collaboration, open-access publication, and the strengthening of local journals, all measures that may improve the quantity, visibility, and impact of African research outputs. (C) 2017 Elsevier Inc. All rights reserved.
机译:在非洲,非传染性疾病,传染病,环境毒素的联合,与创伤和分娩有关的急性肾损伤正在推动慢性肾病和末期肾病(ESRD)的流行病。良好的注册表数据可以通知肾脏服务的规划,可用于争论更好的资源分配,审计送货和护理质量,并监控干预措施的影响。很少有非洲国家建立了肾脏登记处,而且由于资源限制,大多数都失败了。在本文中,我们简要介绍了非洲慢性肾病和ESRD的负担,然后考虑肾脏登记册可以解决的研究问题。我们描述了过去20年来非洲国家的全国肾脏替代治疗的稀疏主要文献的影响的例子。最后,我们突出了一些倡议和加强非洲ESRD和肾替代治疗研究的机会。其中包括建立非洲肾登记处和新领域的研究。我们还讨论了能力建设,协作,开放式出版物和加强当地期刊,所有可能提高非洲研究产出的数量,知名度和影响的措施。 (c)2017年Elsevier Inc.保留所有权利。

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