Elsevier, Kidney International, Volume 90, 1 December 2016
Evidence-based cinical practice guidelines improve delivery of uniform care to patients with and at risk of developing kidney disease, thereby reducing disease burden and improving outcomes. These guidelines are not well-integrated into care delivery systems in most low- and middle-income countries (LMICs). The KDIGO Controversies Conference on Implementation Strategies in LMIC reviewed the current state of knowledge in order to define a road map to improve the implementation of guideline-based kidney care in LMICs. An international group of multidisciplinary experts in nephrology, epidemiology, health economics, implementation science, health systems, policy, and research identified key issues related to guideline implementation. The issues examined included the current kidney disease burden in the context of health systems in LMIC, arguments for developing policies to implement guideline-based care, innovations to improve kidney care, and the process of guideline adaptation to suit local needs. This executive summary serves as a resource to guide future work, including a pathway for adapting existing guidelines in different geographical regions.
Acute Kidney Failure; Acute Kidney Injury; Advocacy; Article; Chronic Kidney Disease; Clinical Practice Guidelines; Cost Of Illness; Delivery Of Health Care; Developing Countries; Developing Country; End Stage Renal Disease; Health Care Delivery; Health Care Manpower; Health Care Need; Health Care Organization; Health Care Personnel; Health Care Planning; Health Care Policy; Health Policy; Human; Humans; Implementation; Kidney Disease; Kidney Diseases; Low And Middle Income Countries; Low Income Country; Manpower; Medical Education; Middle Income Country; Nephrologist; Patient Care; Practice Guideline; Practice Guidelines As Topic; Prevalence; Priority Journal; Global