Burden of end-stage renal disease in sub-Saharan Africa.
Identifieur interne : 000543 ( PubMed/Checkpoint ); précédent : 000542; suivant : 000544Burden of end-stage renal disease in sub-Saharan Africa.
Auteurs : S. Naicker [Afrique du Sud]Source :
- Clinical nephrology [ 0301-0430 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
- économie : Défaillance rénale chronique.
- épidémiologie : Afrique subsaharienne, Défaillance rénale chronique.
- Adulte, Adulte d'âge moyen, Défaillance rénale chronique, Humains, Jeune adulte, Prévalence.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Africa South of the Sahara.
- economics : Kidney Failure, Chronic.
- epidemiology : Kidney Failure, Chronic.
- therapy : Kidney Failure, Chronic.
- Adult, Humans, Middle Aged, Prevalence, Young Adult.
Abstract
To review prevalence, causes and management of end-stage renal disease (ESRD) in sub-Saharan Africa (SSA).
PubMed: 20979956
Affiliations:
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Naicker</name><affiliation wicri:level="4"><nlm:affiliation>Division of Nephrology, University of the Witwatersrand, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa. Saraladevi.Naicker@wits.ac.za</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Division of Nephrology, University of the Witwatersrand, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author></analytic><series><title level="j">Clinical nephrology</title><idno type="ISSN">0301-0430</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Africa South of the Sahara (epidemiology)</term><term>Humans</term><term>Kidney Failure, Chronic (economics)</term><term>Kidney Failure, Chronic (epidemiology)</term><term>Kidney Failure, Chronic (therapy)</term><term>Middle Aged</term><term>Prevalence</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Afrique subsaharienne (épidémiologie)</term><term>Défaillance rénale chronique ()</term><term>Défaillance rénale chronique (économie)</term><term>Défaillance rénale chronique (épidémiologie)</term><term>Humains</term><term>Jeune adulte</term><term>Prévalence</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Africa South of the Sahara</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Défaillance rénale chronique</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Afrique subsaharienne</term><term>Défaillance rénale chronique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Middle Aged</term><term>Prevalence</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Défaillance rénale chronique</term><term>Humains</term><term>Jeune adulte</term><term>Prévalence</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To review prevalence, causes and management of end-stage renal disease (ESRD) in sub-Saharan Africa (SSA).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20979956</PMID><DateCreated><Year>2010</Year><Month>10</Month><Day>28</Day></DateCreated><DateCompleted><Year>2011</Year><Month>03</Month><Day>03</Day></DateCompleted><DateRevised><Year>2010</Year><Month>10</Month><Day>28</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0301-0430</ISSN><JournalIssue CitedMedium="Print"><Volume>74 Suppl 1</Volume><PubDate><Year>2010</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Clinical nephrology</Title><ISOAbbreviation>Clin. Nephrol.</ISOAbbreviation></Journal><ArticleTitle>Burden of end-stage renal disease in sub-Saharan Africa.</ArticleTitle><Pagination><MedlinePgn>S13-6</MedlinePgn></Pagination><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">To review prevalence, causes and management of end-stage renal disease (ESRD) in sub-Saharan Africa (SSA).</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Review of literature and data.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Approximately 70% of the least developed countries of the world are in SSA. Rapid urbanization is occurring in many parts of the continent, contributing to overcrowding and poverty. While infections and parasitic diseases are still the leading cause of death in Africa, non-communicable diseases are coming to the forefront. There is a continuing "brain drain" of healthcare workers (physicians and nurses) from Africa to more affluent regions. There are large rural areas of Africa that have no health professionals to serve these populations. There are no nephrologists in many parts of SSA; the numbers vary from 0.5 per million population (pmp) in Kenya to 0.6 pmp in Nigeria, 0.7 pmp in Sudan and 1.1 pmp in South Africa. Chronic kidney disease affects mainly young adults aged 20 - 50 years in SSA and is primarily due to hypertension and glomerular diseases. HIV- related glomerular disease often presents late, with patients requiring dialysis. Diabetes mellitus affects 9.4 million people in Africa. The prevalence of diabetic nephropathy is estimated to be 6 - 16% in SSA. The current dialysis treatment rate is < 20 pmp (and nil in many countries of SSA), with in-center hemodialysis the modality of RRT for the majority. Transplantation is carried out in a few SSA countries: South Africa, Nigeria, Mauritius and Ghana, with most of the transplants being living donor transplants, except in South Africa where the majority are from deceased donors.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Chronic kidney disease care is especially challenging in SSA, with large numbers of ESRD patients, inadequate facilities, funding and support.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Naicker</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Nephrology, University of the Witwatersrand, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa. Saraladevi.Naicker@wits.ac.za</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Clin Nephrol</MedlineTA><NlmUniqueID>0364441</NlmUniqueID><ISSNLinking>0301-0430</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017954" MajorTopicYN="N" Type="Geographic">Africa South of the Sahara</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007676" MajorTopicYN="N">Kidney Failure, Chronic</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20979956</ArticleId><ArticleId IdType="pii">8075</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Afrique du Sud</li></country><region><li>Gauteng</li></region><settlement><li>Johannesbourg</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="Afrique du Sud"><region name="Gauteng"><name sortKey="Naicker, S" sort="Naicker, S" uniqKey="Naicker S" first="S" last="Naicker">S. 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