Global coverage of health information systems for kidney disease: availability, challenges, and opportunities for development

Emily J See¹, Mona Alrukhaimi², Gloria E Ashuntantang³, Aminu K Bello⁴, Ezequiel Bellorin-Font⁵, Mohammed Benghanem Gharbi⁶, Branko Braam⁴, John Feehally⁷, David C Harris⁸, Vivekanand Jha^{9

10}, Kailash Jindal⁴, Kamyar Kalantar-Zadeh¹¹, Rumeyza Kazancioglu¹², Adeera Levin¹³, Meaghan Lunney¹⁴, Ikechi G Okpechi^{15

16}, Timothy Olusegun Olanrewaju¹⁷, Mohamed A Osman⁴, Jeffrey Perl^{18

19}, Bilal Qarni⁴, Harun Ur Rashid²⁰, Ahmed Rateb⁴, Eric Rondeau^{21

22}, Arian Samimi⁴, Majid L N Sikosana⁴, Laura Sola²³, Irma Tchokhonelidze²⁴, Natasha Wiebe⁴, Chih-Wei Yang²⁵, Feng Ye⁴, Alexander Zemchenkov^{26

27}, Ming-Hui Zhao^{28

29

30

31}, David W Johnson^{1

32

33}

Affiliations

¹ Department of Nephrology, Metro South and Ipswich Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Australia.
² Department of Medicine, Dubai Medical College, Dubai, United Arab Emirates.
³ Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroon.
⁴ Department of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
⁵ Division of Nephrology and Kidney Transplantation, Hospital Universitario de Caracas, Universidad Central de Venezuela, Caracas, Venezuela.
⁶ Urinary Tract Diseases Department, Faculty of Medicine and Pharmacy of Casablanca, University Hassan II of Casablanca, Casablanca, Morocco.
⁷ Department of Infection, Inflammation and Immunity, University Hospitals of Leicester, University of Leicester, Leicester, UK.
⁸ Centre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Sydney, New South Wales, Australia.
⁹ George Institute for Global Health India, New Delhi, India.
¹⁰ University of Oxford, Oxford, UK.
¹¹ Division of Nephrology and Hypertension, University of California Irvine Medical Center, Orange, California, USA.
¹² Division of Nephrology, Bezmialem Vakif University, Istanbul, Turkey.
¹³ Department of Medicine, Division of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
¹⁴ Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
¹⁵ Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa.
¹⁶ Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa.
¹⁷ Department of Medicine, College of Health Sciences, University of Ilorin, Ilorin, Nigeria.
¹⁸ Division of Nephrology, St. Michael's Hospital and the Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
¹⁹ Department of Medicine, Division of Nephrology, University of Toronto, Toronto, Ontario, Canada.
²⁰ Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh.
²¹ Intensive Care Nephrology and Transplantation Department, Hopital Tenon, Assistance Publique-Hopitaux de Paris, Paris, France.
²² Université Paris VI, Paris, France.
²³ Division Epidemiologia, Direccion General de Salud-Ministerio Salud Publica, Montevideo, Uruguay.
²⁴ Nephrology Development Clinical Center, Tbilisi State Medical University, Tbilisi, Georgia.
²⁵ Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
²⁶ Department of Internal Disease and Nephrology, North-Western State Medical University named after I.I. Mechnikov, Saint Petersberg, Russia.
²⁷ Department of Nephrology and Dialysis, Pavlov First St. Petersburg State Medical University, St. Petersburg, Russia.
²⁸ Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China.
²⁹ Key Lab of Renal Disease, Ministry of Health of China, Beijing, China.
³⁰ Key Lab of Chronic Kidney Disease Prevention and Treatment, Ministry of Education of China, Beijing, China.
³¹ Peking-Tsinghua Center for Life Sciences, Beijing, China.
³² Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia.
³³ Translational Research Institute, Brisbane, Australia.

PMID: 30675441
PMCID: PMC6336215
DOI: 10.1016/j.kisu.2017.10.011

Review

Global coverage of health information systems for kidney disease: availability, challenges, and opportunities for development

Emily J See et al. Kidney Int Suppl (2011). 2018 Feb.

. 2018 Feb;8(2):74-81.

doi: 10.1016/j.kisu.2017.10.011. Epub 2018 Jan 19.

Authors

Affiliations

¹ Department of Nephrology, Metro South and Ipswich Nephrology and Transplant Services (MINTS), Princess Alexandra Hospital, Brisbane, Australia.
² Department of Medicine, Dubai Medical College, Dubai, United Arab Emirates.
³ Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde I, Yaounde, Cameroon.
⁴ Department of Medicine, Division of Nephrology, University of Alberta, Edmonton, Alberta, Canada.
⁵ Division of Nephrology and Kidney Transplantation, Hospital Universitario de Caracas, Universidad Central de Venezuela, Caracas, Venezuela.
⁶ Urinary Tract Diseases Department, Faculty of Medicine and Pharmacy of Casablanca, University Hassan II of Casablanca, Casablanca, Morocco.
⁷ Department of Infection, Inflammation and Immunity, University Hospitals of Leicester, University of Leicester, Leicester, UK.
⁸ Centre for Transplantation and Renal Research, Westmead Institute for Medical Research, University of Sydney, Sydney, New South Wales, Australia.
⁹ George Institute for Global Health India, New Delhi, India.
¹⁰ University of Oxford, Oxford, UK.
¹¹ Division of Nephrology and Hypertension, University of California Irvine Medical Center, Orange, California, USA.
¹² Division of Nephrology, Bezmialem Vakif University, Istanbul, Turkey.
¹³ Department of Medicine, Division of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
¹⁴ Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
¹⁵ Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa.
¹⁶ Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa.
¹⁷ Department of Medicine, College of Health Sciences, University of Ilorin, Ilorin, Nigeria.
¹⁸ Division of Nephrology, St. Michael's Hospital and the Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
¹⁹ Department of Medicine, Division of Nephrology, University of Toronto, Toronto, Ontario, Canada.
²⁰ Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh.
²¹ Intensive Care Nephrology and Transplantation Department, Hopital Tenon, Assistance Publique-Hopitaux de Paris, Paris, France.
²² Université Paris VI, Paris, France.
²³ Division Epidemiologia, Direccion General de Salud-Ministerio Salud Publica, Montevideo, Uruguay.
²⁴ Nephrology Development Clinical Center, Tbilisi State Medical University, Tbilisi, Georgia.
²⁵ Kidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
²⁶ Department of Internal Disease and Nephrology, North-Western State Medical University named after I.I. Mechnikov, Saint Petersberg, Russia.
²⁷ Department of Nephrology and Dialysis, Pavlov First St. Petersburg State Medical University, St. Petersburg, Russia.
²⁸ Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China.
²⁹ Key Lab of Renal Disease, Ministry of Health of China, Beijing, China.
³⁰ Key Lab of Chronic Kidney Disease Prevention and Treatment, Ministry of Education of China, Beijing, China.
³¹ Peking-Tsinghua Center for Life Sciences, Beijing, China.
³² Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia.
³³ Translational Research Institute, Brisbane, Australia.

PMID: 30675441
PMCID: PMC6336215
DOI: 10.1016/j.kisu.2017.10.011

Abstract

Development and planning of health care services requires robust health information systems to define the burden of disease, inform policy development, and identify opportunities to improve service provision. The global coverage of kidney disease health information systems has not been well reported, despite their potential to enhance care. As part of the Global Kidney Health Atlas, a cross-sectional survey conducted by the International Society of Nephrology, data were collected from 117 United Nations member states on the coverage and scope of kidney disease health information systems and surveillance practices. Dialysis and transplant registries were more common in high-income countries. Few countries reported having nondialysis chronic kidney disease and acute kidney injury registries. Although 62% of countries overall could estimate their prevalence of chronic kidney disease, less than 24% of low-income countries had access to the same data. Almost all countries offered chronic kidney disease testing to patients with diabetes and hypertension, but few to high-risk ethnic groups. Two-thirds of countries were unable to determine their burden of acute kidney injury. Given the substantial heterogeneity in the availability of health information systems, especially in low-income countries and across nondialysis chronic kidney disease and acute kidney injury, a global framework for prioritizing development of these systems in areas of greatest need is warranted.

Keywords: acute kidney injury; chronic kidney disease; end-stage kidney disease; health information systems; registries; screening.

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Figures

**Figure 1**
**Global distribution of registries for dialysis and transplantation across 117 United Nations member states**.

**Figure 2**
Availability of registries for acute kidney injury (AKI), nondialysis chronic kidney disease (CKD), transplantation and dialysis by World Bank income group (HIC, high-income country; LIC, low-income country; LMIC, lower-middle–income country; UMIC, upper-middle–income country) in 117 United Nations member states.

**Figure 3**
**Nature of provider participation in registries for dialysis (n = 75), transplantation (n = 68), chronic kidney disease (CKD, n = 9), and acute kidney injury (AKI, n = 8)**.

**Figure 4**
Availability of data on the prevalence of chronic kidney disease (CKD) and acute kidney injury (AKI) by World Bank income group (HIC, high-income country; LIC, low-income country; LMIC, lower-middle–income country; UMIC, upper-middle–income country) in 117 United Nations member states.

See this image and copyright information in PMC

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Global coverage of health information systems for kidney disease: availability, challenges, and opportunities for development

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Global coverage of health information systems for kidney disease: availability, challenges, and opportunities for development

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