Understanding kidney care needs and implementation strategies in low- and middle-income countries: conclusions from a "Kidney Disease: Improving Global Outcomes" (KDIGO) Controversies Conference.

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Jha, V; Arici, M; Collins, AJ; Garcia-Garcia, G; Hemmelgarn, BR; Jafar, TH; Pecoits-Filho, R; Sola, L; Swanepoel, CR; Tchokhonelidze, I; Wang, AYM; Kasiske, BL; Wheeler, DC; Spasovski, G; Conference Participants,

Published Date

  • December 2016

Published In

Volume / Issue

  • 90 / 6

Start / End Page

  • 1164 - 1174

PubMed ID

  • 27884311

Electronic International Standard Serial Number (EISSN)

  • 1523-1755

International Standard Serial Number (ISSN)

  • 0085-2538

Digital Object Identifier (DOI)

  • 10.1016/j.kint.2016.09.009


  • eng