TY - JOUR
AU - Hemmelgarn B.
AU - Kasiske B.
AU - Collins A.
AU - Wheeler D.
AU - Garcia-Garcia G.
AU - Wang A.
AU - Jha V.
AU - Pecoits-Filho R.
AU - Arici M.
AU - Jafar T.
AU - Sola L.
AU - Swanepoel C.
AU - Tchokhonelidze I.
AU - Spasovski G.
AB - <p>
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.
</p>

AD - George Institute for Global Health, New Delhi, India; University of Oxford, Oxford, UK. Electronic address: vjha@pginephro.org.<br/>Department of Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey.<br/>Chronic Disease Research Group, Minneapolis Medical Research Foundation, Minneapolis, Minnesota, USA; Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.<br/>Nephrology Service, Hospital Civil de Guadalajara, University of Guadalajara Health Sciences Centre, Hospital 278, Guadalajara, Jalisco, Mexico.<br/>Department of Community Health Sciences, Libin Cardiovascular Institute, Institute of Public Health, and Department of Medicine, University of Calgary, Calgary, Alberta, Canada.<br/>Program in Health Services & Systems Research, Duke-NUS Graduate Medical School, Singapore; Department of Community Health Science, Aga Khan University, Karachi, Pakistan; Section of Nephrology, Department of Medicine, Aga Khan University, Karachi, Pakistan.<br/>School of Medicine, Pontificia Universidade Catolica do Parana, Curitiba, Brazil.<br/>Comite de Salud Renal del Ministerio de Salud Publica de Uruguay, Montevideo, Uruguay.<br/>Division of Nephrology and Hypertension, Groote Schuur Hospital and University of Cape Town, South Africa.<br/>Nephrology Development Clinical Center, Tbilisi State Medical University, Tbilisi, Georgia.<br/>Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.<br/>Division of Nephrology, Hennepin County Medical Center, Minneapolis, Minnesota, USA.<br/>University College London, London, UK.<br/>University of Skopje, Medical Faculty, University Department of Nephrology, Skopje, Macedonia. Electronic address: spasovski.goce@gmail.com.
AN - 27884311
BT - Kidney Internati
CN - [IF]: 8.563
DP - NLM
ET - 2016/11/26
J2 - Kidney international
LA - Eng
LB - INDIA<br/>UK<br/>FY17
M1 - 6
N1 - Jha, Vivekanand<br/>Arici, Mustafa<br/>Collins, Allan J<br/>Garcia-Garcia, Guillermo<br/>Hemmelgarn, Brenda R<br/>Jafar, Tazeen H<br/>Pecoits-Filho, Roberto<br/>Sola, Laura<br/>Swanepoel, Charles R<br/>Tchokhonelidze, Irma<br/>Wang, Angela Yee Moon<br/>Kasiske, Bertram L<br/>Wheeler, David C<br/>Spasovski, Goce<br/>Conference Participants<br/>United States<br/>Kidney Int. 2016 Dec;90(6):1164-1174. doi: 10.1016/j.kint.2016.09.009.
N2 - <p>
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.
</p>

PY - 2016
SN - 1523-1755 (Electronic)<br/>0085-2538 (Linking)
SP - 1164
EP - 1174
ST - Kidney Int.Kidney Int.
T2 - Kidney Internati
TI - Understanding kidney care needs and implementation strategies in low- and middle-income countries: conclusions from a "Kidney Disease: Improving Global Outcomes" (KDIGO) Controversies Conference
VL - 90
Y2 - FY17
ER -