ReviewPediatric nephrology (Berlin, Germany)2022
Paediatric nephrology in under-resourced areas.
Review in Pediatric nephrology (Berlin, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- Equitable access to pediatric kidney transplantation: bridging the gap-the view from low- to lower-middle-income countries.Pediatric nephrology (Berlin, Germany) · 2026Review
- The impact of social determinants of health on acute kidney injury.Nature reviews. Nephrology · 2026Review
- Little kidneys amid large global inequities.Pediatric nephrology (Berlin, Germany) · 2026Review
- Responding to ethical dilemmas in pediatric nephrology: a framework for clinicians in varied practice settings.Pediatric nephrology (Berlin, Germany) · 2025Review
- Management of focal segmental glomerulosclerosis in resource-limited regions.Pediatric nephrology (Berlin, Germany) · 2024Article
- Catastrophic healthcare expenditure and caregiver burden in pediatric chronic kidney disease - a mixed methods study from a low resource setting.Pediatric nephrology (Berlin, Germany) · 2024Article
- Advancing equitable access to care and optimal medication practice. World Kidney Day 2024.Pediatric nephrology (Berlin, Germany) · 2024Article
- Structures, Organization, and Delivery of Kidney Care to Children Living in Low-Resource Settings.Kidney international reports · 2024Article
- Provision of pediatric nephrology services in low-middle-income countries.Pediatric nephrology (Berlin, Germany) · 2024Article
- Socioeconomic Position and Health Among Children and Adolescents With CKD Across the Life-Course.Kidney international reports · 2024Review
- The impact of rural status on pediatric chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2024Article
- Disparities in kidney care in vulnerable populations: A multinational study from the ISN-GKHA.PLOS global public health · 2024Article
- Inequities in kidney health and kidney care.Nature reviews. Nephrology · 2023Review
- Pediatric nephrology in under-resourced areas: one pill will not cure all ills-economics and awareness are both important factors.Pediatric nephrology (Berlin, Germany) · 2023Article
- What is the true burden of chronic kidney disease in children worldwide?Pediatric nephrology (Berlin, Germany) · 2023Article
- Addressing Health Inequities and Disparities in Children With Kidney Disease in Disadvantaged Areas: the Latin American and Caribbean Experience.Current pediatrics reports · 2023Review
- Addressing the Ethical Challenges of Providing Kidney Failure Care for Children: A Global Stance.Frontiers in pediatrics · 2022Review
- Not Just Small Adults: Considerations for Pediatric Chronic Kidney Disease.Indian journal of nephrologyReview
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNearly 50% of the world population and 60% of children aged 0 to 14 years live in low- or lower-middle-income countries. Paediatric nephrology (PN) in these countries is not a priority for allocation of limited health resources. This article explores advancements made and persisting limitations in providing optimal PN services to children in such under-resourced areas (URA).
methodsMedline, PubMed and Google Scholar online databases were searched for articles pertaining to PN disease epidemiology, outcome, availability of services and infrastructure in URA. The ISN and IPNA offices were contacted for data, and two online questionnaire surveys of IPNA membership performed. Regional IPNA members were contacted for further detailed information.
resultsThere is a scarcity of published data from URA; where available, prevalence of PN diseases, managements and outcomes are often reported to be different from high income regions. Deficiencies in human resources, fluoroscopy, nuclear imaging, immunofluorescence, electron microscopy and genetic studies were identified. Several drugs and maintenance kidney replacement therapy are inaccessible to the majority of patients. Despite these issues, regional efforts with support from international bodies have led to significant advances in PN services and infrastructure in many URA.
conclusionsEquitable distribution and affordability of PN services remain major challenges in URA. The drive towards acquisition of regional data, advocacy to local government and non-government agencies and partnership with international support bodies needs to be continued. The aim is to optimise and achieve global parity in PN training, investigations and treatments, initially focusing on preventable and reversible conditions.
Indexed as
Identifiers
33839937What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.