Description: For the first time in history, chronic disease has replaced communicable disease as the main cause of morbidity and mortality, this being true for every region in the world with the exception of Africa. Chronic kidney diseases are a major global health problem. The International Society of Nephrology (ISN) launched a global outreach program in 1994 by establishing the Commission for the Global Advancement of Nephrology or COMGAN to improve nephrology education and fight the epidemic of kidney disease. The mission of this organization as well as its strategy for prevention, education, and research are outlined in this book.
Purpose: This book supplies readers with the information and insights necessary to understand the global tide of chronic kidney disease (CKD) and its consequences. It provides a worldwide perspective on the epidemiology of end stage renal disease (ESRD), as well as outcomes and economics in developing countries. The book covers infections and kidney disease such as HIV, post-streptococcal glomerulonephritis, hepatitis B and C, renal transplantation, and education about and prevention of kidney disease in the developing countries as well as the links between countries for prevention of chronic nephropathies and training and education of nephrologists.
Audience: The book has a large audience including nephrologists worldwide, primary care physicians, epidemiologists, and medical personnel who work in any area of nephrology. The book is also a great resource for government entities in developing countries and institutions concerned and responsible for the care of chronic kidney disease.
Features: The book describes the global health crisis and challenges of CKD. Successful examples of training and education links and collaboration between developed and developing countries are presented. Maintenance hemodialysis (HD) as well as chronic peritoneal dialysis (PD) in developing countries is covered, along with a discussion of the pros and cons of each form of renal replacement therapy (RRT) and ways to improve the care and quality of RRT for each individual. An excellent review of renal transplantation in developing countries, providing transplantation statistics for several countries, donor source, costs and economics, religious and sociocultural aspects, education, ethics and commercialism, type of immunosuppression, and related infections post-transplantation gives the reader an idea of the scope of the problems and limitations that need to be considered. Prevention of CKD, education of the communities, government community partnerships, regional cooperation, and infection control are key to addressing all of these problems.
Assessment: This is a thorough evaluation of the epidemiological, socioeconomic, clinical and educational aspects of chronic renal diseases in different areas of the world by local experienced nephrologists as well as by regional and international kidney organizations. The book paints a very clear picture of the state-of-the-art in nephrology, analyzing the difficulties that nephrologists worldwide face to provide decent care to a growing population of patients with renal disease.