Chronic kidney disease management - What can we learn from South African and Australian efforts?

Katz, I. J., Hoy, W. E., Kondalsamy-Chennakesavan, S., Gerntholtz, T., Scheppingen, J., Sharma, S., Butler, O., Shezi, E., Mdleleni, G. and Mthombeni, D. (2006) Chronic kidney disease management - What can we learn from South African and Australian efforts?. Blood Purification, 24 1: 115-122. doi:10.1159/000089447

Author Katz, I. J.
Hoy, W. E.
Kondalsamy-Chennakesavan, S.
Gerntholtz, T.
Scheppingen, J.
Sharma, S.
Butler, O.
Shezi, E.
Mdleleni, G.
Mthombeni, D.
Title Chronic kidney disease management - What can we learn from South African and Australian efforts?
Journal name Blood Purification   Check publisher's open access policy
ISSN 0253-5068; 1421-9735; 9783805580526; 9783318013016
Publication date 2006-12-01
Year available 2006
Sub-type Article (original research)
DOI 10.1159/000089447
Open Access Status
Volume 24
Issue 1
Start page 115
End page 122
Total pages 8
Place of publication Basel, Switzerland
Publisher S. Karger
Language eng
Subject 11 Medical and Health Sciences
Formatted abstract
Background: The prevalence of chronic kidney disease is on the rise. Our objective is to describe two programs to improve the awareness and management of hypertension, renal disease, and diabetes in remote Australian Aboriginal and urban and periurban South African communities. We focus on how the Australian Aboriginal and South African Chronic Disease Outreach Programs have worked together. Methods: The establishment of prevention programs in developing countries is a challenge. The paper evaluates these challenges, including accessing international aid. The programs advocate that regular integrated checks for chronic disease and their risk factors are essential elements of regular adult health care. Programs should be run by primary health workers, following algorithms for testing and treatment, and a backup provided by nurse coordinators. Constant evaluation is essential to develop community health profiles and adapt program structure. Results: Both programs are discussed, including how they are organized to deliver preventative and treatment strategies. The challenges and adaptations required are outlined. Conclusions: It is the aim of the international kidney commu-nity to prevent chronic kidney disease. The South African and Australian groups highlight the need for a systematic and sustained approach to the management of chronic diseases to achieve this goal.
Keyword Chronic kidney disease
Chronic disease outreach programs
End-stage renal disease
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Special Issue: Advances in End-Stage Renal Diseases 2006. The publication is the 7th volume of series published annually on the occasion of the International Conference on Dialysis organized by the Renal Research Institute, New York, in collaboration with the Department of Nephrology of the San Bortolo Hospital in Vicenza, Italy. International Conference on Dialysis 8, Las Vegas, Nev., January 2006

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 12 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 15 times in Scopus Article | Citations
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