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Volumn 8, Issue 2, 2018, Pages 52-63

Global nephrology workforce: gaps and opportunities toward a sustainable kidney care system

(32)  Osman, Mohamed A a   Alrukhaimi, Mona b   Ashuntantang, Gloria E c   Bellorin Font, Ezequiel d   Benghanem Gharbi, Mohammed e   Braam, Branko a   Courtney, Mark a   Feehally, John f   Harris, David C g   Jha, Vivekanand h,i   Jindal, Kailash a   Johnson, David W j,k,l   Kalantar Zadeh, Kamyar m   Kazancioglu, Rumeyza n   Klarenbach, Scott a   Levin, Adeera o   Lunney, Meaghan p   Okpechi, Ikechi G q   Olanrewaju, Timothy Olusegun r   Perl, Jeffrey s,t   more..


Author keywords

acute kidney injury; chronic kidney disease; education and training; health manpower; nephrology; workforce

Indexed keywords

CROSS-SECTIONAL STUDY; EDUCATION PROGRAM; HEALTH CARE PERSONNEL; HEALTH CARE SYSTEM; HIGH INCOME COUNTRY; HUMAN; LOW INCOME COUNTRY; NEPHROLOGIST; PERSONNEL SHORTAGE; POPULATION DENSITY; PREMEDICAL STUDENT; PRIORITY JOURNAL; REVIEW;

EID: 85041697539     PISSN: 21571724     EISSN: 21571716     Source Type: Journal    
DOI: 10.1016/j.kisu.2017.10.009     Document Type: Review
Times cited : (140)

References (46)
  • 1
    • 85041670867 scopus 로고    scopus 로고
    • The world health report 2006 – working together for health. Available at
    • World Health Organization. The world health report 2006 – working together for health. Available at: http://www.who.int/whr/2006/en/.
  • 2
    • 84959112682 scopus 로고    scopus 로고
    • Moving towards universal health coverage: lessons from 11 country studies
    • Reich, M.R., Harris, J., Ikegami, N., et al. Moving towards universal health coverage: lessons from 11 country studies. Lancet 387 (2016), 811–816.
    • (2016) Lancet , vol.387 , pp. 811-816
    • Reich, M.R.1    Harris, J.2    Ikegami, N.3
  • 3
    • 85041657401 scopus 로고    scopus 로고
    • Health workforce requirements for universal health coverage and the Sustainable Development Goals. Available at
    • World Health Organization. Health workforce requirements for universal health coverage and the Sustainable Development Goals. Available at: http://www.who.int/hrh/resources/health-observer17/en/.
  • 4
    • 84978128484 scopus 로고    scopus 로고
    • Global prevalence of chronic kidney disease–a systematic review and meta-analysis
    • Hill, N.R., Fatoba, S.T., Oke, J.L., et al. Global prevalence of chronic kidney disease–a systematic review and meta-analysis. PLoS One, 11, 2016, e0158765.
    • (2016) PLoS One , vol.11
    • Hill, N.R.1    Fatoba, S.T.2    Oke, J.L.3
  • 5
    • 82455162521 scopus 로고    scopus 로고
    • The contribution of chronic kidney disease to the global burden of major noncommunicable diseases
    • Couser, W.G., Remuzzi, G., Mendis, S., Tonelli, M., The contribution of chronic kidney disease to the global burden of major noncommunicable diseases. Kidney Int 80 (2011), 1258–1270.
    • (2011) Kidney Int , vol.80 , pp. 1258-1270
    • Couser, W.G.1    Remuzzi, G.2    Mendis, S.3    Tonelli, M.4
  • 6
    • 84880260679 scopus 로고    scopus 로고
    • The global issue of kidney disease
    • [No authors listed]
    • [No authors listed]The global issue of kidney disease. Lancet, 382, 2013, 101.
    • (2013) Lancet , vol.382 , pp. 101
  • 7
    • 82955247909 scopus 로고    scopus 로고
    • IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030
    • Whiting, D.R., Guariguata, L., Weil, C., Shaw, J., IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract 94 (2011), 311–321.
    • (2011) Diabetes Res Clin Pract , vol.94 , pp. 311-321
    • Whiting, D.R.1    Guariguata, L.2    Weil, C.3    Shaw, J.4
  • 8
    • 37249003426 scopus 로고    scopus 로고
    • Association between obesity and kidney disease: A systematic review and meta-analysis
    • Wang, Y., Chen, X., Song, Y., et al. Association between obesity and kidney disease: A systematic review and meta-analysis. Kidney Int 73 (2008), 19–33.
    • (2008) Kidney Int , vol.73 , pp. 19-33
    • Wang, Y.1    Chen, X.2    Song, Y.3
  • 9
    • 69949133503 scopus 로고    scopus 로고
    • Interaction of aging and chronic kidney disease
    • Prakash, S., O'Hare, A.M., Interaction of aging and chronic kidney disease. Semin Nephrol 29 (2009), 497–503.
    • (2009) Semin Nephrol , vol.29 , pp. 497-503
    • Prakash, S.1    O'Hare, A.M.2
  • 10
    • 84929606033 scopus 로고    scopus 로고
    • Worldwide access to treatment for end-stage kidney disease: a systematic review
    • Liyanage, T., Ninomiya, T., Jha, V., et al. Worldwide access to treatment for end-stage kidney disease: a systematic review. Lancet 385 (2015), 1975–1982.
    • (2015) Lancet , vol.385 , pp. 1975-1982
    • Liyanage, T.1    Ninomiya, T.2    Jha, V.3
  • 11
    • 84885032305 scopus 로고    scopus 로고
    • Nephrologist caseload and hemodialysis patient survival in an urban cohort
    • Harley, K.T., Streja, E., Rhee, C.M., et al. Nephrologist caseload and hemodialysis patient survival in an urban cohort. J Am Soc Nephrol 24 (2013), 1678–1687.
    • (2013) J Am Soc Nephrol , vol.24 , pp. 1678-1687
    • Harley, K.T.1    Streja, E.2    Rhee, C.M.3
  • 12
    • 85007206621 scopus 로고    scopus 로고
    • The global nephrology workforce: emerging threats and potential solutions!
    • Sharif, M.U., Elsayed, M.E., Stack, A.G., The global nephrology workforce: emerging threats and potential solutions!. Clin Kidney J 9 (2016), 11–22.
    • (2016) Clin Kidney J , vol.9 , pp. 11-22
    • Sharif, M.U.1    Elsayed, M.E.2    Stack, A.G.3
  • 13
    • 84922375162 scopus 로고    scopus 로고
    • Effective CKD care in European countries: challenges and opportunities for health policy
    • Bello, A.K., Levin, A., Manns, B.J., et al. Effective CKD care in European countries: challenges and opportunities for health policy. Am J Kidney Dis 65 (2015), 15–25.
    • (2015) Am J Kidney Dis , vol.65 , pp. 15-25
    • Bello, A.K.1    Levin, A.2    Manns, B.J.3
  • 14
    • 79958186436 scopus 로고    scopus 로고
    • The future nephrology workforce: will there be one?
    • Parker, M.G., Ibrahim, T., Shaffer, R., et al. The future nephrology workforce: will there be one?. Clin J Am Soc Nephrol 6 (2011), 1501–1506.
    • (2011) Clin J Am Soc Nephrol , vol.6 , pp. 1501-1506
    • Parker, M.G.1    Ibrahim, T.2    Shaffer, R.3
  • 15
    • 79959355361 scopus 로고    scopus 로고
    • Implications of a nephrology workforce shortage for dialysis patient care
    • Mehrotra, R., Shaffer, R.N., Molitoris, B.A., Implications of a nephrology workforce shortage for dialysis patient care. Semin Dialysis 24 (2011), 275–279.
    • (2011) Semin Dialysis , vol.24 , pp. 275-279
    • Mehrotra, R.1    Shaffer, R.N.2    Molitoris, B.A.3
  • 16
    • 77957784500 scopus 로고    scopus 로고
    • Africa and nephrology: the forgotten continent
    • Katz, I.J., Gerntholtz, T., Naicker, S., Africa and nephrology: the forgotten continent. Nephron Clin Pract 117 (2011), C320–C326.
    • (2011) Nephron Clin Pract , vol.117 , pp. C320-C326
    • Katz, I.J.1    Gerntholtz, T.2    Naicker, S.3
  • 17
    • 34648832064 scopus 로고    scopus 로고
    • The economics of end-stage renal disease care in Canada: incentives and impact on delivery of care
    • Manns, B.J., Mendelssohn, D.C., Taub, K.J., The economics of end-stage renal disease care in Canada: incentives and impact on delivery of care. Int J Health Care Finance Econ 7 (2007), 149–169.
    • (2007) Int J Health Care Finance Econ , vol.7 , pp. 149-169
    • Manns, B.J.1    Mendelssohn, D.C.2    Taub, K.J.3
  • 18
    • 54949091954 scopus 로고    scopus 로고
    • Addressing the global shortage of nephrologists
    • Field, M., Addressing the global shortage of nephrologists. Nat Clin Pract Nephrol, 4, 2008, 583.
    • (2008) Nat Clin Pract Nephrol , vol.4 , pp. 583
    • Field, M.1
  • 19
    • 85041647911 scopus 로고    scopus 로고
    • ISN Regions. 2017. Available at: Accessed August 23
    • The International Society of Nephrology (ISN). ISN Regions. 2017. Available at: https://www.theisn.org/about-isn/regions. Accessed August 23, 2017.
    • (2017)
  • 20
    • 85041679628 scopus 로고    scopus 로고
    • World Bank Country and Lending Groups – World Bank Data Help Desk. Available at: Accessed August 23
    • The World Bank. World Bank Country and Lending Groups – World Bank Data Help Desk. Available at: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups. Accessed August 23, 2017.
    • (2017)
  • 21
    • 85041681013 scopus 로고    scopus 로고
    • Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. Available at
    • World Health Organization. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. Available at: http://www.who.int/healthinfo/systems/monitoring/en/.
  • 22
    • 85019403451 scopus 로고    scopus 로고
    • Assessment of global kidney health care status
    • Bello, A.K., Levin, A., Tonelli, M., et al. Assessment of global kidney health care status. JAMA 317 (2017), 1864–1881.
    • (2017) JAMA , vol.317 , pp. 1864-1881
    • Bello, A.K.1    Levin, A.2    Tonelli, M.3
  • 23
    • 79953164228 scopus 로고    scopus 로고
    • Medical schools in sub-Saharan Africa
    • Mullan, F., Frehywot, S., Omaswa, F., et al. Medical schools in sub-Saharan Africa. Lancet 377 (2011), 1113–1121.
    • (2011) Lancet , vol.377 , pp. 1113-1121
    • Mullan, F.1    Frehywot, S.2    Omaswa, F.3
  • 24
    • 27244454795 scopus 로고    scopus 로고
    • The metrics of the physician brain drain
    • Mullan, F., The metrics of the physician brain drain. New Engl J Med 353 (2005), 1810–1818.
    • (2005) New Engl J Med , vol.353 , pp. 1810-1818
    • Mullan, F.1
  • 25
    • 85041666465 scopus 로고    scopus 로고
    • Health in 2015: from MDGs, millennium development goals to sdgs, sustainable development goals. Available at
    • World Health Organization. Health in 2015: from MDGs, millennium development goals to sdgs, sustainable development goals. Available at: http://apps.who.int/medicinedocs/documents/s22230en/s22230en.pdf.
  • 26
    • 77951568806 scopus 로고    scopus 로고
    • The role of primary care in the management of the chronic kidney disease population
    • Shahinian, V.B., Saran, R., The role of primary care in the management of the chronic kidney disease population. Adv Chronic Kidney Dis 17 (2010), 246–253.
    • (2010) Adv Chronic Kidney Dis , vol.17 , pp. 246-253
    • Shahinian, V.B.1    Saran, R.2
  • 27
    • 85013104360 scopus 로고    scopus 로고
    • Career interest and perceptions of nephrology: a repeated cross-sectional survey of internal medicine residents
    • Daniels, M.N., Maynard, S., Porter, I., et al. Career interest and perceptions of nephrology: a repeated cross-sectional survey of internal medicine residents. PLoS One, 12, 2017, e0172167.
    • (2017) PLoS One , vol.12
    • Daniels, M.N.1    Maynard, S.2    Porter, I.3
  • 28
    • 84882590305 scopus 로고    scopus 로고
    • Developing a strategic plan for medical specialties in oman
    • Alshishtawy, M.M., Developing a strategic plan for medical specialties in oman. Oman Med J 23 (2008), 10–14.
    • (2008) Oman Med J , vol.23 , pp. 10-14
    • Alshishtawy, M.M.1
  • 29
    • 85041645778 scopus 로고    scopus 로고
    • Association of American Medical Colleges. 2016 physician specialty data report. Available at
    • Association of American Medical Colleges. 2016 physician specialty data report. Available at: https://www.aamc.org/data/workforce/reports/457712/2016-specialty-databook.html.
  • 30
    • 84999025121 scopus 로고    scopus 로고
    • Results of the 2014-2015 Canadian Society of Nephrology workforce survey
    • Ward, D.R., Manns, B., Gil, S., et al. Results of the 2014-2015 Canadian Society of Nephrology workforce survey. Can J Kidney Health Dis, 3, 2016, 25.
    • (2016) Can J Kidney Health Dis , vol.3 , pp. 25
    • Ward, D.R.1    Manns, B.2    Gil, S.3
  • 32
    • 5644263621 scopus 로고    scopus 로고
    • How to bridge the gap in human resources for health
    • Hongoro, C., McPake, B., How to bridge the gap in human resources for health. Lancet 364 (2004), 1451–1456.
    • (2004) Lancet , vol.364 , pp. 1451-1456
    • Hongoro, C.1    McPake, B.2
  • 33
    • 84997207642 scopus 로고    scopus 로고
    • Improving global health: measuring the success of capacity building outreach programs: a view from the International Society of Nephrology
    • Feehally, J., Brusselmans, A., Finkelstein, F.O., et al. Improving global health: measuring the success of capacity building outreach programs: a view from the International Society of Nephrology. Kidney Int Suppl 6 (2016), 42–51.
    • (2016) Kidney Int Suppl , vol.6 , pp. 42-51
    • Feehally, J.1    Brusselmans, A.2    Finkelstein, F.O.3
  • 34
    • 84884336250 scopus 로고    scopus 로고
    • Training nephrologists from developing countries: does it have a positive impact?
    • Harris, D.C.H., Dupuis, S., Couser, W.G., Feehally, J., Training nephrologists from developing countries: does it have a positive impact?. Kidney Int Suppl 2 (2012), 275–278.
    • (2012) Kidney Int Suppl , vol.2 , pp. 275-278
    • Harris, D.C.H.1    Dupuis, S.2    Couser, W.G.3    Feehally, J.4
  • 35
    • 85007198731 scopus 로고    scopus 로고
    • Nephrology training curriculum and implications for optimal kidney care in the developing world
    • Okel, J., Okpechi, I.G., Qarni, B., et al. Nephrology training curriculum and implications for optimal kidney care in the developing world. Clin Nephrol 86 (2016), 110–113.
    • (2016) Clin Nephrol , vol.86 , pp. 110-113
    • Okel, J.1    Okpechi, I.G.2    Qarni, B.3
  • 36
    • 77953685916 scopus 로고    scopus 로고
    • Nephrology training in the 21st century: toward outcomes-based education
    • Parker, M.G., Nephrology training in the 21st century: toward outcomes-based education. Am J Kidney Dis 56 (2010), 132–142.
    • (2010) Am J Kidney Dis , vol.56 , pp. 132-142
    • Parker, M.G.1
  • 37
    • 0032927184 scopus 로고    scopus 로고
    • Role of physician assistants in dialysis units and nephrology
    • Anderson, J.E., Torres, J.R., Bitter, D.C., et al. Role of physician assistants in dialysis units and nephrology. Am J Kidney Dis 33 (1999), 647–651.
    • (1999) Am J Kidney Dis , vol.33 , pp. 647-651
    • Anderson, J.E.1    Torres, J.R.2    Bitter, D.C.3
  • 38
    • 0032957779 scopus 로고    scopus 로고
    • Nephrology workforce shortfall: solutions are needed
    • Steinman, T.I., Nephrology workforce shortfall: solutions are needed. Am J Kidney Dis 33 (1999), 798–800.
    • (1999) Am J Kidney Dis , vol.33 , pp. 798-800
    • Steinman, T.I.1
  • 39
    • 85041653154 scopus 로고    scopus 로고
    • Task shifting to tackle health worker shortages - global recommendations and guidelines. Available at
    • World Health Organization. Task shifting to tackle health worker shortages - global recommendations and guidelines. Available at: http://www.who.int/healthsystems/task_shifting/en/.
  • 40
    • 84938995794 scopus 로고    scopus 로고
    • Global surgical and anaesthetic task shifting: a systematic literature review and survey
    • Federspiel, F., Mukhopadhyay, S., Milsom, P., et al. Global surgical and anaesthetic task shifting: a systematic literature review and survey. Lancet, 385, 2015, 46.
    • (2015) Lancet , vol.385 , pp. 46
    • Federspiel, F.1    Mukhopadhyay, S.2    Milsom, P.3
  • 41
    • 84875993288 scopus 로고    scopus 로고
    • Telenephrology: a novel approach to improve coordinated and collaborative care for chronic kidney disease
    • Gordon, E.J., Fink, J.C., Fischer, M.J., Telenephrology: a novel approach to improve coordinated and collaborative care for chronic kidney disease. Nephrol Dial Transpl 28 (2013), 972–981.
    • (2013) Nephrol Dial Transpl , vol.28 , pp. 972-981
    • Gordon, E.J.1    Fink, J.C.2    Fischer, M.J.3
  • 42
    • 84922461442 scopus 로고    scopus 로고
    • Improving care coordination between nephrology and primary care: a quality improvement initiative using the renal physicians association toolkit
    • Haley, W.E., Beckrich, A.L., Sayre, J., et al. Improving care coordination between nephrology and primary care: a quality improvement initiative using the renal physicians association toolkit. Am J Kidney Dis 65 (2015), 67–79.
    • (2015) Am J Kidney Dis , vol.65 , pp. 67-79
    • Haley, W.E.1    Beckrich, A.L.2    Sayre, J.3
  • 43
    • 84938881630 scopus 로고    scopus 로고
    • CKD as a model for improving chronic disease care through electronic health records
    • Drawz, P.E., Archdeacon, P., McDonald, C.J., et al. CKD as a model for improving chronic disease care through electronic health records. Clin J Am Soc Nephrol 10 (2015), 1488–1499.
    • (2015) Clin J Am Soc Nephrol , vol.10 , pp. 1488-1499
    • Drawz, P.E.1    Archdeacon, P.2    McDonald, C.J.3
  • 44
    • 85041688936 scopus 로고    scopus 로고
    • Potential applications of telenephrology to enhance global kidney care
    • Osman, M.A., Okel, J., Okpechi, I.G., et al. Potential applications of telenephrology to enhance global kidney care. BMJ Global Health, 2, 2017, e000292.
    • (2017) BMJ Global Health , vol.2
    • Osman, M.A.1    Okel, J.2    Okpechi, I.G.3
  • 45
    • 84945479338 scopus 로고    scopus 로고
    • Nephrology research–the past, present and future
    • Floege, J., Mak, R.H., Molitoris, B.A., et al. Nephrology research–the past, present and future. Nat Rev Nephrol 11 (2015), 677–687.
    • (2015) Nat Rev Nephrol , vol.11 , pp. 677-687
    • Floege, J.1    Mak, R.H.2    Molitoris, B.A.3
  • 46
    • 85041681740 scopus 로고    scopus 로고
    • Global kidney health atlas: design and methods. Kidney Int Suppl, in press.
    • Bello AK, Johnson DW, Harris D, et al. Global kidney health atlas: design and methods. Kidney Int Suppl, in press.
    • Bello, A.K.1    Johnson, D.W.2    Harris, D.3


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