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In this “Nephrologists Sans Frontières” section of KI, Alasfar and colleagues discuss the long-term implications of the Syrian war on the delivery of renal replacement therapy in affected regions.
They propose several strategies to manage the situation, including creativity in delivering medical care and flexibility in utilizing human resources.
Kidney International Reports
The authors initiated the Kidney Progression Project (KiPP) to follow 292 persons with a “Chronic Kidney Disease Epidemiology Collaboration” estimated glomerular filtration rate of 20 to 60 ml/min per 1.73 m2 living in areas with high levels of chronic kidney disease of uncertain etiology.
The overall rate of kidney function decline was slow in this cohort. The authors suggest further etiologic investigations focusing on specific locations and water use.