02051nas a2200301   4500000000100000008004100001100001800042700001500060700001500075700001500090700002100105700001200126700001100138700002100149700001300170700001300183700001200196700001700208700002200225700001700247245019900264250001500463300001400478490000700492050001600499520118300515020005101698       2016                            d1 aHemmelgarn B.1 aKasiske B.1 aCollins A.1 aWheeler D.1 aGarcia-Garcia G.1 aWang A.1 aJha V.1 aPecoits-Filho R.1 aArici M.1 aJafar T.1 aSola L.1 aSwanepoel C.1 aTchokhonelidze I.1 aSpasovski G.00aUnderstanding kidney care needs and implementation strategies in low- and middle-income countries: conclusions from a "Kidney Disease: Improving Global Outcomes" (KDIGO) Controversies Conference  a2016/11/26  a1164-11740 v90  a[IF]: 8.5633 a<p>
Evidence-based cinical practice guidelines improve delivery of uniform care to patients with and at risk of developing kidney disease, thereby reducing disease burden and improving outcomes. These guidelines are not well-integrated into care delivery systems in most low- and middle-income countries (LMICs). The KDIGO Controversies Conference on Implementation Strategies in LMIC reviewed the current state of knowledge in order to define a road map to improve the implementation of guideline-based kidney care in LMICs. An international group of multidisciplinary experts in nephrology, epidemiology, health economics, implementation science, health systems, policy, and research identified key issues related to guideline implementation. The issues examined included the current kidney disease burden in the context of health systems in LMIC, arguments for developing policies to implement guideline-based care, innovations to improve kidney care, and the process of guideline adaptation to suit local needs. This executive summary serves as a resource to guide future work, including a pathway for adapting existing guidelines in different geographical regions.
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