1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1371/journal.pone.0178233" target="_blank" rel="noreferrer noopener">http://doi.org/10.1371/journal.pone.0178233</a>
Pages
e0178233–e0178233
Issue
5
Volume
12
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Treatment of AKI in developing and developed countries: An international survey of pediatric dialysis modalities.
Publisher
An entity responsible for making the resource available
PloS one
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017
Subject
The topic of the resource
Humans; Child; Surveys and Questionnaires; *Developed Countries; *Developing Countries; Acute Kidney Injury/*therapy; Renal Dialysis/*methods
Creator
An entity primarily responsible for making the resource
Raina Rupesh; Chauvin Abigail M; Bunchman Timothy; Askenazi David; Deep Akash; Ensley Michael J; Krishnappa Vinod; Sethi Sidharth Kumar
Description
An account of the resource
HYPOTHESIS: Acute kidney injury (AKI) is a common cause of morbidity and mortality worldwide, with a pediatric incidence ranging from 19.3% to 24.1%. Treatment of pediatric AKI is a source of debate in varying geographical regions. Currently CRRT is the treatment for pediatric AKI, but limitations due to cost and accessibility force use of adult equipment and other therapeutic options such as peritoneal dialysis (PD) and hemodialysis (HD). It was hypothesized that more cost-effective measures would likely be used in developing countries due to lesser resource availability. METHODS: A 26-question internet-based survey was distributed to 650 pediatric Nephrologists. There was a response rate of 34.3% (223 responses). The survey was distributed via pedneph and pcrrt email servers, inquiring about demographics, technology, resources, pediatric-specific supplies, and preference in renal replacement therapy (RRT) in pediatric AKI. The main method of analysis was to compare responses about treatments between nephrologists in developed countries and nephrologists in developing countries using difference-of-proportions tests. RESULTS: PD was available in all centers surveyed, while HD was available in 85.1% and 54.1% (p = 0.00), CRRT was available in 60% and 33.3% (p = 0.001), and SLED was available in 20% and 25% (p = 0.45) centers of developed and developing world respectively. In developing countries, 68.5% (p = 0.000) of physicians preferred PD to costlier therapies, while in developed countries it was found that physicians favored HD (72%, p = 0.00) or CRRT (24%, p = 0.041) in infants. CONCLUSIONS: Lack of availability of resources, trained physicians and funds often preclude standards of care in developing countries, and there is much development needed in terms of meeting higher global standards for treating pediatric AKI patients. PD remains the main modality of choice for treatment of AKI in infants in developing world.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1371/journal.pone.0178233" target="_blank" rel="noreferrer noopener">10.1371/journal.pone.0178233</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Developed Countries
*Developing Countries
2017
Acute Kidney Injury/*therapy
Askenazi David
Bunchman Timothy
Chauvin Abigail M
Child
Deep Akash
Department of Internal Medicine
Ensley Michael J
Humans
Krishnappa Vinod
NEOMED College of Graduate Studies Student
NEOMED College of Medicine
PloS one
Raina Rupesh
Renal Dialysis/*methods
Sethi Sidharth Kumar
Surveys and Questionnaires