Kidney Week

Abstract: FR-PO1021

Developing City-Level Nephrology Indicators Using Open Data

Session Information

• Social, Environmental, and Economic Determinants of Kidney Health
  October 25, 2024 | Location: Exhibit Hall, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Diversity and Equity in Kidney Health

• 900 Diversity and Equity in Kidney Health

Authors

• Cojuc, Gabriel, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Ciudad de México, Mexico

Gabriel Cojuc, MD

• Braverman-Poyastro, Alan, Red de Universidades Anahuac, Naucalpan de Juarez, Mexico, Mexico

Alan Braverman-Poyastro

• De Las Fuentes, Alejandra, Hospital Universitario Dr Jose Eleuterio Gonzalez, Monterrey, Nuevo León, Mexico

Alejandra De Las Fuentes

• Mizrahi Drijanski, Andrea, Red de Universidades Anahuac, Naucalpan de Juarez, Mexico, Mexico

Andrea Mizrahi Drijanski

• Rodriguez-Paniagua, Briana, Universidad Panamericana, Ciudad de Mexico, Ciudad de México, Mexico

Briana Rodriguez-Paniagua

• Nordmann-Gomes, Alberto, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Ciudad de México, Mexico

Alberto Nordmann-Gomes, MD

• Moscona-Nissan, Alberto, Universidad Panamericana, Ciudad de Mexico, Ciudad de México, Mexico

Alberto Moscona-Nissan

• Guijosa, Alberto, Universidad Panamericana, Ciudad de Mexico, Ciudad de México, Mexico

Alberto Guijosa, MBBS

• Canaviri, Vianca Anabel, Hospital Obrero No 1, La Paz, La Paz, Bolivia, Plurinational State of

Vianca Anabel Canaviri, APN

• Tinajero Sánchez, Denisse Nayely, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Ciudad de México, Mexico

Denisse Nayely Tinajero Sánchez, MD

• Chopra, Bhavna, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

Bhavna Chopra, MD, FASN

• Correa-Rotter, Ricardo, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Ciudad de México, Mexico

Ricardo Correa-Rotter, MD

• Ramirez-Sandoval, Juan Carlos, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, Ciudad de México, Mexico

Juan Carlos Ramirez-Sandoval, MD, PhD

Background

Sustainable Development Goal 11—sustainable cities and communities— holds the potential to improve kidney health by enhancing access to CKD care. Most nephrology indicators overlook local heterogeneity. We aimed to develop novel city-level nephrology indicators.

Methods

We obtained data from open sources (Global Burden of Disease, WHO, ISN-GKHA, Global Observatory of Healthy and Sustainable Cities [GOHSC]) and from our systematic review of pharmacologic CKD randomized controlled trials (RCTs). We selected 214 RCTs with GOHSC participant cities. We calculated the following indicators: CKD-prevalence-adjusted (per 100,000 with CKD) RCT sites [95% CI], nephrologists, and dialysis centers; RCT sites and dialysis centers per km², RCTs/nephrologist, and CKD stage 5 RCTs per dialysis center.

Results

Among GOHSC, Lisbon had the highest number of CKD-prevalence-adjusted RCT sites (14.8 [13.7-16.1]), and Mexico City had the lowest (0.5 [0.5-0.6]). Spanish cities had the highest prevalence-adjusted nephrologists, and United States cities had the highest prevalence-adjusted dialysis centers (51.3 [47.7-55.4] and 33.21 [31.2-35.6], respectively), while Chennai had the lowest (2.1 [2.0-2.3] and 0.6 [0.6-0.6], respectively). Lisbon had the most RCT sites/km² (0.1), Seattle had the fewest (0.004). Hong Kong had the highest dialysis centers/km² (0.1), and Hanoi had the lowest (0.006). Odense had the highest RCTs/nephrologist (2.8) and stage 5 CKD RCTs per dialysis center (8.3), and Cologne and Baltimore had the lowest (0.1 and 0.03, respectively).

Conclusion

City-level, standardized nephrology indicators should be developed for policymaking and benchmarking. We provided an initial comprehensive model for further global elaboration.