The prevalence of chronic kidney disease and its risk factors is increasing worldwide, and the rapid rise in global need for end-stage kidney disease care is a major challenge for health systems, particularly in low- and middle-income countries. Countries are responding to the challenge of end-stage kidney disease in different ways, with variable provision of the components of a kidney care strategy, including effective prevention, detection, conservative care, kidney transplantation, and an appropriate mix of dialysis modalities. This collection of case studies is from 15 countries from around the world and offers valuable learning examples from a variety of contexts. The variability in approaches may be explained by country differences in burden of disease, available human or financial resources, income status, and cost structures. In addition, cultural considerations, political context, and competing interests from other stakeholders must be considered. Although the approaches taken have often varied substantially, a common theme is the potential benefits of multistakeholder engagement aimed at improving the availability and scope of integrated kidney care.

在世界范围内，慢性肾脏病及其危险因素的患病率正在上升，全球对终末期肾脏病护理的需求的迅速增长是卫生系统的一项重大挑战，特别是在中低收入国家。各国以不同的方式应对终末期肾脏疾病的挑战，提供了可变的肾脏护理策略组成部分，包括有效的预防，发现，保守治疗，肾脏移植以及适当的透析方式组合。该案例研究收集了来自全球15个国家的案例，并提供了来自各种背景的有价值的学习示例。方法的差异可以用国家在疾病负担，可用人力或财力，收入状况和成本结构方面的差异来解释。此外，必须考虑文化因素，政治背景以及其他利益相关者的利益冲突。尽管所采用的方法经常有很大的不同，但是一个共同的主题是多方利益相关者参与的潜在好处，旨在改善综合肾脏护理的可用性和范围。