Dialysis provisions and end-stage kidney disease (ESKD) care represents an important challenge, particularly in low-resource settings. The purpose of this project was to survey nephrologists from low- and lower middle-income countries about their experiences in the following domains: (i) Dialysis funding and eligibility; (ii) dialysis-procurement mechanisms; (iii) clinical protocols for dialysis; (iv) monitoring of dialysis outcomes; and (v) barriers to care for ESKD. One hundred and twenty responses from 31 low- and middle-income countries, from 8 ISN regions, were included in the analysis. When stratified by World Bank country income status, responses were received from 7 low-income countries, 12 lower middle-income countries, and 12 upper middle-income countries. Eighty-eight documents from 18 countries were uploaded, including country or institutional guidelines, protocols, and standard operating procedures. The International Society of Nephrology aims to develop a set of guidance documents that put forward a considered approach to dialysis provisions and ESKD care within resource limitations. As an initial step in this project, local practitioners from low-resource settings were surveyed about their experiences with dialysis funding, eligibility, procurement and their use of guidance documents, and how practices and procedures may have been developed with adaptations to the local circumstances. In this manuscript we describe the methodology and the main findings from the survey using an integrated quantitative and qualitative approach.

透析规定和终末期肾脏疾病（ESKD）护理是一项重要的挑战，尤其是在资源贫乏地区。该项目的目的是调查来自中低收入国家的肾脏病医生在以下领域的经验：（i）透析资金和资格；（ii）透析采购机制；（iii）透析的临床方案；（iv）监测透析结果；（v）照顾ESKD的障碍。分析中包括来自31个低收入和中等收入国家（来自8个ISN地区）的120条回复。在按世界银行国家收入状况进行分层时，收到了来自7个低收入国家，12个中低收入国家和12个中高收入国家的答复。上载了来自18个国家的88个文档，包括国家或机构指南，协议和标准操作程序。国际肾脏病学会旨在制定一套指导文件，在资源有限的情况下提出一种经过深思熟虑的透析方法和ESKD护理方法。作为该项目的第一步，对资源贫乏地区的本地从业人员进行了调查，以了解他们在透析资金，资格，采购和使用指导文件方面的经验，以及如何根据当地情况制定实践和程序。在本手稿中，我们使用综合的定量和定性方法描述了调查方法和调查的主要发现。