Tropical kidney diseases: underrepresented in foundational English-language medical education resources.
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| Názov: | Tropical kidney diseases: underrepresented in foundational English-language medical education resources. |
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| Autori: | Chancharoenthana W; Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.; Tropical Immunology and Translational Research Unit (TITRU), Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand., Leelahavanichkul A; Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.; Center of Excellence in Translational Research in Inflammation and Immunology (CETRII), Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand., Ronco C; International Renal Research Institute of Vicenza (IRRIV), Vicenza, Italy.; Department of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy.; Department of Medicine (DIMED), Università Degli Studi di Padova, Padua, Italy., Schultz MJ; Department of Intensive Care & Laboratory of Experimental Intensive Care and Anesthesiology (L.E.I.C.A), Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Oxford University, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Mahidol University, Bangkok, Thailand. |
| Zdroj: | Renal failure [Ren Fail] 2025 Dec; Vol. 47 (1), pp. 2564375. Date of Electronic Publication: 2025 Sep 24. |
| Spôsob vydávania: | Journal Article; Review |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8701128 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-6049 (Electronic) Linking ISSN: 0886022X NLM ISO Abbreviation: Ren Fail Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Informa Healthcare Original Publication: New York, N.Y. : M. Dekker, c1987- |
| Výrazy zo slovníka MeSH: | Tropical Medicine*/education , Kidney Diseases*/therapy , Kidney Diseases*/diagnosis , Kidney Diseases*/etiology , Nephrology*/education , Education, Medical*, Humans ; Language |
| Abstrakt: | Tropical nephrology refers to kidney diseases commonly found in tropical and subtropical regions. These conditions, such as malaria-associated acute kidney injury, leptospirosis with renal involvement, schistosomiasis-related nephropathy, HIV-associated nephropathy, and dengue-associated kidney injury, are becoming increasingly relevant to clinicians worldwide due to global travel, climate change, and migration. However, their coverage in foundational English-language medical education resources may be inadequate, potentially impairing clinicians' ability to manage these conditions effectively. To assess the extent of this gap, a structured content review was conducted across 12 widely used English-language educational materials, including general internal medicine and nephrology textbooks, tropical medicine references, and digital platforms like UpToDate. Each resource was evaluated for its coverage of five conditions across six educational domains (epidemiology, pathophysiology, clinical presentation, diagnosis, management, and prevention) using a modified DISCERN tool with a 5-point scale. The review found that overall coverage was limited, with a mean DISCERN score of 2.2 out of 5. Tropical medicine textbooks (mean 3.2) and digital platforms (mean 2.8) scored higher than general internal medicine texts (mean 1.7). Diagnosis and prevention were the least covered domains, while HIV-associated nephropathy received the most attention. These findings highlight significant gaps in core English-language educational materials that may contribute to challenges in how clinician manage these diseases. There is a clear need for improved and updated medical curricula to support better recognition, diagnosis, and treatment of tropical kidney diseases in an increasingly interconnected world. |
| References: | Semin Nephrol. 2023 Sep;43(5):151472. (PMID: 38216373) Kidney Int Suppl (2011). 2018 Feb;8(2):52-63. (PMID: 30675439) Future Healthc J. 2025 Mar 31;12(1):100236. (PMID: 40236931) Kidney Int. 2018 Mar;93(3):545-559. (PMID: 29398134) Am J Trop Med Hyg. 2021 Oct 25;105(6):1602-1607. (PMID: 34695796) Antiviral Res. 2010 Feb;85(2):328-45. (PMID: 19857523) Nephron Clin Pract. 2012;120(4):c179-84. (PMID: 22890468) Curr Probl Pediatr Adolesc Health Care. 2014 Jul;44(6):170-81. (PMID: 24981666) Rev Endocr Metab Disord. 2024 Aug;25(4):727-750. (PMID: 38598068) Curr Opin Organ Transplant. 2024 Apr 1;29(2):131-137. (PMID: 38288947) Kidney Int. 2018 Sep;94(3):567-581. (PMID: 30078514) Hum Resour Health. 2006 May 27;4:12. (PMID: 16729892) Pediatr Nephrol. 2018 Aug;33(8):1317-1326. (PMID: 28879600) Lancet. 2018 Dec 15;392(10164):2606-2654. (PMID: 30528486) Kidney Int. 2018 Jul;94(1):22-25. (PMID: 29573819) Lancet. 2020 Feb 29;395(10225):709-733. (PMID: 32061315) Environ Geochem Health. 2023 May;45(5):2611-2627. (PMID: 36063240) J Epidemiol Community Health. 1999 Feb;53(2):105-11. (PMID: 10396471) Rev Inst Med Trop Sao Paulo. 2020 Feb 14;62:e14. (PMID: 32074217) |
| Contributed Indexing: | Keywords: Tropical nephrology; kidney diseases; medical education gap; nephrology curriculum |
| Entry Date(s): | Date Created: 20250924 Date Completed: 20250924 Latest Revision: 20250927 |
| Update Code: | 20250927 |
| PubMed Central ID: | PMC12462418 |
| DOI: | 10.1080/0886022X.2025.2564375 |
| PMID: | 40993037 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Tropical nephrology refers to kidney diseases commonly found in tropical and subtropical regions. These conditions, such as malaria-associated acute kidney injury, leptospirosis with renal involvement, schistosomiasis-related nephropathy, HIV-associated nephropathy, and dengue-associated kidney injury, are becoming increasingly relevant to clinicians worldwide due to global travel, climate change, and migration. However, their coverage in foundational English-language medical education resources may be inadequate, potentially impairing clinicians' ability to manage these conditions effectively. To assess the extent of this gap, a structured content review was conducted across 12 widely used English-language educational materials, including general internal medicine and nephrology textbooks, tropical medicine references, and digital platforms like UpToDate. Each resource was evaluated for its coverage of five conditions across six educational domains (epidemiology, pathophysiology, clinical presentation, diagnosis, management, and prevention) using a modified DISCERN tool with a 5-point scale. The review found that overall coverage was limited, with a mean DISCERN score of 2.2 out of 5. Tropical medicine textbooks (mean 3.2) and digital platforms (mean 2.8) scored higher than general internal medicine texts (mean 1.7). Diagnosis and prevention were the least covered domains, while HIV-associated nephropathy received the most attention. These findings highlight significant gaps in core English-language educational materials that may contribute to challenges in how clinician manage these diseases. There is a clear need for improved and updated medical curricula to support better recognition, diagnosis, and treatment of tropical kidney diseases in an increasingly interconnected world. |
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| ISSN: | 1525-6049 |
| DOI: | 10.1080/0886022X.2025.2564375 |