We focus on improving the understanding of End-Stage Kidney Disease (ESKD) and its determinants, highlighting the necessary standards of ESKD care, and enhancing the ability to treat it in resource-constrained settings.

The facts speak for themselves:

  • Each year between 2.3 and 7.1 million, mainly in Low and Middle-Income Countries (LMIC), need Renal Replacement Therapy (RRT) but die from want of it. 1.7 million people also die each year from acute kidney injury, especially in LMIC, due to a lack of access to dialysis.

  • In 2010, about 2.62 million people worldwide received RRT to treat ESKD. Most were treated with dialysis, and only about 3% of them received a kidney transplant.

Our programs and events extend across our advocacy, research and education efforts.


dialysis arm

 Accessible, ethical and safe

  • The ISN Ethical Dialysis Taskforce will publish reviews and position statements on ethical dialysis, including the first in a series of papers focusing on ethical dialysis published in The Lancet. This will be relevant to emerging and developed countries.

  • The ISN Global Kidney Health Summit will help design a global strategy to address the challenges of ESKD, assembling key messages and data. Building around the themes of advocacy, sustainability, equity and integration, it will define educational and advocacy resources to implement safe and effective dialysis in Low and Middle-Income Countries (LMIC). It will work with industry to overcome hurdles in the dialysis supply chain.

  • The ISN Global Kidney Policy Forum, taking place at the World Congress of Nephrology 2019 in Melbourne (Australia), will focus on bringing an international viewpoint to key health policy issues affecting the region and related to the prevention and management of kidney diseases, including ESKD.

  • The ISN Kidney Collection will assess how care is delivered and decisions are made when providing dialysis and ESKD care in LMIC. Based on survey results and recommendations from the ESKD Summit, we will develop a set of guidance documents that take a considered approach to providing ESKD care and dialysis in resource-limited settings.


Global Operations Center

Avenue des Arts 1-2
1210 Brussels, Belgium
Tel: +32 2 808 04 20
Fax: +32 2 808 4454
Email contact


Americas Operations Center

340 North Avenue 3rd Floor
Cranford, NJ 07016-2496, United States
Tel: +1 567 248 9703
Fax: +1 908 272 7101
Email contact