Declaration of Santo Domingo: commitment to improve education, regulations, public policies, and access to peritoneal dialysis in Latin America
Year: 2026
Type: article
Abstract: The Santo Domingo Declaration highlights the challenges and opportunities to improve education, regulations, public policies, and access to peritoneal dialysis (PD) in Latin America. It emphasizes the need to address structural inequalities in training and care, establishing minimum competency standards and strengthening health infrastructure. Inspired by initiatives such as the Standardised Outcomes in Nephrology-Peritoneal Dialysis (SONG-PD) and the European Specialty Examination in Nephrology (ESENeph), the declaration underlines the importance of harmonizing nephrologist training to promote standardised and internationally aligned competencies. Additionally, it outlines strategies to prioritize patients' quality of life, ensure accessibility and economic sustainability, and foster the implementation of satellite units and innovative technologies. Finally, it calls for intersectoral collaboration to ensure inclusive and equitable healthcare in the region.
Source: Brazilian Journal of Nephrology
Authors: Gustavo L. Moretta-Pedernera, Alfonso Ramos-Sánchez, Laura Cortés-Sanabria, Rosana Chaúd-Covarrubias, Guillermo Álvarez-Estévez, Mauricio Uribe, Vicente Sánchez-Polo, José Carolino Divino-Filho, Natalia M. Wasmuth-Troche, Ledisbeth Batista-Buitrago, Marta Avellán-Boza, Rodrigo Orozco-Bass, Héctor Martínez-Eusebio, René Soto-Velásquez, María Marina Papaginovic-Leiva, Martín Gómez-Luján, Sandra Rodríguez-Manzano, José Manuel Rodríguez-Chagolla, Daniel Alejandro Molina-Comboni, Yanet Álvarez-González, Pedro Javier Dávila Crespo, Erwin Iván Campos, José A. Moura-Neto, Magda Hinojosa, Lourdes Carolina Vásquez-Jiménez, Gloria G. García-Villalobos, Gabriela González, Eliana Dina-Batle, José R. Álvarez-Novoa
Institutions: University of San Andrés, Universidad de Guadalajara, Universidad Pontificia Bolivariana, Asociación Colombiana de Nefrología e Hipertensión Arterial, Universidad de San Carlos de Guatemala, Karolinska Institutet, IPS Central, Sociedad Paraguaya de Nefrología, Universidad de Costa Rica, Universidad de Los Andes, Chile, Pontificia Universidad Católica Argentina, Federico Villarreal National University, Universidad Nacional Autónoma de México, Pontificia Universidad Católica Madre y Maestra, Escola Bahiana de Medicina e Saúde Pública, Sociedade Brasileira de Nefrologia, Universidad Nacional de Asunción, Hospital General de México, Universidad de Buenos Aires, Hospital de Clínicas "José de San Martín", National Autonomous University of Nicaragua
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7148681138