Declaration of Santo Domingo: commitment to improve education, regulations, public policies, and access to peritoneal dialysis in Latin America

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.

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Publication Details

Journal
Brazilian Journal of Nephrology
Published
2026-04-03
DOI
https://doi.org/10.1590/2175-8239-jbn-2026-sa01en
Primary Topic
Dialysis and Renal Disease Management
Type
article
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article

Declaration of Santo Domingo: commitment to improve education, regulations, public policies, and access to peritoneal dialysis in Latin America

Magda Hinojosa, Erwin I. Campos, Marta Avellán-Boza, Gloria García-Villalobos et al.
Brazilian Journal of Nephrology
Dialysis and Renal Disease Management
article

Declaration of Santo Domingo: commitment to improve education, regulations, public policies, and access to peritoneal dialysis in Latin America

Magda Hinojosa, Erwin I. Campos, Marta Avellán-Boza, Gloria García-Villalobos, Guillermo Álvarez-Estévez, Vicente Sánchez-Polo, José Manuel Rodríguez-Chagolla, Sandra Rodriguez-Manzano, Alfonso Ramos, Yanet Álvarez-González, Gustavo L. Moretta-Pedernera, Ledisbeth Batista-Buitrago, Rodrigo Orozco-Bass, Héctor Martínez-Eusebio, René Soto-Velásquez, Rosana Chaúd-Covarrubias, Natalia M. Wasmuth-Troche, José A. Moura-Neto, José Carolino Divino-Filho, Laura Cortes-Sanabria, Martin Gomez-Lujan, Eliana Dina-Batle, Lourdes Carolina Vásquez-Jiménez, Daniel Alejandro Molina-Comboni, José R. Álvarez-Novoa, María Marina Papaginovic-Leiva, Pedro Javier Dávila Crespo
article en

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.

Brazilian Journal of NephrologyVol. 48(2)
Federico Villarreal National University (PE), Escola Bahiana de Medicina e Saúde Pública (BR), Universidad de San Carlos de Guatemala (GT), Pontificia Universidad Católica Madre y Maestra (DO), National Autonomous University of Nicaragua (NI), Hospital General de México (MX), Pontificia Universidad Católica Argentina (AR), Universidad de Costa Rica (CR), Latin American Institute (RU), Sociedad Española de Nefrología (ES), Hospital de Clínicas "José de San Martín" (AR), Ministerio de Salud (BO), Facultad Latinoamericana de Ciencias Sociales Sede Académica México (MX), Asociación Demográfica Costarricense (CR), Unidad de Cirugía Cardiovascular de Guatemala (GT), Sociedad de Biología de Chile (CL), Facultad Latinoamericana de Ciencias Sociales República Dominicana (DO), Asociación Colombiana de Nefrología e Hipertensión Arterial (CO), Academia Nacional de Ciencias de Bolivia (BO), Instituto de Hematología e Inmunología (CU), Dominican Hospital (US), IPS Central (PY), University of El Salvador (SV), Universidad Nacional Autónoma de México (MX)
Industry, innovation and infrastructure
Openalex Percentile: Top 31%
Dialysis and Renal Disease Management
DOIOpen Access PDFOpenAlex
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