KDIGO’s dissemination and implementation activities have been successful in providing KDIGO recommendations to clinicians around the world. As interest and need for these recommendations grows, KDIGO would like to better understand how to implement its recommendations in Low and Middle Income Countries (LMICs), where the need for KDIGO guidance seems greatest. KDIGO explored strategies for implementation of recommendations in LMICs during a three-day working conference in June 2015, in Bangkok, Thailand. The focus of the meeting included the following remit:

–   To develop strategies that will facilitate implementation of KDIGO guidelines and controversies conference recommendations in countries having limited resources, high demand, and overextended medical caregivers

–   To help KDIGO better understand the needs in LMICs

–   To identify methods for adaptation of recommendations to facilitate better acceptance and utilization

–   To guide KDIGO in providing local KOLs with arguments, supported by KDIGO recommendations, for health policy regulators and payers, in order to improve access to better care

–   To demonstrate the role of KDIGO recommendations in prevention, early diagnosis, and treatment of kidney disease

–   To help KDIGO understand the limitations of LMICs ability to implement KDIGO recommendations

–   To provide guidance when the “next best” treatment course is necessary, rather than following recommendations exactly

–   To form alliances among KDIGO volunteers within the KDIGO Global Network in regions where challenges are similar

–   To facilitate the development of metrics to measure implementation and adoption of recommendations and resulting changes in outcomes

Drs. Vivekanand Jha (George Institute for Global Health, India) and Goce Spasovski (University of Skopje, Macedonia) co-chaired this conference.