Kidney Health for Everyone Everywhere, from Prevention to Detection and Equitable Access to Care

Authors

  • Philip Kam-Tao Li Department of Medicine and Therapeutics, Carol & Richard Yu PD Research Centre, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong Author
  • Guillermo Garcia-Garcia Nephrology Service, Hospital Civil de Guadalajara Fray Antonio Alcalde, University of Guadalajara Health Sciences Center, Guadalajara, Jal., Mexico Author
  • Siu-Fai Lui Division of Health System, Policy and Management, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Author
  • Sharon Andreoli James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, USA Author
  • Winston Wing-Shing Fung Department of Medicine and Therapeutics, Carol & Richard Yu PD Research Centre, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong Author
  • Anne Hradsky World Kidney Day Office, Avenue des Arts 1-2, 6th floor, B-1210, Brussels, Belgium Author
  • Latha Kumaraswami Tanker Foundation, Chennai, India Author
  • Vassilios Liakopoulos Division of Nephrology and Hypertension, 1st Department of Internal Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece Author
  • Ziyoda Rakhimova World Kidney Day Office, Avenue des Arts 1-2, 6th floor, B-1210, Brussels, Belgium Author
  • Gamal Saadi Nephrology Unit, Department of Internal Medicine, Faculty of Medicine, Cairo University, Giza, Egypt Author
  • Luisa Strani World Kidney Day Office, Avenue des Arts 1-2, 6th floor, B-1210, Brussels, Belgium Author
  • Ifeoma Ulasi Renal Unit, Department of Medicine, College of Medicine, University of Nigeria, Ituku-Ozalla, Enugu, Nigeria Author
  • Kamyar Kalantar-Zadeh Division of Nephrology and Hypertension and Kidney Transplantation, University of California Irvine School of Medicine, Orange, CA, USA Author

Abstract

The global burden of chronic kidney disease (CKD) is rapidly increasing with a projection of becoming the 5th most common cause of years of life lost globally by 2040. Aggravatingly, CKD is a major cause of catastrophic health expenditure. The costs of dialysis and transplantation consume up to 3% of the annual healthcare budget in high-income countries. Crucially, however, the onset and progression of CKD is often preventable. In 2020, the World Kidney Day campaign highlights the importance of preventive interventions – be it primary, secondary, or tertiary. This complementing article focuses on outlining and analyzing measures that can be implemented in every country to promote and advance CKD prevention. Primary prevention of kidney disease should focus on the modification of risk factors and addressing structural abnormalities of the kidney and urinary tracts, as well as exposure to environmental risk factors and nephrotoxins. In persons with pre-existing kidney disease, secondary prevention; including blood pressure optimization and glycemic control, should be the main goal of education and clinical interventions. In patients with advanced CKD, management of co-morbidities such as uremia and cardiovascular disease is a highly recommended preventative intervention to avoid or delay dialysis or kidney transplantation. Political efforts are needed to proliferate the preventive approach. While national policies and strategies for non-communicable diseases might be present in a country, specific policies directed toward education and awareness about CKD screening, management and treatment are often lacking. Hence, there is an urgent need to increase the awareness of the importance of preventive measures throughout populations, professionals and policy makers.

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Published

2020-03-05

Issue

Section

EDITORIAL

How to Cite

Kidney Health for Everyone Everywhere, from Prevention to Detection and Equitable Access to Care. (2020). Iranian Journal of Kidney Diseases, 14(2), 69-80. https://www.ijkd.org/index.php/ijkd/article/view/5182

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