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Tytuł pozycji:

Kidney health for everyone everywhere – from prevention to detection and equitable access to care

Tytuł :
Kidney health for everyone everywhere – from prevention to detection and equitable access to care
Autorzy :
Li, P. Kam-Tao
Garcia-Garcia, G.
Lui, Siu-Fai
Andreoli, S.
Fung, W. Wing-Shing
Hradsky, A.
Kumaraswami, L.
Liakopoulos, V.
Rakhimova, Z.
Saadi, G.
Strani, L.
Ulasi, I.
Kalantar-Zadeh, K.
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Temat :
Editorial
Kidney diseases
Prevention
Detection
Awareness
Źródło :
Brazilian Journal of Medical and Biological Research
Wydawca :
Associação Brasileira de Divulgação Científica, 2020.
Rok publikacji :
2020
Oryginalny identyfikator :
pmc: PMC7076785
pmid: 32159613
Język :
English
ISSN :
1414-431X
0100-879X
DOI :
10.1590/1414-431X20209614
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. 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. 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 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 preventive measures throughout populations, professionals, and policy makers.

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