Kidney Health for Everyone Everywhere: From Prevention to Detection and Equitable Access to Care
The global burden of chronic kidney disease (CKD) is rapidly increasing with a projection of becoming the fifth 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%...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-02-01
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| Series: | Canadian Journal of Kidney Health and Disease |
| Online Access: | https://doi.org/10.1177/2054358120910569 |
| _version_ | 1818529798644826112 |
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| author | Philip Kam-Tao Li Guillermo Garcia-Garcia Siu-Fai Lui Sharon Andreoli Winston Wing-Shing Fung Anne Hradsky Latha Kumaraswami Vassilios Liakopoulos Ziyoda Rakhimova Gamal Saadi Luisa Strani Ifeoma Ulasi Kamyar Kalantar-Zadeh |
| author_facet | Philip Kam-Tao Li Guillermo Garcia-Garcia Siu-Fai Lui Sharon Andreoli Winston Wing-Shing Fung Anne Hradsky Latha Kumaraswami Vassilios Liakopoulos Ziyoda Rakhimova Gamal Saadi Luisa Strani Ifeoma Ulasi Kamyar Kalantar-Zadeh |
| author_sort | Philip Kam-Tao Li |
| collection | DOAJ |
| description | The global burden of chronic kidney disease (CKD) is rapidly increasing with a projection of becoming the fifth 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 health care 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 article complements this initiative by focusing 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 preexisting 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 comorbidities 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 disseminate the preventive approach. While national policies and strategies for noncommunicable 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. |
| first_indexed | 2024-12-11T17:11:33Z |
| format | Article |
| id | doaj.art-2e284cfe464f45f4a1302abcae3803eb |
| institution | Directory Open Access Journal |
| issn | 2054-3581 |
| language | English |
| last_indexed | 2024-12-11T17:11:33Z |
| publishDate | 2020-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Canadian Journal of Kidney Health and Disease |
| spelling | doaj.art-2e284cfe464f45f4a1302abcae3803eb2022-12-22T00:57:30ZengSAGE PublishingCanadian Journal of Kidney Health and Disease2054-35812020-02-01710.1177/2054358120910569Kidney Health for Everyone Everywhere: From Prevention to Detection and Equitable Access to CarePhilip Kam-Tao Li0Guillermo Garcia-Garcia1Siu-Fai Lui2Sharon Andreoli3Winston Wing-Shing Fung4Anne Hradsky5Latha Kumaraswami6Vassilios Liakopoulos7Ziyoda Rakhimova8Gamal Saadi9Luisa Strani10Ifeoma Ulasi11Kamyar Kalantar-Zadeh12Department of Medicine and Therapeutics, Carol & Richard Yu PD Research Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong KongNephrology Service, Hospital Civil de Guadalajara Fray Antonio Alcalde, University of Guadalajara Health Sciences Center, Guadalajara, MexicoDivision of Health System, Policy and Management, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, New Territories, Hong KongJames Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, USADepartment of Medicine and Therapeutics, Carol & Richard Yu PD Research Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong KongWorld Kidney Day Office, Brussels, BelgiumTanker Foundation, Chennai, IndiaDivision of Nephrology and Hypertension, 1st Department of Internal Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, GreeceWorld Kidney Day Office, Brussels, BelgiumNephrology Unit, Department of Internal Medicine, Cairo University, Giza, EgyptWorld Kidney Day Office, Brussels, BelgiumRenal Unit, Department of Medicine, College of Medicine, University of Nigeria, Ituku-Ozalla, Enugu, NigeriaDivision of Nephrology and Hypertension and Kidney Transplantation, University of California Irvine School of Medicine, Orange, USAThe global burden of chronic kidney disease (CKD) is rapidly increasing with a projection of becoming the fifth 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 health care 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 article complements this initiative by focusing 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 preexisting 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 comorbidities 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 disseminate the preventive approach. While national policies and strategies for noncommunicable 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.https://doi.org/10.1177/2054358120910569 |
| spellingShingle | Philip Kam-Tao Li Guillermo Garcia-Garcia Siu-Fai Lui Sharon Andreoli Winston Wing-Shing Fung Anne Hradsky Latha Kumaraswami Vassilios Liakopoulos Ziyoda Rakhimova Gamal Saadi Luisa Strani Ifeoma Ulasi Kamyar Kalantar-Zadeh Kidney Health for Everyone Everywhere: From Prevention to Detection and Equitable Access to Care Canadian Journal of Kidney Health and Disease |
| title | Kidney Health for Everyone Everywhere: From Prevention to Detection and Equitable Access to Care |
| title_full | Kidney Health for Everyone Everywhere: From Prevention to Detection and Equitable Access to Care |
| title_fullStr | Kidney Health for Everyone Everywhere: From Prevention to Detection and Equitable Access to Care |
| title_full_unstemmed | Kidney Health for Everyone Everywhere: From Prevention to Detection and Equitable Access to Care |
| title_short | Kidney Health for Everyone Everywhere: From Prevention to Detection and Equitable Access to Care |
| title_sort | kidney health for everyone everywhere from prevention to detection and equitable access to care |
| url | https://doi.org/10.1177/2054358120910569 |
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