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 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% o...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Elsevier
2020-03-01
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| Series: | Nefrología |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0211699519301985 |
| _version_ | 1818041849935298560 |
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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 Philip Kam Tao Li Guillermo Garcia-Garcia Sharon Andreoli Kamyar Kalantar-Zadeh Latha Kumaraswami Vassilios Liakopoulos Siu-Fai Lui Gamal Saadi Luisa Strani Ifeoma Ulasi |
| 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 Philip Kam Tao Li Guillermo Garcia-Garcia Sharon Andreoli Kamyar Kalantar-Zadeh Latha Kumaraswami Vassilios Liakopoulos Siu-Fai Lui Gamal Saadi Luisa Strani Ifeoma Ulasi |
| 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 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. Keywords: Kidney diseases, Prevention, Detection, Awareness |
| first_indexed | 2024-12-10T08:36:58Z |
| format | Article |
| id | doaj.art-747edbcdf1e34fe4bdaeb42c6a216752 |
| institution | Directory Open Access Journal |
| issn | 0211-6995 |
| language | Spanish |
| last_indexed | 2024-12-10T08:36:58Z |
| publishDate | 2020-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Nefrología |
| spelling | doaj.art-747edbcdf1e34fe4bdaeb42c6a2167522022-12-22T01:55:56ZspaElsevierNefrología0211-69952020-03-01402133141Kidney 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-Zadeh12Philip Kam Tao LiGuillermo Garcia-GarciaSharon AndreoliKamyar Kalantar-ZadehLatha KumaraswamiVassilios LiakopoulosSiu-Fai LuiGamal SaadiLuisa StraniIfeoma UlasiDepartment of Medicine and Therapeutics, Carol & Richard Yu PD Research Centre, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong; Corresponding authors.Nephrology Service, Hospital Civil de Guadalajara Fray Antonio Alcalde, University of Guadalajara Health Sciences Center, Guadalajara, Jal., MexicoDivision of Health System, Policy and Management, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, 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, Chinese University of Hong Kong, Hong KongWorld Kidney Day Office, Avenue des Arts 1-2, 6th Floor, B-1210 Brussels, BelgiumTanker Foundation, Chennai, IndiaDivision of Nephrology and Hypertension, 1st Department of Internal Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, GreeceWorld Kidney Day Office, Avenue des Arts 1-2, 6th Floor, B-1210 Brussels, BelgiumNephrology Unit, Department of Internal Medicine, Faculty of Medicine, Cairo University, Giza, EgyptWorld Kidney Day Office, Avenue des Arts 1-2, 6th Floor, B-1210 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, CA, USA; Corresponding authors.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. Keywords: Kidney diseases, Prevention, Detection, Awarenesshttp://www.sciencedirect.com/science/article/pii/S0211699519301985 |
| 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 Philip Kam Tao Li Guillermo Garcia-Garcia Sharon Andreoli Kamyar Kalantar-Zadeh Latha Kumaraswami Vassilios Liakopoulos Siu-Fai Lui Gamal Saadi Luisa Strani Ifeoma Ulasi Kidney Health for Everyone Everywhere – From prevention to detection and equitable access to care Nefrología |
| 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 | http://www.sciencedirect.com/science/article/pii/S0211699519301985 |
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