Kidney health for everyone everywhere – from prevention to detection and equitable access to care
- Authors: Kam-Tao Li P.1, Garcia-Garcia G.2, Lui S.3, Andreoli S.4, Wing-Shing Fung W.1, Hradsky A.5, Kumaraswami L.6, Liakopoulos V.7, Rakhimova Z.5, Saadi G.8, Strani L.5, Ulasi I.9, Kalantar-Zadeh K.10
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Affiliations:
- Chinese University of Hong Kong
- University of Guadalajara Health Sciences Center
- The Chinese University of Hong Kong
- Indiana University School of Medicine
- World Kidney Day Office
- Tanker Foundation
- AHEPA Hospital, Aristotle University of Thessaloniki
- Cairo University
- University of Nigeria
- University of California Irvine School of Medicine
- Issue: Vol 92, No 6 (2020)
- Pages: 4-14
- Section: Clinical notes
- URL: https://journals.rcsi.science/0040-3660/article/view/34973
- DOI: https://doi.org/10.26442/00403660.2020.06.000545
- ID: 34973
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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 beimplemented 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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##article.viewOnOriginalSite##About the authors
Philip Kam-Tao Li
Chinese University of Hong Kong
Email: philipli@cuhk.edu.hk
Carol & Richard Yu PD Research Centre, Prince of Wales Hospital, Department of Medicine and Therapeutics
China, Hong-KongG. Garcia-Garcia
University of Guadalajara Health Sciences Center
Email: kkz@uci.edu
Hospital Civil de Guadalajara Fray Antonio Alcalde, Nephrology Service
Mexico, Guadalajara, Jal.S.-F. Lui
The Chinese University of Hong Kong
Email: kkz@uci.edu
Jockey Club School of Public Health and Primary Care, Division of Health System, Policy and Management
China, Hong-KongS. Andreoli
Indiana University School of Medicine
Email: kkz@uci.edu
James Whitcomb Riley Hospital for Children
United States, IndianapolisW. Wing-Shing Fung
Chinese University of Hong Kong
Email: kkz@uci.edu
Carol & Richard Yu PD Research Centre, Prince of Wales Hospital, Department of Medicine and Therapeutics
China, Department of Medicine and TherapeuticsA. Hradsky
World Kidney Day Office
Email: kkz@uci.edu
Belgium, Brussels
L. Kumaraswami
Tanker Foundation
Email: kkz@uci.edu
India, Chennai
V. Liakopoulos
AHEPA Hospital, Aristotle University of Thessaloniki
Email: kkz@uci.edu
Division of Nephrology and Hypertension, 1st Department of Internal Medicine
Greece, ThessalonikiZ. Rakhimova
World Kidney Day Office
Email: kkz@uci.edu
Belgium, Brussels
G. Saadi
Cairo University
Email: kkz@uci.edu
Nephrology Unit, Department of Internal Medicine, Faculty of Medicine
Egypt, GizaL. Strani
World Kidney Day Office
Email: kkz@uci.edu
Belgium, Brussels
I. Ulasi
University of Nigeria
Email: kkz@uci.edu
Renal Unit, Department of Medicine, College of Medicine
Nigeria, Ituku-Ozalla, EnuguK. Kalantar-Zadeh
University of California Irvine School of Medicine
Author for correspondence.
Email: kkz@uci.edu
Division of Nephrology and Hypertension and Kidney Transplantation
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