Kidney health for everyone everywhere - from prevention to detection and equitable access to care
Braz. j. med. biol. res
;
53(3): e9614, 2020. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1089341
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. 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Equidade em Saúde
/
Insuficiência Renal Crônica
/
Carga Global da Doença
/
Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Humanos
Idioma:
Inglês
Revista:
Braz. j. med. biol. res
Assunto da revista:
Biologia
/
Medicina
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Bélgica
/
Egito
/
Grécia
/
Hong Kong
/
Índia
/
México
/
Nigéria
/
Estados Unidos
Instituição/País de afiliação:
Aristotle University of Thessaloniki/GR
/
Cairo University/EG
/
Chinese University of Hong Kong/HK
/
Indiana University School of Medicine/US
/
Tanker Foundation/IN
/
University of California Irvine School of Medicine/US
/
University of Guadalajara Health Sciences Center/MX
/
University of Nigeria/NG
/
World Kidney Day Office/BE
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