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The burden of kidney disease: improving global outcomes
Garabed Eknoyan1, Norbert Lameire, Rashad Barsoum
1Baylor College of Medicine, Houston, Texas 77030, USA. geknoyan@bcm.tmc.edu
Insights
Chronic kidney disease (CKD) is a global health issue. Early detection and effective treatments can slow progression and reduce complications, highlighting the need for global CKD management strategies.
Area of Science:
- Nephrology
- Public Health
- Global Health Initiatives
Background:
- Chronic kidney disease (CKD) represents a significant global public health challenge.
- Increasing incidence and prevalence of kidney failure necessitate urgent attention.
- Earlier stages of CKD are common and linked to adverse outcomes like cardiovascular disease and mortality.
Purpose of the Study:
- To address the worldwide epidemic of chronic kidney disease.
- To establish a uniform and global public health approach for CKD management.
- To introduce the "Kidney Disease: Improving Global Outcomes" (KDIGO) initiative.
Main Methods:
- The initiative focuses on promoting coordination, collaboration, and integration of efforts.
- Development and implementation of evidence-based clinical practice guidelines are central.
- Leveraging universal scientific understanding of CKD care.
Main Results:
- Early detection of CKD through laboratory testing is feasible.
- Effective treatments exist to slow CKD progression.
- Interventions can reduce cardiovascular events in CKD patients.
Conclusions:
- A unified global strategy is essential for managing the CKD epidemic.
- The KDIGO initiative aims to improve care and outcomes for kidney disease patients worldwide.
- Standardized clinical practice guidelines are key to advancing global CKD care.
Abstract:
Chronic kidney disease (CKD) is a worldwide public health problem. There is an increasing incidence and prevalence of patients with kidney failure requiring replacement therapy, with poor outcomes and high cost. There is an even higher prevalence of patients in earlier stages of CKD, with adverse outcomes such as kidney failure, cardiovascular disease, and premature death. Patients at earlier stages of CKD can be detected through laboratory testing and their treatment is effective in slowing the progression to kidney failure and reducing cardiovascular events. The science and evidence-based care of these patients are universal and independent of their geographic location. There is a clear need to develop a uniform and global public health approach to the worldwide epidemic of CKD. It is to this end that a new initiative "Kidney Disease: Improving Global Outcomes" has been established. Its stated mission is "Improve the care and outcomes of kidney disease patients worldwide through promoting coordination, collaboration and integration of initiatives to develop and implement clinical practice guidelines."
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