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Chronic kidney disease: the global challenge.
A Meguid El Nahas1, Aminu K Bello
1Sheffield Kidney Institute, Sheffield Teaching Hospital NHS Foundation Trust, Northern General Hospital Campus, University of Sheffield, Sheffield S5 7AU, UK. el-nahas@sheffield.ac.uk
Chronic kidney disease (CKD) is rising globally, necessitating a shift from treating end-stage renal disease (ESRD) to aggressive prevention. Early detection and intervention are crucial to manage this growing epidemic.
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Background:
- Global prevalence of chronic kidney disease (CKD) is increasing, posing a significant public health challenge.
- End-stage renal disease (ESRD) requiring renal replacement therapy is becoming epidemic, straining healthcare resources worldwide.
- Current treatment focuses on ESRD, but a shift towards primary and secondary prevention is imperative.
Purpose of the Study:
- To examine CKD epidemiology globally, focusing on early detection and prevention strategies.
- To review risk factors, progression markers, and mechanisms of renal scarring.
- To provide strategic recommendations for global CKD prevention and management.
Main Methods:
- Epidemiological analysis of worldwide CKD data.
- Review of risk factors, progression markers, and pathomechanisms of renal scarring.
- Assessment of current interventions and evidence for slowing CKD progression.
Main Results:
- CKD prevalence is escalating globally, with significant economic implications.
- Effective primary and secondary prevention methods are feasible and necessary.
- Understanding renal scarring mechanisms informs potential interventions.
Conclusions:
- A global, concerted approach to CKD prevention is essential for both developed and developing countries.
- Shifting focus to early detection and aggressive prevention is critical to avert a global health catastrophe.
- Future research should prioritize interventions to slow CKD progression and manage economic impacts.
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