Chronic kidney disease: a hidden epidemic

Chronic kidney disease (CKD) is increasingly recognized as a global public health problem. Now, there is convincing evidence that CKD can be detected using simple laboratory tests and that treatment can prevent or delay the complications of decreased kidney function, slow the progression of kidney disease and reduce the risk of cardiovascular disease (CVD). Two simple tests can detect almost all CKD. The estimated GFR and a urine albumin-to-creatinine ratio provide adequate testing. We do not have data on the prevalence of CKD in adults in the Republic of Macedonia. There has been an increase of End Stage Renal Disease and Renal Replacement Therapy in our country. In 2002 we had 1056 patients on RRT compared with 1216 in 2005. The nephrologists of Macedonia held a symposium devoted to the World Kidney Day on March 13, 2008, at the Macedonian Academy of Sciences and Arts in Skopje. One of the most important messages was that there is an urgent need for a screening programme for the detection of CKD in the Republic of Macedonia. Health authorities, nephrologists and general physicians should collaborate together on the detection of CKD.