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[Prevalence of chronic kidney disease]
1Unità Operativa di Nefrologia e Dialisi, Ospedale A. Landolfi, Via Melito 5, Solofra, Avellino, Italy. vincenzo.bellizzi@tin.it
Insights
The prevalence of chronic kidney disease (CKD) is underestimated, particularly stage 3 CKD, a critical stage for complications. Many patients with progressive kidney disease remain undiagnosed and untreated globally and in Italy.
Area of Science:
- Nephrology
- Epidemiology
- Public Health
Context:
- Chronic kidney disease (CKD) prevalence, especially early stages, remains uncertain.
- CKD stage 3 is a critical juncture for cardiovascular and other major complications.
- NANHES data indicate a rise in CKD stage 3 prevalence to 7.7% by 2004.
Purpose:
- To highlight the underdiagnosis of chronic kidney disease and renal failure worldwide.
- To estimate the prevalence of CKD stages 3-5 in Italy and assess current nephrology clinic follow-up rates.
Summary:
- CKD and renal failure are significantly underdiagnosed globally.
- In Italy, approximately 4 million individuals have CKD stages 3-5.
- Less than 30% of these patients receive care at nephrology clinics, indicating a substantial gap in management.
Impact:
- The findings underscore a critical gap in CKD diagnosis and management, particularly in Italy.
- A large number of individuals with potentially progressive kidney disease are not receiving specialist care.
- This highlights the need for improved screening, diagnosis, and access to nephrology services to prevent complications and disease progression.
Abstract:
The prevalence of chronic kidney disease (CKD), especially the early stages, is still not exactly known. This is also true for CKD stage 3, when cardiovascular and other major complications generally appear. The NANHES data have shown a steady increase in the prevalence of CKD 3 up to 7.7% in 2004. Chronic kidney disease and renal failure are underdiagnosed all over the world. In Italy, prevalence estimates for stage 3 to 5 CKD are around 4 million yet, less than 30% of these subjects are believed to be followed at nephrology clinics. This means that in Italy for every dialyzed patient there are about 85 individuals with possibly progressive kidney disease, while fewer than five (mainly stage 4 and 5 patients) are actually followed by a nephrologist.
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