[The prevention of renal failure has to improve]

For some years there has been evidence at population level that prevention of end-stage kidney disease is feasible. However, the number of people receiving renal replacement therapy is still rising as a consequence of population ageing. With a greater focus on prevention through better screening and more active treatment, the number of people with end-stage kidney disease can be reduced. The authors argue that screening for chronic kidney damage should be improved, not only in people with diabetes but also in those with hypertension or a family history of cardiovascular disease, those eligible for a Prevention Consultation, and those from lower socio-economic classes. There is also a need for better treatment of people diagnosed with chronic kidney damage.