Need for chronic kidney disease prevention programs in disadvantaged populations

Area of Science:

• Nephrology
• Public Health
• Non-communicable Diseases

Background:

• Chronic kidney disease (CKD) significantly worsens outcomes for major non-communicable diseases, representing a leading global cause of death.
• The full extent of CKD as a worldwide public health issue is often underestimated.
• Early identification of CKD and co-morbidities can potentially slow disease progression, enhance longevity, improve quality of life, and reduce healthcare expenditures.

Purpose of the Study:

• To highlight the global public health significance of chronic kidney disease (CKD).
• To discuss the challenges and potential strategies for CKD screening and management, particularly in resource-poor settings.
• To emphasize the importance of multimodal tools in preventing CKD and its complications.

Main Methods:

• Review of existing literature and public health data concerning CKD prevalence and impact.
• Analysis of the effectiveness of early recognition and management strategies for CKD.
• Evaluation of multimodal approaches for CKD prevention and treatment adaptation for diverse socioeconomic contexts.

Main Results:

• Effective strategies exist to prevent CKD by managing risk factors and slow progression to end-stage renal disease (ESRD).
• Implementation of management strategies has shown a reduction in the incidence of ESRD.
• Adapted approaches can be effective even in the poorest populations at high risk for CKD.

Conclusions:

• Addressing renal health, particularly in disadvantaged populations, is crucial for global health equity.
• Preventing ESRD through timely CKD management can reduce the burden of unaffordable renal replacement therapies.
• Multimodal interventions offer a promising pathway to mitigate the impact of CKD worldwide.