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CKD Hotspots: Challenges and Areas of Opportunity
Gregorio T Obrador1, Adeera Levin2
1Department of Medicine, Universidad Panamericana School of Medicine, Mexico City, Mexico.
Insights
Chronic kidney disease (CKD) is rising globally due to traditional factors and infections in specific "CKD hotspots." Addressing knowledge gaps and increasing research funding are crucial for prevention and treatment.
Area of Science:
- Nephrology
- Epidemiology
- Global Health
Background:
- Global burden of chronic kidney disease (CKD) is increasing.
- CKD prevalence is rising due to diabetes, hypertension, and infections in specific geographic locations (CKD hotspots).
- CKD of unknown etiology (CKDu) presents a significant public health challenge.
Purpose of the Study:
- Summarize gaps and opportunities concerning CKD hotspots and CKDu.
- Identify key areas for research, prevention, and treatment strategies.
- Inform future research and clinical care initiatives.
Main Methods:
- Discussion and synthesis of findings from a CKD Global Summit.
- Analysis of existing knowledge gaps and areas for future development.
- Expert consensus on challenges and opportunities in CKD hotspots.
Main Results:
- Lack of universally accepted definitions for CKD hotspots and CKDu hinders understanding.
- Limited knowledge exists regarding the causes of CKDu.
- Insufficient resources and advocacy impede research and clinical care for CKD.
- Opportunities lie in improved epidemiologic characterization, etiological research, prevention, treatment, funding, and education.
Conclusions:
- Standardized definitions and etiological research are essential for CKD hotspots and CKDu.
- Increased funding, advocacy, and education are critical for advancing CKD care globally.
- Multifaceted strategies are needed to combat the rising burden of CKD.
Abstract:
The global burden of illness from chronic kidney disease (CKD) continues to increase not only because of a higher prevalence of traditional causes of CKD, such as diabetes and hypertension, but also because of a higher than average incidence of CKD resulting from infections and unknown causes in certain geographic locations around the world (the so-called, CKD hotspots). This article summarizes the main gaps and areas of opportunity related to CKD hotspots that were discussed in a recent CKD Global Summit sponsored by the International Society of Nephrology. Gaps include the lack of a universally accepted definition of CKD hotspots and CKD of unknown etiology (CKDu), which clearly compromises our understanding of the burden, severity, and natural history of these conditions. In addition, there is scarce knowledge of the causes of CKDu, limitation regarding CKD prevention and treatment, and insufficient funding and advocacy for research and clinical care. Areas of opportunity include a better epidemiologic characterization of CKD hotspots and CKDu, improved knowledge of the causes of CKDu, prevention and treatment of CKD and end-stage kidney disease, increased advocacy and funding for research and clinical care, and improved education and awareness in CKD hotspots.
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