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Published on: May 2, 2025
Prevalence and Disease Burden of Chronic Kidney Disease
Ji-Cheng Lv1,2,3, Lu-Xia Zhang4,5,6
1Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China. jichenglv75@gmail.com.
Insights
Chronic kidney disease (CKD) affects 13.4% globally, leading to significant morbidity and mortality. Early prevention and management are crucial to reduce the growing burden of kidney disease and end-stage kidney disease (ESKD).
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Background:
- Chronic kidney disease (CKD) is a major global health concern.
- Its prevalence is 13.4%, with millions requiring renal replacement therapy for end-stage kidney disease (ESKD).
- CKD significantly impacts cardiovascular risk, morbidity, and mortality worldwide.
Purpose of the Study:
- To highlight the global public health challenge posed by CKD.
- To underscore the drivers of CKD increase, including diabetes, hypertension, obesity, and aging.
- To emphasize the need for evaluating cost-effective preventive strategies and cardiovascular risk reduction in CKD.
Main Methods:
- Global prevalence data analysis.
- Identification of key risk factors and contributing causes.
- Review of implications for renal replacement therapy and healthcare costs.
Main Results:
- Global CKD prevalence estimated at 13.4%.
- Millions of patients require renal replacement therapy for ESKD.
- Diabetes, hypertension, obesity, and aging are primary drivers; infections and toxins are regional factors.
Conclusions:
- CKD presents a substantial and increasing global health and economic burden.
- Effective preventive strategies and cardiovascular risk management require further evaluation, especially for advanced CKD.
- Addressing CKD necessitates considering local economic development and resources for cost-effective interventions.
Abstract:
Chronic kidney disease (CKD) has been recognized as a leading public health problem worldwide. The global estimated prevalence of CKD is 13.4% (11.7-15.1%), and patients with end-stage kidney disease (ESKD) needing renal replacement therapy is estimated between 4.902 and 7.083 million. Through its effect on cardiovascular risk and ESKD, CKD directly affects the global burden of morbidity and mortality worldwide. The global increase in this disease is mainly driven by the increase in the prevalence of diabetes mellitus, hypertension, obesity, and aging. But in some regions, other causes such as infection, herbal and environmental toxins are still common. The large number of deaths for poor access to renal replacement therapy in developing countries, and also large increase of patients with ESKD in future, will produce substantial financial burden for even the most wealthy countries. Cost-effectiveness of preventive strategies to reduce the disease burden should be evaluated in relation to the local economic development and resource. Strategies reducing the cardiovascular risk in CKD still need further evaluation in large trials especially including patients with advanced kidney disease or end-stage kidney disease.
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