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Chronic Kidney Disease Management in the Middle East and Africa: Concerns, Challenges, and Novel Approaches
Saeed Al-Ghamdi1, Ali Abu-Alfa2, Turki Alotaibi3
1Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom Saudi of Arabia.
Insights
Chronic kidney disease (CKD) is increasing in the Middle East and Africa (MEA). Addressing gaps in CKD awareness, screening, diagnosis, and management, including novel therapies, is crucial for reducing the disease burden.
Area of Science:
- Nephrology
- Public Health
- Healthcare Policy
Background:
- Rising prevalence of chronic kidney disease (CKD) in the Middle East and Africa (MEA).
- High burden of comorbidities like hypertension and diabetes exacerbating CKD risk.
- Formation of the MEA-CKD steering committee to address regional management gaps.
Purpose of the Study:
- To outline the outcomes of the MEA-CKD steering committee meeting.
- To evaluate evidence for novel therapeutic options in CKD management.
- To identify critical areas for improving CKD care in the MEA region.
Main Methods:
- Review of MEA-CKD steering committee meeting proceedings.
- Evaluation of existing scientific literature on novel CKD therapies.
- Analysis of current CKD management practices and policy needs in the MEA.
Main Results:
- Identified significant gaps in CKD awareness, screening, and early diagnosis.
- Highlighted the need for improved referral and management pathways for at-risk patients.
- Emphasized the importance of evidence-based novel therapeutic options for CKD.
Conclusions:
- Urgent need to address awareness and screening deficits for chronic kidney disease (CKD).
- Policy changes are essential to ensure access to proven and novel CKD therapies.
- Integrated strategies are vital to reduce the growing CKD burden in the Middle East and Africa.
Abstract:
The burden of chronic kidney disease (CKD) and other comorbidities, such as hypertension and diabetes, which increase the risk of developing CKD, is on the rise in the Middle East and Africa. The Middle East and Africa CKD (MEA-CKD) steering committee, comprising eminent healthcare specialists from the Middle East and Africa, was formed to identify and propose steps to address the gaps in the management of CKD in these regions. The current article lists the MEA-CKD steering committee meeting outcomes and evaluates the available evidence supporting the role of novel therapeutic options for patients with CKD. The need of the hour is to address the gaps in awareness and screening, early diagnosis, along with referral and management of patients at risk. Measures to bring about appropriate changes in healthcare policies to ensure access to all benefit-proven protective therapies, including novel ones, at community levels are also vital for reducing the overall burden of CKD on the healthcare system as well as governing bodies, especially in developing countries of the Middle East and Africa.
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