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Chronic Kidney Disease in Brazil: Current Status and Recommended Improvements
Andrea Carla Bauer1, Rosilene M Elias2,3, Hugo Abensur2,4
1Department of Internal Medicine- Nephrology Division, Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Kidney Diseases (Basel, Switzerland)
|June 5, 2024
Summary
Early diagnosis and treatment of chronic kidney disease (CKD) in Brazil face barriers like limited education and data. Improving CKD management requires patient empowerment, clinician training, and enhanced healthcare systems.
Area of Science:
- Nephrology
- Public Health
- Healthcare Management
Background:
- Chronic kidney disease (CKD) affects over 700 million globally, with 11.4% prevalence in a 2017 southern Brazil survey.
- Early identification and effective therapy are crucial for mitigating CKD's impact in Brazil.
Purpose of the Study:
- To discuss early diagnosis and treatment of CKD in Brazil.
- To identify barriers and propose actions for improved CKD management.
Main Methods:
- A panel of Brazilian nephrologists convened for a multiday conference.
- Discussions and edits of relevant questions and recommendations were conducted in several rounds to achieve consensus.
Main Results:
- Key barriers identified include lack of public/patient education, updated guidelines, multidisciplinary care, and a national CKD database.
- Proposed actions involve patient empowerment through education and technology, enhanced training for primary care clinicians, and system-level improvements like national data systems and telehealth.
Conclusions:
- Improving CKD care in Brazil necessitates increased access to early diagnosis.
- Overcoming identified barriers requires concerted efforts from all stakeholders.
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