Chronic Kidney Disease in Balkan Countries-A Call for Optimal Multidisciplinary Management.

Area of Science:

• Nephrology
• Public Health
• Pharmacotherapy

Background:

• Chronic kidney disease (CKD) management has advanced, yet effective patient care remains a challenge.
• Current guidelines emphasize early screening, diagnosis, and pharmacotherapy, including sodium/glucose cotransporter 2 (SGLT2) inhibitors, for slowing disease progression and reducing mortality.
• Despite advancements, optimal CKD management is not consistently achieved globally.

Purpose of the Study:

• To discuss challenges and opportunities in CKD treatment within the Balkan region.
• To explore strategies for improving CKD care considering the diverse socio-economic context of the Balkan countries.
• To identify key factors for successful CKD management and patient outcomes.

Main Methods:

• A discussion among nephrology experts from Bulgaria, Croatia, Serbia, and Slovenia.
• Consideration of recent initiatives on early CKD diagnosis.
• Reflection on the socio-economic factors influencing healthcare in the Balkan region.

Main Results:

• Effective CKD management requires ongoing education for all stakeholders in kidney care.
• Structured support for primary care providers is crucial for improving patient outcomes.
• Enhancing multidisciplinary networks is a key factor for success in CKD treatment.
• Optimal management hinges on continuity of care and seamless transition to specialized nephrology services.

Conclusions:

• Improving CKD care in the Balkan region necessitates a multi-faceted approach.
• Key success factors include stakeholder education, primary care support, and robust multidisciplinary collaboration.
• Continuity of care and timely referral to nephrology services are essential for optimal patient management.