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Evolution of Chronic Kidney Disease in Different Regions of the World
Shoaib Junejo1, Mengxuan Chen1, Muhammad Usman Ali1
1Division of Nephrology, University of Toledo College of Medicine, Toledo, OH 43614, USA.
Insights
Chronic kidney disease (CKD) is a growing global health concern, with cases nearly doubling from 1990 to 2021. Age and sex significantly impact CKD prevalence and burden, with notable regional variations.
Area of Science:
- Nephrology
- Epidemiology
- Public Health
Background:
- Chronic kidney disease (CKD) affects over 690 million people globally, presenting a significant public health challenge.
- Prevalence, diagnosis, and treatment of CKD exhibit considerable geographical disparities.
- Limited in-depth research exists on CKD due to its diverse etiologies.
Purpose of the Study:
- To provide a detailed assessment of the global CKD disease burden.
- To analyze CKD trends and etiological factors from 1990 to 2021.
- To compare CKD prevalence and trends across different world regions.
Main Methods:
- Synthesized findings from existing literature sourced from Google Scholar, EMBASE, PubMed/MEDLINE, and Global Burden of Disease (GBD) databases.
- Utilized data from 1990 to 2021 to visualize global CKD levels and trends.
- Analyzed etiological factors, including eating patterns, age, and sex, contributing to CKD.
Main Results:
- Global new CKD cases rose from 7.8 million in 1990 to nearly 19 million in 2021.
- Eating patterns, influenced by historical and industrial factors, correlate with high CKD prevalence in Western countries.
- Age and sex are key determinants of CKD prevalence and disability-adjusted life year (DALY) rates, with variations observed in type 1 diabetes-related CKD.
Conclusions:
- CKD studies over a similar time frame reveal notable global trends and regional differences.
- Findings highlight the increasing global burden of CKD and underscore the need for further research.
- The study contributes valuable evidence on the evolving landscape of CKD epidemiology.
Abstract:
Background/Objectives: Chronic kidney disease (CKD) is a major global public health issue, affecting over 690 million individuals worldwide. The prevalence, diagnosis, and treatment of kidney disease vary considerably across different geographical regions. However, comprehensive and in-depth research on CKD remains limited due to its diverse etiologies. Methods: This study provides a detailed assessment of the disease burden of CKD, considering its etiological basis and utilizing the latest data reflecting changing trends. This research synthesizes findings from previous studies, with the necessary literature sourced from online platforms such as Google Scholar, EMBASE, and PubMed/MEDLINE databases, as well as Global Burden of Disease (GBD), to compare visualizations of the world's CKD levels and trends from 1990 to 2021. Results: The study results demonstrated that eating patterns are affected by historical and industrial factors, which likely contribute to the high prevalence of CKD in Western countries. The data also indicated that the global number of new CKD cases increased from just over 7.8 million in 1990 to nearly 19 million after 30 years. Additionally, the results showed that age and sex together accounted for the observed prevalence and disease-attributable disability-adjusted life year (DALY) rates in CKD, with the highest rates seen in older age groups, except for CKD attributed to type 1 diabetes, where the incidence was higher in children, and the burden was greater in middle-aged adults. Conclusions: Overall, these findings are a valuable addition to the existing literature and provide evidence that CKD studies over a similar time frame reveal notable global trends and regional differences in highlighting this increasing burden.
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