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Chronic kidney disease
William G Herrington1, Parminder K Judge1, Morgan E Grams2
1Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK; Oxford Kidney Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Insights
Chronic kidney disease (CKD) affects 850 million people globally and is linked to cardiovascular issues. New treatments can slow kidney decline and reduce cardiovascular risk, improving patient outcomes.
Area of Science:
- Nephrology
- Cardiology
- Public Health
Background:
- Chronic kidney disease (CKD) affects 850 million individuals worldwide, with 4 million requiring kidney replacement therapy.
- CKD is projected to be the fifth leading cause of death globally by 2050.
- CKD significantly increases the risk of premature cardiovascular disease (CVD), often leading to death before kidney failure.
Purpose of the Study:
- To highlight the global burden of CKD and its association with CVD.
- To emphasize the importance of early CKD screening, diagnosis, and staging.
- To underscore the impact of recent therapeutic advancements in managing CKD and its complications.
Main Methods:
- Review of global prevalence data for CKD.
- Analysis of projected mortality trends related to CKD.
- Synthesis of findings from recent randomized trials on CKD treatments.
- Examination of the link between CKD and cardiovascular disease risk.
Main Results:
- CKD impacts a vast global population and is a growing cause of mortality.
- Most CKD patients face cardiovascular complications, often preceding kidney failure.
- Recent large randomized trials have introduced effective treatments to slow kidney function decline and mitigate cardiovascular risk.
Conclusions:
- Early identification and intervention are crucial for managing CKD.
- Clinician engagement in CKD management can reduce global complications and kidney failure.
- New therapeutic strategies offer significant potential to improve outcomes for individuals with CKD and reduce overall healthcare burden.
Abstract:
Globally, the prevalence of chronic kidney disease is estimated to be approximately 850 million cases, with approximately 4 million individuals needing kidney replacement therapy for kidney failure. By 2050, chronic kidney disease is projected to become the fifth leading underlying cause of death worldwide. Despite its numerous causes, chronic kidney disease can be screened for, diagnosed, and staged with simple laboratory tests. Individuals with chronic kidney disease are at increased risk of kidney failure and many other health implications. Risk of premature cardiovascular disease is particularly noteworthy, as most patients with chronic kidney disease develop a disability or die from cardiovascular disease before ever progressing to kidney failure. Since 2019, large randomised trials have identified several effective treatments that both slow progressive kidney function decline and reduce cardiovascular risk, greatly expanding available treatments for chronic kidney disease. The wide range of complications associated with chronic kidney disease means that patients encounter many different specialties. Active engagement in chronic kidney disease identification and timely initiation of cost-effective interventions by all clinicians could now substantially reduce the global burden of complications of chronic kidney disease and kidney failure.
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