The Importance of Early Diagnosis and Intervention in Chronic Kidney Disease: Calls-to-Action from Nephrologists Based Mainly in Central/Eastern Europe
Covic A. Säemann M. Filipov J. Gellert R. Gobin N. Jelaković B. Kabulbayev K. Luman M. Miglinas M. Mosenzon O. Okša A. Radovic M. Rozen-Zvi B. Ziediņa I. Tesar V.
5 March 2024S. Karger AG
Kidney and Blood Pressure Research
2024#49Issue 1218 - 227 pp.
Background: Chronic kidney disease (CKD) has a global prevalence of 9.1?13.4%. Comorbidities are abundant and may cause and affect CKD. Cardiovascular disease strongly correlates with CKD, increasing the burden of both diseases. Summary: As a group of 15 clinical nephrologists primarily practicing in 12 Central/Eastern European countries, as well as Israel and Kazakhstan, herein we review the significant unmet needs for patients with CKD and recommend several key calls-to-action. Early diagnosis and treatment are imperative to ensure optimal outcomes for patients with CKD, with the potential to greatly reduce both morbidity and mortality. Lack of awareness of CKD, substandard indicators of kidney function, suboptimal screening rates, and geographical disparities in reimbursement often hamper access to effective care. Key Messages: Our key calls-to-action to address these unmet needs, thus improving the standard of care for patients with CKD, are the following: increase disease awareness, such as through education; encourage provision of financial support for patients; develop screening algorithms; revisit primary care physician referral practices; and create epidemiological databases that rectify the paucity of data on early-stage disease. By focusing attention on early detection, diagnosis, and treatment of highrisk and early-stage CKD populations, we aim to reduce the burdens, progression, and mortality of CKD. ? 2024 The Author(s). Published by S. Karger AG, Basel.
Call-to-action , Central Europe , Chronic kidney disease , Eastern Europe , Primary care
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Department of Nephrology, Grigore T. Popa University of Medicine, Iasi, Romania
6th Medical Department, Nephrology and Dialysis, Clinic Ottakring, Vienna, Austria
Medical Faculty, Sigmund Freud University, Vienna, Austria
Department of Nephrology and Transplantation, University Hospital alexandrovska, Sofia, Bulgaria
Clinic of Nephrology and Internal Medicine, Centre of Postgraduate Medical Education, Warsaw, Poland
Department of Internal Medicine, Centre Hospitalier du Valais Romand, Sion, Switzerland
Department for Nephrology, Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb and School of Medicine, University of Zagreb, Zagreb, Croatia
Department of Nephrology, Kazakh National Medical University, Almaty, Kazakhstan
Centre of Nephrology, North Estonia Medical Centre, Tallinn, Estonia
Nephrology and Kidney Transplantation Unit, Nephrology Center, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
Faculty of Medicine, Vilnius University, Vilnius, Lithuania
Diabetes Unit, Department of Endocrinology and Metabolism, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
Regeneron Pharmaceuticals, Tarrytown, NY, United States
Department of Clinical and Experimental Pharmacology, Faculty of Medicine, Slovak Medical University, Bratislava, Slovakia
Clinic of Nephrology, University Clinical Centre of Serbia, Belgrade, Serbia
Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Nephrology and Hypertension Unit, Rabin Medical Center, Petah Tikva, Israel
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Riga Stradins University, Riga, Latvia
Pauls Stradins Clinical University Hospital, Riga, Latvia
Department of Nephrology, 1st Faculty of Medicine and General University Hospital, Charles University, Prague, Czech Republic
Department of Nephrology
6th Medical Department
Medical Faculty
Department of Nephrology and Transplantation
Clinic of Nephrology and Internal Medicine
Department of Internal Medicine
Department for Nephrology
Department of Nephrology
Centre of Nephrology
Nephrology and Kidney Transplantation Unit
Faculty of Medicine
Diabetes Unit
Regeneron Pharmaceuticals
Department of Clinical and Experimental Pharmacology
Clinic of Nephrology
Faculty of Medicine
Nephrology and Hypertension Unit
Sackler Faculty of Medicine
Riga Stradins University
Pauls Stradins Clinical University Hospital
Department of Nephrology
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