Screening for Kidney Disease in Low- and Middle- Income Countries

被引：38

作者：

Kalyesubula, Robert ^{[1
,10
,11
]}

Conroy, Andrea L. ^{[2
]}

Calice-Silva, Viviane ^{[3
,4
]}

Kumar, Vivek ^{[5
]}

Onu, Ugochi ^{[6
]}

Batte, Anthony ^{[1
]}

Kaze, Francoise Folefack ^{[7
]}

Fabian, June ^{[8
]}

Ulasi, Ifeoma ^{[9
]}

机构：

[1] Makerere Univ, Coll Hlth Sci, Kampala, Uganda

[2] Indiana Univ Sch Med, Ryan White Ctr Pediat Infect Dis & Global Hlth, Indianapolis, IN USA

[3] Prorim Fdn, Res Dept, Joinville, Brazil

[4] Univ Regiao Joinville, Sch Med, Joinville, Brazil

[5] Post Grad Inst Med Educ & Res, Dept Nephrol, Chandigarh, India

[6] Univ Nigeria, Teaching Hosp, Dept Med, Renal Unit, Enugu, Nigeria

[7] Univ Yaounde, Fac Med & Biomed Sci, Yaounde, Cameroon

[8] Univ Witwatersrand, Sch Clin Med, Wits Donald Gordon Med Ctr, Fac Hlth Sci, Johannesburg, South Africa

[9] Alex Ekwueme Fed Univ, Teaching Hosp, Dept Internal Med, Renal Unit, Abakaliki, Nigeria

[10] Makerere Univ, Coll Hlth Sci, Dept Physiol, Kampala, Uganda

[11] Makerere Univ, Coll Hlth Sci, Dept Internal Med, Kampala, Uganda

来源：

SEMINARS IN NEPHROLOGY | 2023年 / 42卷 / 05期

关键词：

Kidney disease; screening; low-income countries; middle-income countries; SUB-SAHARAN AFRICA; OF-CARE CREATININE; RENAL-DISEASE; AMERICAN-COLLEGE; ADULT-POPULATION; RISK-FACTORS; INJURY; PREVALENCE; OUTCOMES; PREVENTION;

D O I：

10.1016/j.semnephrol.2023.151315

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Kidney disease is the 10th leading cause of death worldwide and disproportionately increases morbidity and mortal-ity for people residing in low-and middle-income countries (LMICs). Considering the high burden of chronic kidney disease (CKD) on patients, society, and health care systems, strategies to improve screening for CKD need to be prioritized. With appropriate interventions, screening could prevent progression of early stages of CKD and, ulti-mately, reduce the need for kidney replacement therapy. Unfortunately, few data exist to inform screening strate-gies for early detection and management of CKD in LMICs, where risk factors for CKD may differ from those in high-income countries. We review here the epidemiology of kidney disease in LMICs, current practices for screen-ing for kidney disease, and challenges and opportunities available to LMICs. We also recommend ways in which screening could be improved for early identification and care for patients with kidney disease in LMICs and highlight critical gaps in knowledge.Semin Nephrol 42:151315 (c) 2023 Elsevier Inc. All rights reserved.

引用

页数：16

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