Chronic kidney disease in low- and middle-income countries

被引:178
作者
Stanifer, John W. [1 ,2 ,3 ]
Muiru, Anthony [4 ]
Jafar, Tazeen H. [5 ]
Patel, Uptal D. [1 ,2 ,3 ]
机构
[1] Duke Univ, Dept Med, Div Nephrol, Durham, NC 27705 USA
[2] Duke Univ, Duke Global Hlth Inst, Durham, NC 27710 USA
[3] Duke Univ, Duke Clin Res Inst, Durham, NC 27705 USA
[4] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA
[5] Duke NUS Grad Med Sch, Hlth Serv & Syst Res, Singapore, Singapore
基金
美国国家卫生研究院;
关键词
epidemiology; multidisciplinary; noncommunicable diseases; urbanization; RENAL REPLACEMENT THERAPY; RISK-FACTORS; ADULT-POPULATION; HIGH PREVALENCE; EPIDEMIOLOGY; MANAGEMENT; BURDEN; INDIA; HYPERTENSION; NEPHROPATHY;
D O I
10.1093/ndt/gfv466
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
Most of the global burden of chronic kidney disease (CKD) is occurring in low-and middle-income countries (LMICs). As a result of rapid urbanization in LMICs, a growing number of populations are exposed to numerous environmental toxins, high infectious disease burdens and increasing rates of noncommunicable diseases. For CKD, this portends a high prevalence related to numerous etiologies, and it presents unique challenges. A better understanding of the epidemiology of CKD in LMICs is urgently needed, but this must be coupled with strong public advocacy and broad, collaborative public health efforts that address environmental, communicable, and non-communicable risk factors.
引用
收藏
页码:868 / 874
页数:7
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