Здоровые почки всем и везде: от профилактики и выявления до равного доступа к медицинской помощи
Здоровые почки всем и везде: от профилактики и выявления до равного доступа к медицинской помощи
Кам-Тао Ли Ф., Гарсия-Гарсия Г., Луи С.-Ф. и др. Здоровые почки всем и везде: от профилактики и выявления до равного доступа к медицинской помощи. Терапевтический архив. 2020; 92 (6): 4–14. DOI: 10.26442/00403660.2020.06.000545
________________________________________________
Kam-Tao Li P., Garcia-Garcia G., Lui S.-F., et al. Kidney health for everyone everywhere – from prevention to detection and equitable access to care. Therapeutic Archive. 2020; 92 (6): 4–14. DOI: 10.26442/00403660.2020.06.000545
Здоровые почки всем и везде: от профилактики и выявления до равного доступа к медицинской помощи
Кам-Тао Ли Ф., Гарсия-Гарсия Г., Луи С.-Ф. и др. Здоровые почки всем и везде: от профилактики и выявления до равного доступа к медицинской помощи. Терапевтический архив. 2020; 92 (6): 4–14. DOI: 10.26442/00403660.2020.06.000545
________________________________________________
Kam-Tao Li P., Garcia-Garcia G., Lui S.-F., et al. Kidney health for everyone everywhere – from prevention to detection and equitable access to care. Therapeutic Archive. 2020; 92 (6): 4–14. DOI: 10.26442/00403660.2020.06.000545
Глобальное бремя хронической болезни почек (ХБП) стремительно увеличивается. Так, согласно прогнозам, к 2040 г. ХБП окажется на 5-м месте среди наиболее частых причин сокращения продолжительности жизни во всем мире. Более того, ХБП является основной причиной катастрофических расходов на здравоохранение. В странах с высоким уровнем дохода расходы на диализ и трансплантацию составляют до 3% от ежегодного бюджета здравоохранения. В связи с этим особенно важно, что развитие и прогрессирование ХБП во многих случаях можно предотвратить. В 2020 г. кампания «Всемирный день почки» посвящена в первую очередь мероприятиям по первичной, вторичной и третичной профилактике ХБП. В данной статье представлены описание и анализ мер, которые могут быть внедрены в каждой стране с целью пропаганды и дальнейшего развития профилактики ХБП. Первичная профилактика заболеваний почек должна быть направлена на модификацию факторов риска и устранение структурных повреждений почек и мочевыводящих путей, а также ограничение воздействия факторов риска окружающей среды и нефротоксических веществ. У лиц, уже страдающих заболеваниями почек, вторичная профилактика (включая оптимизацию артериального давления и контроль гликемии) должна быть основной целью как обучения, так и клинических вмешательств. У пациентов с далеко зашедшими стадиями ХБП настоятельно рекомендуются превентивные меры, позволяющие предотвратить или отсрочить потребность в диализе или трансплантации почки, а именно лечение уремии и сопутствующих состояний, таких как сердечно-сосудистые заболевания. Для реализации профилактического подхода необходимо принятие мер на государственном уровне. Несмотря на то, что в той или иной стране могут существовать национальная политика и стратегия по профилактике неинфекционных заболеваний в целом, конкретные меры, направленные на повышение осведомленности и настороженности в отношении диагностики, ведения и лечения ХБП, часто отсутствуют. В связи с этим необходимо повышение информированности населения, медицинских работников и политиков о важной роли профилактических мероприятий.
The global burden of chronic kidney disease (CKD) is rapidly increasing with a projection of becoming the 5th most common cause of years of life lost globally by 2040. Aggravatingly, CKD is a major cause of catastrophic health expenditure. The costs of dialysis and transplantation consume up to 3% of the annual healthcare budget in high-income countries. Crucially, however, the onset and progression of CKD is often preventable. In 2020, the World Kidney Day campaign highlights the importance of preventive interventions – be it primary, secondary or tertiary. This complementing article focuses on outlining and analyzing measures that can beimplemented in every country to promote and advance CKD prevention. Primary prevention of kidney disease should focus on the modification of risk factors and addressing structural abnormalities of the kidney and urinary tracts, as well as exposure to environmental risk factors and nephrotoxins. In persons with pre-existing kidney disease, secondary prevention, including blood pressure optimization and glycemic control, should be the main goal of education and clinical interventions. In patients with advanced CKD, management of co-morbidities such as uremia and cardiovascular disease is a highly recommended preventative intervention to avoid or delay dialysis or kidney transplantation. Political efforts are needed to proliferate the preventive approach. While national policies and strategies for non-communicable diseases might be present in a country, specific policies directed toward education and awareness about CKD screening, management and treatment are often lacking. Hence, there is an urgent need to increase the awareness of the importance of preventive measures throughout populations, professionals and policy makers.
1. International Society of Nephrology. 2019 United Nations High Level Meeting on UHC: Moving Together to Build Kidney Health worldwide. Retrieved 20 July 2019. https://www.theisn.org/images/
Advocacy_4_pager_2019_Final_WEB_pagebypage.pdf
2. Foreman KJ, Marquez N, Dolgert A, et al. Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016-40 for 195 countries and territories. Lancet. 2018;392(10159):2052-90. doi: 10.1016/S0140-6736(18)31694-5
3. Essue BM, Laba TL, Knaul F, et al. Economic burden of chronic ill health and injuries for households in low- and middle-income countries. In: Jamison DT, Gelband H, Horton S, et al., eds. Disease Control Priorities Improving Health and Reducing Poverty. 3 ed. Washington, DC: World Bank; 2018:121-43.
4. Vanholder R, Annemans L, Brown E, et al. Reducing the costs of chronic kidney disease while delivering quality health care: a call to action. Nat Rev Nephrol. 2017;13(7):393-409. doi: 10.1038/nrneph.2017.63
5. Luyckx VA, Tuttle KR, Garcia-Garcia G, et al. Reducing major risk factors for chronic kidney disease. Kidney Int Suppl. 2017;7(2):71-87. doi: 10.1016/j.kisu.2017.07.003
6. Luyckx VA, Tonelli M, Stanifer JW. The global burden of kidney disease and the sustainable development goals. Bull World Health Organ. 2018;96(6):414-22D. doi: 10.2471/BLT.17.206441
7. Tonelli M, Muntner P, Lloyd A, et al. Risk of coronary events in people with chronic kidney disease compared with those with diabetes: a population-level cohort study. Lancet. 2012;380(9844):807-14. doi: 10.1016/S0140-6736(12)60572-8
8. Kalantar-Zadeh K, Fouque D. Nutritional Management of Chronic Kidney Disease. N Engl J Med. 2017;377(18):1765-76. doi: 10.1056/
NEJMra1700312
9. United Nations General Assembly. Political declaration of the third high-level meeting of theGeneral Assembly on the prevention and control ofnon-communicable diseases (2018). Retrieved from https://www.un.org/ga/
search/view_doc.asp?symbol=A/73/L.2&Lang=E
10. Lopez AD, et al. Remembering the forgotten non-communicable diseases. BMC Medicines. 2014;12(1):200. doi: 10.1186/s12916-014-0200-8
11. (CDC) Center for Disease Control and Prevention. "Picture of America" (www.cdc.gov/pictureofamerica). At a Glance – Executive Summary. 2017;2019.
12. Levey AS, Schoolwerth AC, Burrows NR, et al., Centers for Disease Control and Prevention Expert Panel. Comprehensive public health strategies for preventing the development, progression, and complications of CKD: report of an expert panel convened by the Centers for Disease Control and Prevention. Am J Kidney Dis. 2009;53(3):522-35. doi: 10.1053/j.ajkd.2008.11.019
13. Saran R, Robinson B, Abbott KC, et al. US Renal Data System 2018 Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis. 2019;73(3S1):A7-A8. doi: 10.1053/j.ajkd.2019.01.001
14. Kovesdy CP, Furth SL, Zoccali C, World Kidney Day Steering Committee. Obesity and Kidney Disease: Hidden Consequences of the Epidemic. J Ren Nutr. 2017;27(2):75-7. doi: 10.4102/phcfm.v9i1.1435
15. Tantisattamo E, Dafoe DC, Reddy UG, et al. Current Management of Acquired Solitary Kidney. Kidney Int Reports. 2019;4(9):1205-18. doi: 10.1016/j.ekir.2019.07.001
16. Webster AC, Nagler EV, Morton RL, Masson P. Chronic Kidney Disease. Lancet. 2017;389(10075):1238-52. doi: 10.1016/S0140-6736(16)32064-5
17. Koppe L, Fouque D. The Role for Protein Restriction in Addition to Renin-Angiotensin-Aldosterone System Inhibitors in the Management of CKD. Am J Kidney Dis. 2019;73(2):248-57. doi: 10.1053/j.ajkd.2018.06.016
18. Rifkin DE, Coca SG, Kalantar-Zadeh K. Does AKI truly lead to CKD? J Am Soc Nephrol. 2012;23(6):979-84. doi: 10.1681/ASN.2011121185
19. Torres VE, Chapman AB, Devuyst O, et al. Tolvaptan in patients with autosomal dominant polycystic kidney disease. N Engl J Med. 2012;367(25):2407-18. doi: 10.1056/NEJMoa1205511
20. Verhave JC, Troyanov S, Mongeau F, et al. Prevalence, awareness, and management of CKD and cardiovascular risk factors in publicly funded health care. Clin J Am Soc Nephrol. 2014;9:7139. doi: 10.2215/CJN.06550613
21. Chow KM, Szeto CC, Kwan B, et al. Public lacks knowledge on chronic kidney disease: Telephone survey. Hong Kong Med J. 2014;20:139-44.
22. Ene-Iordache B, Perico N, Bikbov B, et al. Chronic kidney diseaseand cardiovascular risk in six regions of the world (ISN-KDDC): Across-sectional study. Lancet Glob Health. 2016;4:e307-19.
23. Li PKT, Weening JJ, Dirks J, et al. A report with consensus statements of the International Society of Nephrology 2004 Consensus Workshop on Prevention of Progression of Renal Disease. Kidney Int Suppl. 2005;(94):s2-7. doi: 10.1111/j.1523-1755.2005.09401.x
24. Vassalotti JA, Stevens LA, Levey AS. Testing for chronic kidney disease: A position statement from the National Kidney Foundation. Am J Kidney Dis. 2007;50:169-80. doi: 10.1053/j.ajkd.2007.06.013
25. Levey AS, Atkins R, Coresh J, et al. Chronic kidney disease as a global public health problem: Approaches and initiatives – aposition statement from Kidney Disease Improving Global Outcomes. Kidney Int. 2007;72:247-59. doi: 10.1038/sj.ki.5002343
26. Crowe E, Halpin D, Stevens P; Guideline Development Group. Early identification and management of chronic kidney disease: summary of NICE guidance. BMJ. 2008;337:a1530. doi: 10.1136/bmj.a1530
27. Li PKT, Chow KM, Matsuo S, et al. Asian Chronic Kidney Disease (CKD) Best Practice Recommendations – Positional Statements for Early Detection of CKD from Asian Forum for CKD Initiatives
(AFCKDI). Nephrology. 2011;16(7):633-41. doi: 10.1111/j.1440-1797.2011.01503.x
28. Fink HA, Ishani A, Taylor BC, et al.: Screening for, monitoring, and treatment of chronic kidney disease stages 1 to 3: A systematic review for the U.S. Preventive Services Task Force and for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2012;156:570-81. doi: 10.7326/0003-4819-156-8-201204170-00008
29. Li PKT, Ng JK, Cheng YL, et al. Relatives In Silent Kidney disease Screening study (RISKS): a Chinese cohort study. Nephrology. 2017;22(Suppl. 4):35-42. doi: 10.1111/nep.13148
30. Samal L, Linder JA. The primary care perspective on routine urine dipstick screening to identify patients with albuminuria. Clin J Am Soc Nephrol. 2013 Jan;8(1):131-5. doi: 10.2215/CJN.12681211
31. George C, Mogueo A, Okpechi I, et al. Chronic kidney disease in low-income to middle-income countries: the case for increased screening. BMJ Glob Health. 2017;2(2):e000256. doi: 10.1136/bmjgh-2016-000256
32. Gonzalez-Quiroz M, Nitsch D, Hamilton S, et al.; DEGREE Study Steering Committee. Rationale and population-based prospective cohort protocol for the disadvantaged populations at risk of decline in eGFR (CO-DEGREE). BMJ Open. 2019;9:e031169. doi: 10.1136/bmjopen-2019-031169
33. Boulware LE, Jaar BG, Tarver-Carr ME, et al. Screening for proteinuria in US adults: A cost-effectiveness analysis. JAMA. 2003;290:3101-14. doi: 10.1001/jama.290.23.3101
34. Go DS, Kim SH, Park J, et al. Cost-utility analysis of the National Health Screening Program for chronic kidney disease in Korea. Nephrology. 2019;24(1):56-64. doi: 10.1111/nep.13203
35. Komenda P, Ferguson TW, Macdonald K, et al. Cost-effectiveness of primary screening for CKD: A systematic review. Am J Kidney Dis. 2014;63:789-97. doi: 10.1053/j.ajkd.2013.12.012
36. Hwang SJ, Tsai JC, Chen HC. Epidemiology, impact and preventive care of chronic kidney disease in Taiwan. Nephrology. 2010;15(Suppl. 2):3-9. doi: 10.1111/j.1440-1797.2010.01304.x
37. Almaguer M, Herrera R, Alfonso J, et al. Primary health care strategies for the prevention of end-stage renal disease in Cuba. Kidney Int Suppl. 2005;97:S4-10. doi: 10.1111/j.1523-1755.2005.09701.x
38. Alamaguer-Lopez M, Herrera-Valdez R, Diaz J, Rodriguez O. Integration of chronic kidney disease prevention into noncommunicable disease programs in Cuba. In G. Garcia-Garcia, L.Y. Agodoa, & K.C. Norris (Eds.), Chronic Kidney Disease in Disadvantaged Populations 2017 (p. 357-65). London: Elsevier Inc.
39. U.S. Department of Health and Human Services. Advancing American Kidney Health, 2019 accessed Sept 26, 2019. https://aspe.hhs.gov/pdf-report/advancing-american-kidney-health
40. U.S. Department of Health and Human Services. The Special Diabetes Program for Indians. Estimates of Medicare savings, 2019. Accessed Sept 26, 2019. https://aspe.hhs.gov/pdf-report/special-diabetes-program-indians-estimates-medicare-savings
41. Bello AK, Nwankwo E, El Nahas AM. Prevention of chronic kidney disease: a global challenge. Kidney Int Suppl. 2005;98:S11-17. doi: 10.1111/j.1523-1755.2005.09802.x
42. James MT, Hemmelgarn BR, Tonelli M. Early recognition and prevention of chronic kidney disease. Lancet. 2010;375(9722):1296-309.
43. Cortés-Sanabria L, Cabrera-Pivaral CE, Cueto-Manzano AM, et al. Improving care of patients with diabetes and CKD: a pilot study for a cluster-randomized trial. Am J Kidney Dis. 2008;51(5):777-88. doi: 10.1053/j.ajkd.2007.12.039
44. Martínez-Ramírez HR, Jalomo-Martínez B, Cortés-SanabriaL, et al. Renal function preservation in type 2 diabetes mellitus patients with early nephropathy: a comparative prospective cohort study between primary health care doctors and a nephrologist. Am J Kidney Dis. 2006;47(1):78-87. doi: 10.1053/j.ajkd.2005.09.015
45. Cueto-Manzano AM, Martínez-Ramírez HR, Cortes-Sanabria L, Rojas-Campos E. CKD screening and prevention strategies in disadvantaged populations. The role of primary health care professionals. In G. Garcia-Garcia, L.Y. Agodoa, & K.C. Norrris (Eds.), Chronic Kidney Disease in Disadvantaged Populations. 2017 (p. 329-35). London: Elsevier, Inc.
46. Tapia-Conyer R, Gallardo-Rincon H, Betancourt-Cravioto M. Chronic kidney disease in disadvantaged populations: Online educational programs for NCD prevention and treatment. In G. Garcia-Garcia, L.Y. Agodoa, & K.C. Norris (Eds.), Chronic Kidney Disease in Disadvantaged Populations. 2017 (p. 337-45). London: Elsevier, Inc.
47. Bello AK, Levin A, Manns BJ, et al. Effective CKD care in European countries: challenges and opportunities for health policy. Am J Kidney Dis. 2015;65(1):15-25. doi: 10.1053/j.ajkd.2014.07.033
48. Sharif MU, Elsayed ME, Stack AG. The global nephrology workforce: emerging threats and potential solutions! Clin Kidney J. 2016;9(1):11-22. doi: 10.1093/ckj/sfv111
49. Naicker S, Eastwood JB, Plange-Rhule J, Tutt RC. Shortage of healthcare workers in sub-Saharan Africa: a nephrological perspective. Clin Nephrol. 2010;74(Suppl. 1):S129-33.
50. Cusumano AM, Rosa-Diez GJ, Gonzalez-Bedat MC. Latin American Dialysis and Transplant Registry: Experience and contributions to end-stage renal disease epidemiology. World J Nephrol. 2016;5(5):389-97.
51. Feehally J, Brusselmans A, Finkelstein FO, et al. Improving global health: measuring the success of capacity building outreach programs: a view from the International Society of Nephrology. Kidney Int Suppl. 2016;6(2):42-51. doi: 10.1016/j.kisu.2016.09.002
52. Harris DC, Dupuis S, Couser WG, Feehally J. Training nephrologists from developing countries: does it have a positive impact? Kidney Int Suppl. 2012;2(3):275-8. doi: 10.1038/kisup.2012.32
53. Tisher CC, Bastl CP, Bistrian BR, et al. Morbidity and mortality of renal dialysis: an NIH consensus conference statement. Consensus Development Conference Panel. Ann Intern Med. 1994;121(1):62-70.
54. Garcia-Garcia G, Martinez-Castellanos Y, Renoirte-Lopez K, et al. Multidisciplinary care for poor patients with chronic kidney disease in Mexico. Kidney Int Suppl. 2013;3(2):178-83. doi: 10.1038/kisup.2013.9
55. Stanifer JW, Von Isenburg M, Chertow GM, Anand S. Chronic kidney disease care models in low- and middle-income countries: a systematic review. BMJ Glob Health. 2018;3(2):e000728. doi: 10.1136/bmjgh-2018-000728
56. Narva AS, Norton JM, Boulware LE. Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care. Clin J Am Soc Nephrol. 2016;11(4):694-703. doi: 10.2215/CJN.07680715
57. Schatell D. Web-based kidney education: supporting patient self-management. Semin Dial. 2013;26(2):154-8. doi: 10.1111/sdi.12057
________________________________________________
1. International Society of Nephrology. 2019 United Nations High Level Meeting on UHC: Moving Together to Build Kidney Health worldwide. Retrieved 20 July 2019. https://www.theisn.org/images/
Advocacy_4_pager_2019_Final_WEB_pagebypage.pdf
2. Foreman KJ, Marquez N, Dolgert A, et al. Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016-40 for 195 countries and territories. Lancet. 2018;392(10159):2052-90. doi: 10.1016/S0140-6736(18)31694-5
3. Essue BM, Laba TL, Knaul F, et al. Economic burden of chronic ill health and injuries for households in low- and middle-income countries. In: Jamison DT, Gelband H, Horton S, et al., eds. Disease Control Priorities Improving Health and Reducing Poverty. 3 ed. Washington, DC: World Bank; 2018:121-43.
4. Vanholder R, Annemans L, Brown E, et al. Reducing the costs of chronic kidney disease while delivering quality health care: a call to action. Nat Rev Nephrol. 2017;13(7):393-409. doi: 10.1038/nrneph.2017.63
5. Luyckx VA, Tuttle KR, Garcia-Garcia G, et al. Reducing major risk factors for chronic kidney disease. Kidney Int Suppl. 2017;7(2):71-87. doi: 10.1016/j.kisu.2017.07.003
6. Luyckx VA, Tonelli M, Stanifer JW. The global burden of kidney disease and the sustainable development goals. Bull World Health Organ. 2018;96(6):414-22D. doi: 10.2471/BLT.17.206441
7. Tonelli M, Muntner P, Lloyd A, et al. Risk of coronary events in people with chronic kidney disease compared with those with diabetes: a population-level cohort study. Lancet. 2012;380(9844):807-14. doi: 10.1016/S0140-6736(12)60572-8
8. Kalantar-Zadeh K, Fouque D. Nutritional Management of Chronic Kidney Disease. N Engl J Med. 2017;377(18):1765-76. doi: 10.1056/
NEJMra1700312
9. United Nations General Assembly. Political declaration of the third high-level meeting of theGeneral Assembly on the prevention and control ofnon-communicable diseases (2018). Retrieved from https://www.un.org/ga/
search/view_doc.asp?symbol=A/73/L.2&Lang=E
10. Lopez AD, et al. Remembering the forgotten non-communicable diseases. BMC Medicines. 2014;12(1):200. doi: 10.1186/s12916-014-0200-8
11. (CDC) Center for Disease Control and Prevention. "Picture of America" (www.cdc.gov/pictureofamerica). At a Glance – Executive Summary. 2017;2019.
12. Levey AS, Schoolwerth AC, Burrows NR, et al., Centers for Disease Control and Prevention Expert Panel. Comprehensive public health strategies for preventing the development, progression, and complications of CKD: report of an expert panel convened by the Centers for Disease Control and Prevention. Am J Kidney Dis. 2009;53(3):522-35. doi: 10.1053/j.ajkd.2008.11.019
13. Saran R, Robinson B, Abbott KC, et al. US Renal Data System 2018 Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis. 2019;73(3S1):A7-A8. doi: 10.1053/j.ajkd.
2019.01.001
14. Kovesdy CP, Furth SL, Zoccali C, World Kidney Day Steering Committee. Obesity and Kidney Disease: Hidden Consequences of the Epidemic. J Ren Nutr. 2017;27(2):75-7. doi: 10.4102/phcfm.v9i1.1435
15. Tantisattamo E, Dafoe DC, Reddy UG, et al. Current Management of Acquired Solitary Kidney. Kidney Int Reports. 2019;4(9):1205-18. doi: 10.1016/j.ekir.2019.07.001
16. Webster AC, Nagler EV, Morton RL, Masson P. Chronic Kidney Disease. Lancet. 2017;389(10075):1238-52. doi: 10.1016/S0140-6736(16)32064-5
17. Koppe L, Fouque D. The Role for Protein Restriction in Addition to Renin-Angiotensin-Aldosterone System Inhibitors in the Management of CKD. Am J Kidney Dis. 2019;73(2):248-57. doi: 10.1053/j.ajkd.2018.06.016
18. Rifkin DE, Coca SG, Kalantar-Zadeh K. Does AKI truly lead to CKD? J Am Soc Nephrol. 2012;23(6):979-84. doi: 10.1681/ASN.2011121185
19. Torres VE, Chapman AB, Devuyst O, et al. Tolvaptan in patients with autosomal dominant polycystic kidney disease. N Engl J Med. 2012;367(25):2407-18. doi: 10.1056/NEJMoa1205511
20. Verhave JC, Troyanov S, Mongeau F, et al. Prevalence, awareness, and management of CKD and cardiovascular risk factors in publicly funded health care. Clin J Am Soc Nephrol. 2014;9:7139. doi: 10.2215/CJN.06550613
21. Chow KM, Szeto CC, Kwan B, et al. Public lacks knowledge on chronic kidney disease: Telephone survey. Hong Kong Med J. 2014;20:139-44.
22. Ene-Iordache B, Perico N, Bikbov B, et al. Chronic kidney diseaseand cardiovascular risk in six regions of the world (ISN-KDDC): Across-sectional study. Lancet Glob Health. 2016;4:e307-19.
23. Li PKT, Weening JJ, Dirks J, et al. A report with consensus statements of the International Society of Nephrology 2004 Consensus Workshop on Prevention of Progression of Renal Disease. Kidney Int Suppl. 2005;(94):s2-7. doi: 10.1111/j.1523-1755.2005.09401.x
24. Vassalotti JA, Stevens LA, Levey AS. Testing for chronic kidney disease: A position statement from the National Kidney Foundation. Am J Kidney Dis. 2007;50:169-80. doi: 10.1053/j.ajkd.2007.06.013
25. Levey AS, Atkins R, Coresh J, et al. Chronic kidney disease as a global public health problem: Approaches and initiatives – aposition statement from Kidney Disease Improving Global Outcomes. Kidney Int. 2007;72:247-59. doi: 10.1038/sj.ki.5002343
26. Crowe E, Halpin D, Stevens P; Guideline Development Group. Early identification and management of chronic kidney disease: summary of NICE guidance. BMJ. 2008;337:a1530. doi: 10.1136/bmj.a1530
27. Li PKT, Chow KM, Matsuo S, et al. Asian Chronic Kidney Disease (CKD) Best Practice Recommendations – Positional Statements for Early Detection of CKD from Asian Forum for CKD Initiatives
(AFCKDI). Nephrology. 2011;16(7):633-41. doi: 10.1111/j.1440-1797.2011.01503.x
28. Fink HA, Ishani A, Taylor BC, et al.: Screening for, monitoring, and treatment of chronic kidney disease stages 1 to 3: A systematic review for the U.S. Preventive Services Task Force and for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2012;156:570-81. doi: 10.7326/0003-4819-156-8-201204170-00008
29. Li PKT, Ng JK, Cheng YL, et al. Relatives In Silent Kidney disease Screening study (RISKS): a Chinese cohort study. Nephrology. 2017;22(Suppl. 4):35-42. doi: 10.1111/nep.13148
30. Samal L, Linder JA. The primary care perspective on routine urine dipstick screening to identify patients with albuminuria. Clin J Am Soc Nephrol. 2013 Jan;8(1):131-5. doi: 10.2215/CJN.12681211
31. George C, Mogueo A, Okpechi I, et al. Chronic kidney disease in low-income to middle-income countries: the case for increased screening. BMJ Glob Health. 2017;2(2):e000256. doi: 10.1136/bmjgh-2016-000256
32. Gonzalez-Quiroz M, Nitsch D, Hamilton S, et al.; DEGREE Study Steering Committee. Rationale and population-based prospective cohort protocol for the disadvantaged populations at risk of decline in eGFR (CO-DEGREE). BMJ Open. 2019;9:e031169. doi: 10.1136/bmjopen-2019-031169
33. Boulware LE, Jaar BG, Tarver-Carr ME, et al. Screening for proteinuria in US adults: A cost-effectiveness analysis. JAMA. 2003;290:3101-14. doi: 10.1001/jama.290.23.3101
34. Go DS, Kim SH, Park J, et al. Cost-utility analysis of the National Health Screening Program for chronic kidney disease in Korea. Nephrology. 2019;24(1):56-64. doi: 10.1111/nep.13203
35. Komenda P, Ferguson TW, Macdonald K, et al. Cost-effectiveness of primary screening for CKD: A systematic review. Am J Kidney Dis. 2014;63:789-97. doi: 10.1053/j.ajkd.2013.12.012
36. Hwang SJ, Tsai JC, Chen HC. Epidemiology, impact and preventive care of chronic kidney disease in Taiwan. Nephrology. 2010;15(Suppl. 2):3-9. doi: 10.1111/j.1440-1797.2010.01304.x
37. Almaguer M, Herrera R, Alfonso J, et al. Primary health care strategies for the prevention of end-stage renal disease in Cuba. Kidney Int Suppl. 2005;97:S4-10. doi: 10.1111/j.1523-1755.2005.09701.x
38. Alamaguer-Lopez M, Herrera-Valdez R, Diaz J, Rodriguez O. Integration of chronic kidney disease prevention into noncommunicable disease programs in Cuba. In G. Garcia-Garcia, L.Y. Agodoa, & K.C. Norris (Eds.), Chronic Kidney Disease in Disadvantaged Populations 2017 (p. 357-65). London: Elsevier Inc.
39. U.S. Department of Health and Human Services. Advancing American Kidney Health, 2019 accessed Sept 26, 2019. https://aspe.hhs.gov/pdf-report/advancing-american-kidney-health
40. U.S. Department of Health and Human Services. The Special Diabetes Program for Indians. Estimates of Medicare savings, 2019. Accessed Sept 26, 2019. https://aspe.hhs.gov/pdf-report/special-diabetes-program-indians-estimates-medicare-savings
41. Bello AK, Nwankwo E, El Nahas AM. Prevention of chronic kidney disease: a global challenge. Kidney Int Suppl. 2005;98:S11-17. doi: 10.1111/j.1523-1755.2005.09802.x
42. James MT, Hemmelgarn BR, Tonelli M. Early recognition and prevention of chronic kidney disease. Lancet. 2010;375(9722):1296-309.
43. Cortés-Sanabria L, Cabrera-Pivaral CE, Cueto-Manzano AM, et al. Improving care of patients with diabetes and CKD: a pilot study for a cluster-randomized trial. Am J Kidney Dis. 2008;51(5):777-88. doi: 10.1053/j.ajkd.2007.12.039
44. Martínez-Ramírez HR, Jalomo-Martínez B, Cortés-SanabriaL, et al. Renal function preservation in type 2 diabetes mellitus patients with early nephropathy: a comparative prospective cohort study between primary health care doctors and a nephrologist. Am J Kidney Dis. 2006;47(1):78-87. doi: 10.1053/j.ajkd.2005.09.015
45. Cueto-Manzano AM, Martínez-Ramírez HR, Cortes-Sanabria L, Rojas-Campos E. CKD screening and prevention strategies in disadvantaged populations. The role of primary health care professionals. In G. Garcia-Garcia, L.Y. Agodoa, & K.C. Norrris (Eds.), Chronic Kidney Disease in Disadvantaged Populations. 2017 (p. 329-35). London: Elsevier, Inc.
46. Tapia-Conyer R, Gallardo-Rincon H, Betancourt-Cravioto M. Chronic kidney disease in disadvantaged populations: Online educational programs for NCD prevention and treatment. In G. Garcia-Garcia, L.Y. Agodoa, & K.C. Norris (Eds.), Chronic Kidney Disease in Disadvantaged Populations. 2017 (p. 337-45). London: Elsevier, Inc.
47. Bello AK, Levin A, Manns BJ, et al. Effective CKD care in European countries: challenges and opportunities for health policy. Am J Kidney Dis. 2015;65(1):15-25. doi: 10.1053/j.ajkd.2014.07.033
48. Sharif MU, Elsayed ME, Stack AG. The global nephrology workforce: emerging threats and potential solutions! Clin Kidney J. 2016;9(1):11-22. doi: 10.1093/ckj/sfv111
49. Naicker S, Eastwood JB, Plange-Rhule J, Tutt RC. Shortage of healthcare workers in sub-Saharan Africa: a nephrological perspective. Clin Nephrol. 2010;74(Suppl. 1):S129-33.
50. Cusumano AM, Rosa-Diez GJ, Gonzalez-Bedat MC. Latin American Dialysis and Transplant Registry: Experience and contributions to end-stage renal disease epidemiology. World J Nephrol. 2016;5(5):389-97.
51. Feehally J, Brusselmans A, Finkelstein FO, et al. Improving global health: measuring the success of capacity building outreach programs: a view from the International Society of Nephrology. Kidney Int Suppl. 2016;6(2):42-51. doi: 10.1016/j.kisu.2016.09.002
52. Harris DC, Dupuis S, Couser WG, Feehally J. Training nephrologists from developing countries: does it have a positive impact? Kidney Int Suppl. 2012;2(3):275-8. doi: 10.1038/kisup.2012.32
53. Tisher CC, Bastl CP, Bistrian BR, et al. Morbidity and mortality of renal dialysis: an NIH consensus conference statement. Consensus Development Conference Panel. Ann Intern Med. 1994;121(1):62-70.
54. Garcia-Garcia G, Martinez-Castellanos Y, Renoirte-Lopez K, et al. Multidisciplinary care for poor patients with chronic kidney disease in Mexico. Kidney Int Suppl. 2013;3(2):178-83. doi: 10.1038/kisup.2013.9
55. Stanifer JW, Von Isenburg M, Chertow GM, Anand S. Chronic kidney disease care models in low- and middle-income countries: a systematic review. BMJ Glob Health. 2018;3(2):e000728. doi: 10.1136/bmjgh-2018-000728
56. Narva AS, Norton JM, Boulware LE. Educating Patients about CKD: The Path to Self-Management and Patient-Centered Care. Clin J Am Soc Nephrol. 2016;11(4):694-703. doi: 10.2215/CJN.07680715
57. Schatell D. Web-based kidney education: supporting patient self-management. Semin Dial. 2013;26(2):154-8. doi: 10.1111/sdi.12057
Авторы
Ф. Кам-Тао Ли1, Г. Гарсия-Гарсия2, С.-Ф. Луи3, Ш. Андреоли4, У. Винг-Шинг Фунг1, А. Градски5, Л. Кумарасвами6, В. Лиакопулос7, З. Рахимова5, Г. Саади8, Л. Страни5, И. Уласи9, К. Калантар-Заде10
для Организационного комитета Всемирного дня почки*
1 Исследовательский центр им. Кэрол и Ричарда Ю, Больница принца Уэльского, Китайский университет Гонконга, отдел медицины
и терапии, Гонконг, Китай;
2 Гвадалахарский гражданский госпиталь им. Фрая Антонио Алькальде, Научный центр здоровья Университета Гвадалахары, отделение нефрологии, Гвадалахара, штат Халиско, Мексика;
3 Школа общественного здравоохранения и первичной медико-санитарной помощи «Жокей-клуб», Китайский университет Гонконга, отдел организации управления здравоохранением, Гонконг, Китай;
4 Больница им. Джейма Уиткомба Райли для детей, Медицинская школа Университета Индианы, Индианополис, США;
5 Головной офис инициативы «Всемирный день почки», Брюссель, Бельгия;
6 Фонд Танкер, Ченнаи, Индия;
7 Госпиталь Aмериканской эллинской образовательной ассоциации, Университет им. Аристотеля в Салониках, отдел нефрологии и артериальной гипертензии, 1-я кафедра терапии и внутренних болезней, Салоники, Греция;
8 Каирский университет, отдел внутренних болезней, медицинский факультет, Гиза, Египет;
9 Медицинский колледж, Университет Нигерии, отделение нефрологии, медицинский факультет, Итуку-Озалла, Энугу, Нигерия;
10 Медицинская школа г. Ирвайн, Калифорнийский университет, отдел нефрологии, артериальной гипертензии и трансплантации почки, Ориндж, Калифорния, США
________________________________________________
P. Kam-Tao Li1, G. Garcia-Garcia2, S.-F. Lui3, S. Andreoli4, W. Wing-Shing Fung1, A. Hradsky5, L. Kumaraswami6, V. Liakopoulos7, Z. Rakhimova5, G. Saadi8, L. Strani5, I. Ulasi9, K. Kalantar-Zadeh10 for the World Kidney Day Steering Committee
1 Department of Medicine and Therapeutics, Carol & Richard Yu PD Research Centre, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, China;
2 Nephrology Service, Hospital Civil de Guadalajara Fray Antonio Alcalde, University of Guadalajara Health Sciences Center, Guadalajara, Jal., Mexico;
3 Division of Health System, Policy and Management, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China;
4 James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, USA;
5 World Kidney Day Office, Brussels, Belgium;
6 Tanker Foundation, Chennai, India;
7 Division of Nephrology and Hypertension, 1st Department of Internal Medicine, AHEPA Hospital, Aristotle University of Thessaloniki,
Thessaloniki, Greece;
8 Nephrology Unit, Department of Internal Medicine, Faculty of Medicine, Cairo University, Giza, Egypt;
9 Renal Unit, Department of Medicine, College of Medicine, University of Nigeria, Ituku-Ozalla, Enugu, Nigeria;
10 Division of Nephrology and Hypertension and Kidney Transplantation, University of California Irvine School of Medicine, Orange, CA, USA