Blood Purification
Learn more about the necessary intervention methods decided at World Kidney Day 2020 on how to increase disease awareness to improve detection and prevention.
As the prevalence of chronic kidney disease (CKD) increases on a global scale, CKD is projected to become the fifth most common cause of death by 2040. In direct contrast to this fact is that “the onset and progression of CKD is often preventable,” as stated in the January 2021 edition of Blood Purification.* An editorial on World Kidney Day 2020 in this medical journal explores the different types of interventions needed to “promote and advance CKD prevention.”
Three different types of intervention methods were created, each addressing different populations:
At each of these levels, there are different goals, which include:
Given that early CKD stages have little to no symptoms, developing a screening tool is key to initiate an intervention. While universal screening would be expensive and likely not beneficial, there needs to be a tool to identify high-risk individuals to screen.
High-risk individuals would include people with:
For high-risk individuals, CKD can be screened using two tests:
According to the Kidney Disease Improving Global Outcomes (KDIGO) resolution, high-risk individuals should be screened yearly if no abnormality is detected on initial screening. Depending on professional availability in certain areas, physicians, nurses, paramedical staff, and other trained healthcare professionals would all be suitable to perform the screening.
For individuals detected with any stage of CKD, a referral to a general physician with experience in CKD will be provided. A management protocol, including a referral to a nephrologist, i.e. kidney doctor, should also be provided to the general physician.
Due to the complexity of CKD, a multi-disciplinary team would be beneficial to a patient. To prevent disease progression, especially the burden of dialysis, it’s recommended that a patient’s care team consist of a:
While online learning has become increasingly popular, there are a few obstacles associated with it:
Reputable healthcare organizations should work to address these obstacles and increase online engagement through:
*Li P.K.-T., Garcia-Garcia G., Lui S.-F., Andreoli S., et al. (2021, Jan.) Kidney Health for Everyone Everywhere – From Prevention to Detection and Equitable Access to Care. Blood Purification. https://www.karger.com/Article/FullText/506966
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