Chronic Kidney Disease Management in the Middle East and Africa: Concerns, Challenges, and Novel Approaches.

Saeed Al-Ghamdi, Ali Abu-Alfa, Turki Alotaibi, Ali AlSaaidi, Abdulkareem AlSuwaida, Mustafa Arici, Tevfik Ecder, Ahmed F El Koraie, Mohamed Ghnaimat, Mohamed H Hafez, Mohamed Hassan, Tarik Sqalli
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引用次数: 2

Abstract

The burden of chronic kidney disease (CKD) and other comorbidities, such as hypertension and diabetes, which increase the risk of developing CKD, is on the rise in the Middle East and Africa. The Middle East and Africa CKD (MEA-CKD) steering committee, comprising eminent healthcare specialists from the Middle East and Africa, was formed to identify and propose steps to address the gaps in the management of CKD in these regions. The current article lists the MEA-CKD steering committee meeting outcomes and evaluates the available evidence supporting the role of novel therapeutic options for patients with CKD. The need of the hour is to address the gaps in awareness and screening, early diagnosis, along with referral and management of patients at risk. Measures to bring about appropriate changes in healthcare policies to ensure access to all benefit-proven protective therapies, including novel ones, at community levels are also vital for reducing the overall burden of CKD on the healthcare system as well as governing bodies, especially in developing countries of the Middle East and Africa.

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中东和非洲的慢性肾脏疾病管理:关注、挑战和新方法。
在中东和非洲,慢性肾脏疾病(CKD)和其他合并症(如高血压和糖尿病)的负担正在上升,这些合并症会增加患CKD的风险。中东和非洲CKD (MEA-CKD)指导委员会由来自中东和非洲的知名医疗保健专家组成,旨在确定并提出解决这些地区CKD管理差距的步骤。目前的文章列出了MEA-CKD指导委员会会议的结果,并评估了支持CKD患者新治疗方案作用的现有证据。当务之急是解决认识和筛查、早期诊断以及高危患者转诊和管理方面的差距。采取措施适当改变医疗保健政策,以确保在社区层面上获得所有经证实有益的保护性疗法,包括新疗法,对于减轻CKD对医疗保健系统和管理机构的总体负担也至关重要,特别是在中东和非洲的发展中国家。
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来源期刊
CiteScore
3.90
自引率
5.00%
发文量
40
审稿时长
16 weeks
期刊介绍: International Journal of Nephrology and Renovascular Disease is an international, peer-reviewed, open-access journal focusing on the pathophysiology of the kidney and vascular supply. Epidemiology, screening, diagnosis, and treatment interventions are covered as well as basic science, biochemical and immunological studies. In particular, emphasis will be given to: -Chronic kidney disease- Complications of renovascular disease- Imaging techniques- Renal hypertension- Renal cancer- Treatment including pharmacological and transplantation- Dialysis and treatment of complications of dialysis and renal disease- Quality of Life- Patient satisfaction and preference- Health economic evaluations. The journal welcomes submitted papers covering original research, basic science, clinical studies, reviews & evaluations, guidelines, expert opinion and commentary, case reports and extended reports. The main focus of the journal will be to publish research and clinical results in humans but preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies and interventions.
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