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A roadmap for optimizing chronic kidney disease patient care and patient-oriented research in the Eastern European nephrology community.

Authors :
Sever MŞ
Jager KJ
Vanholder R
Stengel B
Harambat J
Finne P
Tesař V
Barbullushi M
Bumblytė IA
Zakharova E
Spasovski G
Resic H
Wiecek A
Blankestijn PJ
Bruchfeld A
Cozzolino M
Goumenos D
Soler MJ
Rychlík I
Stevens KI
Wanner C
Zoccali C
Massy ZA
Source :
Clinical kidney journal [Clin Kidney J] 2020 Dec 22; Vol. 14 (1), pp. 23-35. Date of Electronic Publication: 2020 Dec 22 (Print Publication: 2021).
Publication Year :
2020

Abstract

Chronic kidney disease (CKD) is a major health problem because of its high prevalence, associated complications and high treatment costs. Several aspects of CKD differ significantly in the Eastern European nephrology community compared with Western Europe because of different geographic, socio-economic, infrastructure, cultural and educational features. The two most frequent aetiologies of CKD, DM and hypertension, and many other predisposing factors, are more frequent in the Eastern region, resulting in more prevalent CKD Stages 3-5. Interventions may minimize the potential drawbacks of the high prevalence of CKD in Eastern Europe, which include several options at various stages of the disease, such as raising public, medical personnel and healthcare authorities awareness; early detection by screening high-risk populations; preventing progression and CKD-related complications by training health professionals and patients; promoting transplantation or home dialysis as the preferred modality; disseminating and implementing guidelines and guided therapy and encouraging/supporting country-specific observational research as well as international collaborative projects. Specific ways to significantly impact CKD-related problems in every region of Europe through education, science and networking are collaboration with non-nephrology European societies who have a common interest in CKD and its associated complications, representation through an advisory role within nephrology via national nephrology societies, contributing to the training of local nephrologists and stimulating patient-oriented research. The latter is mandatory to identify country-specific kidney disease-related priorities. Active involvement of patients in this research via collaboration with the European Kidney Patient Federation or national patient federations is imperative to ensure that projects reflect specific patient needs.<br /> (© The Author(s) 2020. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.)

Details

Language :
English
ISSN :
2048-8505
Volume :
14
Issue :
1
Database :
MEDLINE
Journal :
Clinical kidney journal
Publication Type :
Academic Journal
Accession number :
33570513
Full Text :
https://doi.org/10.1093/ckj/sfaa218