The Growing Challenge of Chronic Kidney Disease: An Overview of Current Knowledge

Chronic kidney disease (CKD) is becoming one of the world’s most prevalent noncommunicable chronic diseases. The World Health Organization projects CKD to become the 5th most common chronic disease in 2040. Causes of CKD are multifactorial and diverse, but early-stage symptoms are often few and sile...

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Main Authors: Rikke Borg, Nicholas Carlson, Jens Søndergaard, Frederik Persson
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.1155/2023/9609266
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author Rikke Borg
Nicholas Carlson
Jens Søndergaard
Frederik Persson
author_facet Rikke Borg
Nicholas Carlson
Jens Søndergaard
Frederik Persson
author_sort Rikke Borg
collection DOAJ
description Chronic kidney disease (CKD) is becoming one of the world’s most prevalent noncommunicable chronic diseases. The World Health Organization projects CKD to become the 5th most common chronic disease in 2040. Causes of CKD are multifactorial and diverse, but early-stage symptoms are often few and silent. Progression rates are highly variable, but patients encounter both an increased risk for end-stage kidney disease (ESKD) as well as increased cardiovascular risk. End-stage kidney disease incidence is generally low, but every single case carries a significant burden of illness and healthcare costs, making prevention by early intervention both desirable and worthwhile. This review focuses on the prevalence, diagnosis, and causes of CKD. In addition, we discuss the developments in the general treatment of CKD, with particular attention to what can be initiated in general practice. With the addition of recent landmark findings and the expansion of the indication for using sodium–glucose cotransporter 2 inhibitors, there are now new effective treatments to add to standard therapy. This will also be relevant for primary care physicians as many patients with CKD have their family physician as their primary health care professional handling kidney function preservation. In the future, more precise and less invasive diagnostic methods may not only improve the determination of the underlying cause of CKD but may also carry information regarding which treatment to use (i.e. personalized medicine). This could lead to a reduced number of preventive treatments per individual, while at the same time improving the prognosis. This review summarizes ongoing efforts in this area.
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spelling doaj-art-cb2009f475a74f10a9dfcd63353141c22025-02-03T06:47:30ZengWileyInternational Journal of Nephrology2090-21582023-01-01202310.1155/2023/9609266The Growing Challenge of Chronic Kidney Disease: An Overview of Current KnowledgeRikke Borg0Nicholas Carlson1Jens Søndergaard2Frederik Persson3Department of NephrologyDepartment of NephrologyResearch Unit for General PracticeSteno Diabetes Center CopenhagenChronic kidney disease (CKD) is becoming one of the world’s most prevalent noncommunicable chronic diseases. The World Health Organization projects CKD to become the 5th most common chronic disease in 2040. Causes of CKD are multifactorial and diverse, but early-stage symptoms are often few and silent. Progression rates are highly variable, but patients encounter both an increased risk for end-stage kidney disease (ESKD) as well as increased cardiovascular risk. End-stage kidney disease incidence is generally low, but every single case carries a significant burden of illness and healthcare costs, making prevention by early intervention both desirable and worthwhile. This review focuses on the prevalence, diagnosis, and causes of CKD. In addition, we discuss the developments in the general treatment of CKD, with particular attention to what can be initiated in general practice. With the addition of recent landmark findings and the expansion of the indication for using sodium–glucose cotransporter 2 inhibitors, there are now new effective treatments to add to standard therapy. This will also be relevant for primary care physicians as many patients with CKD have their family physician as their primary health care professional handling kidney function preservation. In the future, more precise and less invasive diagnostic methods may not only improve the determination of the underlying cause of CKD but may also carry information regarding which treatment to use (i.e. personalized medicine). This could lead to a reduced number of preventive treatments per individual, while at the same time improving the prognosis. This review summarizes ongoing efforts in this area.http://dx.doi.org/10.1155/2023/9609266
spellingShingle Rikke Borg
Nicholas Carlson
Jens Søndergaard
Frederik Persson
The Growing Challenge of Chronic Kidney Disease: An Overview of Current Knowledge
International Journal of Nephrology
title The Growing Challenge of Chronic Kidney Disease: An Overview of Current Knowledge
title_full The Growing Challenge of Chronic Kidney Disease: An Overview of Current Knowledge
title_fullStr The Growing Challenge of Chronic Kidney Disease: An Overview of Current Knowledge
title_full_unstemmed The Growing Challenge of Chronic Kidney Disease: An Overview of Current Knowledge
title_short The Growing Challenge of Chronic Kidney Disease: An Overview of Current Knowledge
title_sort growing challenge of chronic kidney disease an overview of current knowledge
url http://dx.doi.org/10.1155/2023/9609266
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