In Memorandum of World Kidney Day
نویسندگان
چکیده
In the past two decades, the international health efforts have been focused on the control of infectious diseases in developing countries with noncommunicable diseases (NCDs) given a lower priority. 1 However, the incidence of NCDs including chronic kidney disease (CKD) is increasing in developing countries where primary care intervention for CKD is often inadequate. 2 The main international focus is now on NCDs including diabetes mellitus (DM), hypertension, obesity and chronic airway obstruction. Most of the NCDs share common risk factors which are potentially amenable to behavioral modifications including smoking, unhealthy diet, physical inactivity and stress. These diseases can usually be detected by simple tests which are available in primary care settings even in low and middle income countries. CKD which is often caused by underlying diseases such as DM and hypertension can be effectively prevented by detection and treatment of these diseases. 2 According to Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines, CKD is defined as i) Persistent glomerular filtration rate (GFR) < 60 mL/min/1.73 m 2 for ≥ 3 months with or without kidney damage or ii) Kidney damage for ≥ 3 months based on structural and functional anomalies of the kidney with or without decreased GFR. 3
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