Burgos-Calderón, R.; Depine, S.Á.; Aroca-Martínez, G. Population Kidney Health. A New Paradigm for Chronic Kidney Disease Management. Int. J. Environ. Res. Public Health2021, 18, 6786.
Burgos-Calderón, R.; Depine, S.Á.; Aroca-Martínez, G. Population Kidney Health. A New Paradigm for Chronic Kidney Disease Management. Int. J. Environ. Res. Public Health 2021, 18, 6786.
Burgos-Calderón, R.; Depine, S.Á.; Aroca-Martínez, G. Population Kidney Health. A New Paradigm for Chronic Kidney Disease Management. Int. J. Environ. Res. Public Health2021, 18, 6786.
Burgos-Calderón, R.; Depine, S.Á.; Aroca-Martínez, G. Population Kidney Health. A New Paradigm for Chronic Kidney Disease Management. Int. J. Environ. Res. Public Health 2021, 18, 6786.
Abstract
Statistical data extracted from national databases demonstrate a continuous growth in the incidence and prevalence of chronic kidney disease (CKD) and the ineffectiveness of current policies and strategies based on individual risk factors to reduce them, as well as their mortality and costs. Some innovative programs, telemedicine and government interest in the prevention of CKD, did not facilitate timely access to care, continuing the increased demand for dialysis and transplants, high morbidity and long-term disability. In contrast, new forms of kidney disease of unknown etiology affected populations in developing countries and underrepresented minorities, who face socioeconomic and cultural disadvantages. With this background, we analyze in the existing literature the effects of social determinants in CKD, concluding that it is necessary to strengthen current kidney health strategies, designing in a transdisciplinary way, a model that considers demographic characteristics integrated into individual risk factors and risk factors population, incorporating the population health perspective in public health policies to improve results in kidney health care, since CKD continues to be an important and growing contributor to chronic diseases.
Keywords
kidney health; population health; social determinants; sociopolitical context; environment; advocacy; interstitial nephritis; conservative care; dialysis; funding; kidney failure
Subject
Medicine and Pharmacology, Immunology and Allergy
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
