Prevention of renal disease progression and renal replacement therapy in emerging countries.

Chronic kidney disease is increasing in both developed and emerging countries with progressive encroachment on health services budgets. In spite of the lack of accurate registries, we tried to focus on the magnitude of the problem on different continents. Prevention of progression has been a remote but reachable goal. Many health foundations including the International Society of Nephrology gave recommendations for prevention and slowing progression, but these are again confronted by lack of resources. Integration of governmental, community, and expert efforts is necessary to set prevention priorities including affordable screening programs and increasing access to renal replacement therapy by different modalities.