Department of Family Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Department of Internal Medicine and Nephrology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Clin Exp Hypertens. 2021 Jul 4;43(5):416-418. doi: 10.1080/10641963.2021.1896726. Epub 2021 Mar 17.
Chronic kidney disease (CKD) represents a global public health concern and results in poor health outcomes. While the burden of CKD is accurately well defined in developed countries, increasing evidence indicates that the CKD burden may be even greater in developing countries. Primary care has an essential role in the early identification of CKD and the prompt integrated management between primary and secondary CKD care, with participation of the patient, should be done in high quality. Systematic screening for CKD in at-risk individuals is strongly indicated for timely intervention when needed and to perceive the impact of such policies on CKD incidence. Furthermore, failure to recognize a patient in stages 1-3 of CKD may result in high incidence of CKD complications and kidney failure, often leaving the patient unsuitable for different renal replacement therapies, such as dialysis and transplantation. Therefore, primary care early referral and consultation with a nephrologist can give a better chance for different dialysis procedures and minimize the rate of hospitalization and mortality.
慢性肾脏病（CKD）是一个全球性的公共卫生关注点，会导致不良的健康结果。虽然在发达国家中，CKD 的负担被准确地定义，但越来越多的证据表明，在发展中国家，CKD 的负担可能更大。初级保健在早期识别 CKD 以及在初级和二级 CKD 护理之间及时进行综合管理方面发挥着重要作用，患者应参与其中，并且应该高质量地进行。对于高危人群，强烈建议进行系统性 CKD 筛查，以便在需要时及时进行干预，并了解此类政策对 CKD 发病率的影响。此外，如果未能识别出 CKD 1-3 期的患者，可能会导致 CKD 并发症和肾衰竭的高发，这通常使患者不适合接受不同的肾脏替代疗法，如透析和移植。因此，初级保健的早期转介和与肾病专家的咨询可以为不同的透析程序提供更好的机会，并最大限度地降低住院率和死亡率。
