Lin Ming-Yen, Chiu Yi-Wen, Lin Yu-Hsuan, Kang Yihuang, Wu Ping-Hsun, Chen Jeng-Huei, Luh Hsing, Hwang Shang-Jyh
Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Taiwan Instrument Research Institute, National Applied Research Laboratories, Hsinchu 300, Taiwan.
J Pers Med. 2023 Apr 22;13(5):702. doi: 10.3390/jpm13050702.
The concept of chronic kidney disease (CKD) originated in the 2000s, and an estimated 850 million patients are currently suffering from health threats from different degrees of CKD. However, it is unclear whether the existing CKD care systems are optimal for improving patient prognosis and outcomes, so this review summarizes the burden, existing care models, effectiveness, challenges, and developments of CKD care. Even under the general care principles, there are still significant gaps in our understanding of the causes of CKD, prevention or care resources, and care burdens between countries worldwide. Receiving care from multidisciplinary teams rather than only a nephrologist shows potential profits in comprehensive and preferable outcomes. In addition, we propose a novel CKD care structure that combines modern technologies, biosensors, longitudinal data visualization, machine learning algorithms, and mobile care. The novel care structure could simultaneously change the care process, significantly reduce human contact, and make the vulnerable population less likely to be exposed to infectious diseases such as COVID-19. The information offered should be beneficial, allowing us to rethink future CKD care models and applications to reach the goals of health equality and sustainability.
慢性肾脏病（CKD）的概念起源于21世纪，目前估计有8.5亿患者正受到不同程度CKD带来的健康威胁。然而，现有的CKD护理系统是否最有利于改善患者预后和结局尚不清楚，因此本综述总结了CKD护理的负担、现有护理模式、有效性、挑战及发展情况。即使在一般护理原则下，全球各国在对CKD病因、预防或护理资源以及护理负担的理解上仍存在显著差距。由多学科团队而非仅由肾病专家提供护理，在实现全面且更好的结局方面显示出潜在益处。此外，我们提出了一种新型的CKD护理结构，它结合了现代技术、生物传感器、纵向数据可视化、机器学习算法和移动护理。这种新型护理结构可以同时改变护理过程，显著减少人际接触，并使弱势群体接触如COVID-19等传染病的可能性降低。所提供的信息应有所助益，使我们能够重新思考未来的CKD护理模式及应用，以实现健康公平和可持续性的目标。
