Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges

Chronic kidney disease (CKD) is a serious public health problem worldwide, with a high prevalence in the adult population and often lately diagnosed. A meeting of experts in nephrology, with participants from Argentina, Brazil, Chile, Colombia, Ecuador, El Salvador, Guatemala, Mexico, Nicaragua, and...

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Autores:: Rico-Fontalvo, Jorge
Elbert, Alicia
lorca, eduardo
daza arnedo, rodrigo andres
Castellaro, Carlos
Villavicencio, Vanessa
Rosa Diez, Guillermo Javier
Bonanno-Hidalgo, Carlos
Sánchez-Polo, Vicente
Correa-Rotter, Ricardo

Tipo de recurso:

Fecha de publicación:: 2025

Institución:: Universidad Simón Bolívar

Repositorio:: Repositorio Digital USB

Idioma:: eng

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dc.title.eng.fl_str_mv	Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges
dc.title.translated.spa.fl_str_mv	Situación de la enfermedad renal crónica en América Latina, con énfasis en la enfermedad renal diabética: dificultades y desafíos
title	Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges
spellingShingle	Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges Enfermedad renal crónica Diabetes Enfermedad renal diabética Obesidad Epidemiología Implementación Políticas de salud renal Chronic kidney disease Diabetes Diabetic kidney disease Obesity Epidemiology Implementation Kidney health policy
title_short	Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges
title_full	Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges
title_fullStr	Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges
title_full_unstemmed	Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges
title_sort	Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges
dc.creator.fl_str_mv	Rico-Fontalvo, Jorge Elbert, Alicia lorca, eduardo daza arnedo, rodrigo andres Castellaro, Carlos Villavicencio, Vanessa Rosa Diez, Guillermo Javier Bonanno-Hidalgo, Carlos Sánchez-Polo, Vicente Correa-Rotter, Ricardo
dc.contributor.author.none.fl_str_mv	Rico-Fontalvo, Jorge Elbert, Alicia lorca, eduardo daza arnedo, rodrigo andres Castellaro, Carlos Villavicencio, Vanessa Rosa Diez, Guillermo Javier Bonanno-Hidalgo, Carlos Sánchez-Polo, Vicente Correa-Rotter, Ricardo
dc.subject.spa.fl_str_mv	Enfermedad renal crónica Diabetes Enfermedad renal diabética Obesidad Epidemiología Implementación Políticas de salud renal
topic	Enfermedad renal crónica Diabetes Enfermedad renal diabética Obesidad Epidemiología Implementación Políticas de salud renal Chronic kidney disease Diabetes Diabetic kidney disease Obesity Epidemiology Implementation Kidney health policy
dc.subject.keywords.eng.fl_str_mv	Chronic kidney disease Diabetes Diabetic kidney disease Obesity Epidemiology Implementation Kidney health policy
description	Chronic kidney disease (CKD) is a serious public health problem worldwide, with a high prevalence in the adult population and often lately diagnosed. A meeting of experts in nephrology, with participants from Argentina, Brazil, Chile, Colombia, Ecuador, El Salvador, Guatemala, Mexico, Nicaragua, and the Dominican Republic, was held with the aim of generating pro posals and a call to action on how to deal with CKD and cardio-renal-metabolic syndrome. Based on a review of the best available evidence and from the perspective of experience in daily practice about the difficulties and opportunities for opti mizing early diagnosis and treatment of CKD, with emphasis on diabetic kidney disease, a description of the current scenario, the challenges and proposals for improving this situation in the region are presented
publishDate	2025
dc.date.accessioned.none.fl_str_mv	2025-03-27T17:08:25Z
dc.date.available.none.fl_str_mv	2025-03-27T17:08:25Z
dc.date.issued.none.fl_str_mv	2025
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dc.type.spa.none.fl_str_mv	Artículo científico
dc.identifier.issn.none.fl_str_mv	24449032 (Electrónico)
dc.identifier.uri.none.fl_str_mv	https://hdl.handle.net/20.500.12442/16404
dc.identifier.doi.none.fl_str_mv	10.24875/NEFRO.M25000058
dc.identifier.url.none.fl_str_mv	https://www.nefrologialatinoamericana.com/frame_eng.php?id=161
identifier_str_mv	24449032 (Electrónico) 10.24875/NEFRO.M25000058
url	https://hdl.handle.net/20.500.12442/16404 https://www.nefrologialatinoamericana.com/frame_eng.php?id=161
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eu_rights_str_mv	openAccess
dc.format.mimetype.none.fl_str_mv	pdf
dc.publisher.spa.fl_str_mv	Sociedad Latinoamericana de Nefrología e Hipertensión
dc.source.spa.fl_str_mv	Nefrología Latinoamericana Vol. 22 No. 1 Año 2025
dc.source.eng.fl_str_mv	Nefro Latinoam.
institution	Universidad Simón Bolívar
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spelling	Rico-Fontalvo, Jorgeb04e3859-8c8b-44c8-a071-57adbf42aeb0600Elbert, Aliciae5e151f9-3358-4a6c-b4e7-eaa3a130094b-1lorca, eduardo24663844-4b0c-40a6-9ba4-7efd319e4278600daza arnedo, rodrigo andres2028bc5a-61fb-4778-8b70-4c35af348d55600Castellaro, Carlosc7a7c319-8234-4be2-824d-f2870454d8b3-1Villavicencio, Vanessa5195474c-152a-45f0-b310-80c50c179b6e-1Rosa Diez, Guillermo Javierbe9a73b4-ec97-47a0-ac01-4f8e6be857c9600Bonanno-Hidalgo, Carlosd68f493a-bdb7-4dc7-8f04-e08ce7b8c063-1Sánchez-Polo, Vicente2fea3007-ef79-48ac-8072-5496a2816b1b-1Correa-Rotter, Ricardo60f3fb42-7316-4ba0-9f6b-b96cbd618ec96002025-03-27T17:08:25Z2025-03-27T17:08:25Z202524449032 (Electrónico)https://hdl.handle.net/20.500.12442/1640410.24875/NEFRO.M25000058https://www.nefrologialatinoamericana.com/frame_eng.php?id=161Chronic kidney disease (CKD) is a serious public health problem worldwide, with a high prevalence in the adult population and often lately diagnosed. A meeting of experts in nephrology, with participants from Argentina, Brazil, Chile, Colombia, Ecuador, El Salvador, Guatemala, Mexico, Nicaragua, and the Dominican Republic, was held with the aim of generating pro posals and a call to action on how to deal with CKD and cardio-renal-metabolic syndrome. Based on a review of the best available evidence and from the perspective of experience in daily practice about the difficulties and opportunities for opti mizing early diagnosis and treatment of CKD, with emphasis on diabetic kidney disease, a description of the current scenario, the challenges and proposals for improving this situation in the region are presentedLa enfermedad renal crónica (ERC) es un grave problema de salud pública en todo el mundo, con elevada prevalencia en la población adulta y cuyo diagnóstico con frecuencia ocurre tardíamente. Con el objetivo de un cambio de visión para generar propuestas y un llamado a la acción acerca de la forma de afrontar a la ERC y el síndrome cardio-reno-metabólico, se llevó a cabo un encuentro de expertos en nefrología, con participantes de Argentina, Brasil, Chile, Colombia, Ecuador, El Salvador, Guatemala, México, Nicaragua y República Dominicana. A partir de la revisión de la mejor evidencia disponible y bajo la óptica de la experiencia en la práctica diaria acerca de las dificultades y las oportunidades para optimizar el diag nóstico precoz y el tratamiento de la ERC, con énfasis en la enfermedad renal diabética, se presenta una descripción del escenario actual, los retos y las propuestas para mejorar esta situación en la región.pdfengSociedad Latinoamericana de Nefrología e HipertensiónAttribution-NonCommercial-NoDerivs 3.0 United Stateshttp://creativecommons.org/licenses/by-nc-nd/3.0/us/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Nefrología LatinoamericanaVol. 22 No. 1 Año 2025Nefro Latinoam.Enfermedad renal crónicaDiabetesEnfermedad renal diabéticaObesidadEpidemiologíaImplementaciónPolíticas de salud renalChronic kidney diseaseDiabetesDiabetic kidney diseaseObesityEpidemiologyImplementationKidney health policySituation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challengesSituación de la enfermedad renal crónica en América Latina, con énfasis en la enfermedad renal diabética: dificultades y desafíosinfo:eu-repo/semantics/articleArtículo científicohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_2df8fbb1Correa-Rotter R, Méndez Durán A, Vallejos A, Rico-Fontalvo J, Cusumano AM, Rosa-Diez GJ, et al. Unmet needs of CKD in Latin Ame rica: a review from expert virtual working group. Kidney Int Rep. 2023;8: 954-67Institute for Health Metrics and aluation. Global Burden of Disease (GBD). Institute for Health Metrics and Evaluation; 2024. Available from: https://www.healthdata.org/research-analysis/gbd [Last accessed on 2024 Oct 15].World Health Organization. Global Health Observatory. World Health Organization; 2024. Available from: https://www.who.int/data/gho [Last accessed on 2024 Oct 15].Wainstein M, Bello AK, Jha V, Harris DC, Levin A, González-Bedat MC, et al. International society of nephrology global kidney health atlas: struc tures, organization, and services for the management of kidney failure in Latin America. Kidney Int Suppl (2011). 2021;11:e35-46.Cockwell P, Fisher LA. The global burden of chronic kidney disease. Lancet. 2020;395:662-4.Adeloye D, Song P, Zhu Y, Campbell H, Sheikh A, Rudan I, et al. Global, regional, and national prevalence of, and risk factors for, chronic obstruc tive pulmonary disease (COPD) in 2019: a systematic review and mode lling analysis. Lancet Respir Med. 2022;10:447-58.Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 clinical practice guideline for the evaluation and manage ment of chronic kidney disease. Kidney Int. 2024;105:S117-314.Zuniga C, Riquelme C, Muller H, Vergara G, Astorga C, Espinoza M. Using telenephrology to improve access to nephrologist and global kidney management of CKD primary care patients. Kidney Int Rep. 2020;5:920-3.Hajar R. Diabetes as “coronary artery disease risk equivalent”: a histori cal perspective. Heart Views. 2017;18:34-7.Sattar N, Rawshani A, Franzén S, Rawshani A, Svensson AM, Rosengren A, et al. Age at diagnosis of type 2 diabetes mellitus and associations with cardiovascular and mortality risks. Circulation. 2019;139:2228-37Marx N, Federici M, Schütt K, Müller-Wieland D, Ajjan RA, Antunes MJ, et al. 2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes. Eur Heart J. 2023;44:4043-140.Bedo D, Beaudrey T, Florens N. Unraveling chronic cardiovascular and kidney disorder through the butterfly effect. Diagnostics (Basel). 2024;14:463.Ndumele CE, Rangaswami J, Chow SL, Neeland IJ, Tuttle KR, Khan SS, et al. Cardiovascular-kidney-metabolic health: a presidential advisory from the American Heart Association. Circulation. 2023;148:1606-35.Nawaz S, Chinnadurai R, Al‐Chalabi S, Evans P, Kalra PA, Syed AA, et al. Obesity and chronic kidney disease: a current review. Obes Sci Pract. 2023;9:61-74.Garg AX, Kiberd BA, Clark WF, Haynes RB, Clase CM. Albuminuria and renal insufficiency prevalence guides population screening: results from the NHANES III. Kidney Int. 2002;61:2165-75.Bhandari S, Mehta S, Khwaja A, Cleland JG, Ives N, Brettell E, et al. Renin-angiotensin system inhibition in advanced chronic kidney disease. N Engl J Med. 2022;387:2021-32.Rico-Fontalvo J, Daza-Arnedo R, Rodríguez-Yáñez T, Martínez-Ávila MC, Cabrales J, Cardona-Blanco MX, et al. Inflammation and diabetic kidney disease: new perspectives. J Biomed Res Environ Sci. 2022;3:779-86Casas JP, Chua W, Loukogeorgakis S, Vallance P, Smeeth L, Hingorani AD, et al. Effect of inhibitors of the renin-angiotensin system and other antihypertensive drugs on renal outcomes: systematic review and meta-analysis. Lancet. 2005;366:2026-33.Brenner BM, Cooper ME, de Zeeuw D, Keane WF, Mitch WE, Parving HH, et al. Effects of losartan on renal and cardiovascular outcomes in patients with type 2 diabetes and nephropathy. N Engl J Med. 2001;345:861-9Lewis EJ, Hunsicker LG, Clarke WR, Berl T, Pohl MA, Lewis JB, et al. Renopro tective effect of the angiotensin-receptor antagonist irbesartan in patients with nephropathy due to type 2 diabetes. N Engl J Med. 2001;345:851-60.Nuffield Department of Population Health Renal Studies Group, SGLT2 Inhibitor Meta-Analysis Cardio-Renal Trialists’ Consortium. Impact of dia betes on the effects of sodium glucose co-transporter-2 inhibitors on kidney outcomes: collaborative meta-analysis of large placebo-controlled trials. Lancet. 2022;400:1788-801Heerspink HJ, Stefánsson BV, Correa-Rotter R, Chertow GM, Greene T, Hou FF, et al. Dapagliflozin in patients with chronic kidney disease. N Engl J Med. 2020;383:1436-46.Perkovic V, Jardine MJ, Neal B, Bompoint S, Heerspink HJ, Charytan DM, et al. Canagliflozin and renal outcomes in type 2 diabetes and nephro pathy. N Engl J Med. 2019;380:2295-306.The EMPA-KIDNEY Collaborative Group, Herrington WG, Staplin N, Wanner C, Green JB, Hauske SJ, et al. Empagliflozin in patients with chronic kidney disease. N Engl J Med. 2023;388: 117-27.Cortinovis M, Perico N, Cattaneo D, Remuzzi G. Aldosterone and progression of kidney disease. Ther Adv Cardiovasc Dis. 2009;3: 133-43.Tuttle KR, Hauske SJ, Canziani ME, Caramori ML, Cherney D, Cronin L, et al. Efficacy and safety of aldosterone synthase inhibition with and without empagliflozin for chronic kidney disease: a randomised, contro lled, phase 2 trial. Lancet. 2024;403:379-90Pitt B, Filippatos G, Agarwal R, Anker SD, Bakris GL, Rossing P, et al. Cardiovascular events with finerenone in kidney disease and type 2 diabetes. N Engl J Med. 2021;385:2252-63.Sattar N, Lee MM, Kristensen SL, Branch KR, Del Prato S, Khurmi NS, et al. Cardiovascular, mortality, and kidney outcomes with GLP-1 receptor agonists in patients with type 2 diabetes: a systematic review and meta-analysis of randomised trials. Lancet Diabetes Endocrinol. 2021; 9:653-62.Perkovic V, Tuttle KR, Rossing P, Mahaffey KW, Mann JF, Bakris G, et al. Effects of semaglutide on chronic kidney disease in patients with type 2 diabetes. N Engl J Med. 2024;391:109-21.Cosentino F, Grant PJ, Aboyans V, Bailey CJ, Ceriello A, Delgado V, et al. 2019 ESC guidelines on diabetes, pre-diabetes, and cardiovascular disea ses developed in collaboration with the EASD. Eur Heart J. 2020;41: 255-323.Obrador G, Álvarez-Estévez G, Bellorín E, Bonanno-Hidalgo C, Clavero R, Correa-Rotter R, et al. Documento de consenso sobre nuevas terapias para retrasar la progresión de la enfermedad renal crónica con énfasis en los iSGLT-2: implicaciones para Latinoamérica. Nefro Lati noam. 2024;21:1-18.Bravo-Zuñiga JI, Carlino-Bauza MC, Ríos-Sarro PG, Zúñiga-San Martín CA, Cueto-Manzano AM, Zúñiga-Saravia EA, et al. Aportes para la creación de programas de salud renal en Latinoamérica, Comité de Salud Renal de la SLANH. 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Situation of chronic kidney disease in Latin America, with emphasis on diabetic kidney disease: difficulties and challenges

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