Treatment of chronic kidney disease requires a comprehensive approach including universal access to early diagnosis and to medications that can slow disease progression. Such equitable access is not only an ethical requirement but can also reduce the financial and human costs of advancing kidney and cardiovascular disease.
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References
Ong, K. L. et al. GBD 2021 Diabetes Collaborators. Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet 402, 203–234 (2023).
Htay, H. et al. Global access of patients with kidney disease to health technologies and medications: findings from the Global Kidney Health Atlas project. Kidney Int. Suppl. 8, 64–73 (2018).
Neale, E. P. et al. Lifestyle interventions, kidney disease progression, and quality of life: a systematic review and meta-analysis. Kidney Med. 5, 100643 (2023).
Lincoff, A. M. et al. Semaglutide and cardiovascular outcomes in obesity without diabetes. N. Engl. J. Med. 389, 2221–2232 (2023).
Mark, P. B. et al. SGLT2i for evidence-based cardiorenal protection in diabetic and non-diabetic chronic kidney disease: a comprehensive review by EURECA-m and ERBP working groups of ERA. Nephrol. Dial. Transplant. 38, 2444–2455 (2023).
Sarafidis, P. et al. Mineralocorticoid receptor antagonist use in chronic kidney disease with type 2 diabetes: a clinical practice document by the European Renal Best Practice (ERBP) board of the European Renal Association (ERA). Clin. Kidney J. 16, 1885–1907 (2023).
Rossing, P. et al. The rationale, design and baseline data of FLOW, a kidney outcomes trial with once-weekly semaglutide in people with type 2 diabetes and chronic kidney disease. Nephrol. Dial. Transplant. 38, 2041–2051 (2023).
Neuen, B. L., Perkovic, V., Bakris, G. L., Lambers Heerspink, H. & Vaduganathan, M. Estimated lifetime benefits of combination therapy with SGLT2 inhibitors, GLP-1 receptor agonists, and non-steroidal MRAs in patients with type 2 diabetes and albuminuria. Circulation 148 (Suppl. 1), A17437 (2023).
Nee, R., Yuan, C. M., Narva, A. S., Yan, G. & Norris, K. C. Overcoming barriers to implementing new guideline-directed therapies for chronic kidney disease. Nephrol. Dial. Transplant. 38, 532–541 (2023).
de Pouvourville, G. et al. Budget impact analysis of expanding gliflozin coverage in the CKD population: a French perspective. Adv. Ther. 40, 3751–3769 (2023).
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Silvariño, R., Solá, L. Health policy for universal, sustainable and equitable kidney care. Nat Rev Nephrol 20, 147–148 (2024). https://doi.org/10.1038/s41581-024-00811-7
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DOI: https://doi.org/10.1038/s41581-024-00811-7