Chapter

Unique aspects of chronic kidney disease in the developing countries

Rashad Barsoum

in Chronic Kidney Disease

Published on behalf of Oxford University Press

Published in print December 2009 | ISBN: 9780199549313
Published online February 2013 | e-ISBN: 9780191763465 | DOI: http://dx.doi.org/10.1093/med/9780199549313.003.0007

Series: Oxford Clinical Nephrology Series

Unique aspects of chronic kidney disease in the developing countries

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Chronic kidney disease (CKD) is one of the most challenging global health care problems. Underestimated for many decades, it has gradually become acknowledged as a common pathway through which many other conditions induce severe morbidity or mortality. These include diabetes, hypertension, obesity, several infections, and iatrogenic disorders.

The impact of CKD is not limited to the threat of kidney failure, but may constitute an even greater risk for cardiovascular disease (CVD) (Figure 7.1) (see Chapter 6). While this health hazard is devastating at the level of the individual, CKD has extensive socio-economic reflections on the community at large, with almost insurmountable burdens in the developing world (see Chapter 1).

Speaking of CKD in economically underprivileged nations addresses issues affecting over 80% of the world population and accounting for close to 90% of the global annual incidence of end-stage renal disease (ESRD) (Barsoum, 2002a). The particular ecological, ethnic, and socio-economic features in this vast part of the world have generated unique aspects in the epidemiology, clinical practice, and community impact, which are the focus of this chapter.

Chapter.  6194 words.  Illustrated.

Subjects: Nephrology

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