Carga, acceso y disparidades en enfermedad renal

Contenido principal del artículo

Deidra C. Crews
Bello K. Bello
Gamal Saadi

Resumen

La enfermedad renal es un problema global de salud pública que afecta a más de 750 millones de personas alrededor de todo el mundo. La carga de la enfermedad renal varía sustancialmente a lo largo del planeta, al igual que su detección y tratamiento.  A pesar de que la magnitud y el impacto de la enfermedad renal está mejor definida en los países desarrollados, evidencia reciente sugiere que los países en desarrollo tienen una carga de la enfermedad similar o incluso mayor que los primeros.
En muchos escenarios, las tasas de enfermedad renal y la provision de su cuidado están definidas por factores socioeconómicos, culturales y políticos, ocasionando disparidades significativas en la carga de la enfermedad, aún en países desarrollados. Estas disparidades existen a lo largo de todo el espectro de la enfermedad renal – desde los esfuerzos preventivos para limitar el desarrollo de la lesión renal aguda (LRA) o de la enfermedad renal crónica (ERC), al tamizaje para enfermedad renal entre las personas con alto riesgo de desarrollarla, al acceso a cuidado y tratamiento subespecializado de la falla renal con terapia de reemplazo renal (TRR). El Día Mundial del Riñón 2019 ofrece una oportunidad para hacer conciencia de la enfermedad renal y resaltar las disparidades en su carga y el estado actual de la capacidad global para su prevención y manejo.  En esta editorial, resaltamos estas disparidades y hacemos énfasis en el rol de las políticas públicas y las estructuras organizacionales en su atención. También destacamos las oportunidades de mejorar nuestro entendimiento de las disparidades en la enfermedad renal, la major formas de que éstas puedan ser reducidas, y como canalizar esfuerzos enfocados a alcanzar una salud renal con equidad a lo largo del planeta.

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1.
Crews DC, Bello BK, Saadi G. Carga, acceso y disparidades en enfermedad renal. Rev Nefrol Dial Traspl. [Internet]. 3 de abril de 2019 [citado 20 de octubre de 2021];39(1):1-11. Disponible en: https://www.revistarenal.org.ar/index.php/rndt/article/view/399
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