Chronic kidney disease in low- and middle-income countries.

Nephrol Dial Transplant

Division of Nephrology, Department of Medicine, Duke University, Durham, NC, USA Duke Global Health Institute, Duke University, Durham, NC, USA Duke Clinical Research Institute, Duke University, Durham, NC, USA.

Published: June 2016

Most of the global burden of chronic kidney disease (CKD) is occurring in low- and middle-income countries (LMICs). As a result of rapid urbanization in LMICs, a growing number of populations are exposed to numerous environmental toxins, high infectious disease burdens and increasing rates of noncommunicable diseases. For CKD, this portends a high prevalence related to numerous etiologies, and it presents unique challenges. A better understanding of the epidemiology of CKD in LMICs is urgently needed, but this must be coupled with strong public advocacy and broad, collaborative public health efforts that address environmental, communicable, and non-communicable risk factors.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4876969PMC
http://dx.doi.org/10.1093/ndt/gfv466DOI Listing

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