ASN-ERA-ISN Joint Statement

[Parma, Italy, April 4, 2024] - On April 3, 2024, Nature Reviews Nephrology published a landmark international consensus statement titled “Chronic Kidney Disease and the Global Public Health Agenda: An International Consensus.” Authored by a coalition of leading experts, stakeholders, and nephrology societies, the publication highlights critical policy, advocacy, and implementation needs to alleviate the growing burden of kidney disease worldwide.
“In contrast to cardiovascular disease, stroke, and respiratory disease, chronic kidney disease (CKD) mortality rates have been on a troubling rise. Presently, kidney disease stands as the third fastest-growing cause of death worldwide, with deaths attributable to kidney disease surged by 50% from 2000 to 2019,” notes Masaomi Nangaku, president of the International Society of Nephrology.

CKD and acute kidney injury (AKI) present significant challenges to global health, particularly in low- and middle-income countries (LMICs) where access to care and preventive services is limited. The World Bank highlights that CKD is responsible for the largest number of people suffering catastrophic healthcare expenditures annually, particularly in LMICs. More than one million individuals with potentially reversible AKI succumb yearly due to the lack of timely therapies, including dialysis, underscoring the urgency of addressing access gaps in healthcare services.

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