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Том 26 №1 2024 год - Нефрология и диализ

Устранение пробелов в лечении почек: воплощение того, что мы знаем, в то, что мы делаем

Ликс Валери А. Таттл Кэтрин Р. Абделлатиф Дина Корреа-Роттер Рикардо Фунг Уинстан В.С. Харис Агнес Сяо Ли-Ли Халиф Макрам Кумарасвами Лата А. Лауд Фиона Рагхаван Васундхара Роумелиотис Стефанос Сьерра Марианелла Уласи Ифеома Вонг Билл Луи Сиу-Фаи Лиакопулос Вассилиос Балдуччи Алессандро

DOI: 10.28996/2618-9801-2024-1-9-22

Аннотация: Исторически сложилось так, что на процесс перехода новых методов лечения из области клинических доказательств в повседневную практику уходит в среднем 17 лет. Учитывая существование в настоящее время высокоэффективных методов лечения, позволяющих предотвратить или отсрочить развитие и прогрессирование заболеваний почек, это слишком долгий срок. Настало время сократить разрыв между тем, что мы знаем, и тем, что мы делаем. Существуют четкие рекомендации по профилактике и управлению распространенными факторами риска развития заболеваний почек, такими как гипертония и диабет, но во всем мире лишь у части людей с этими заболеваниями установлен диагноз, а еще меньше - получает целевое лечение. Аналогичным образом, подавляющее большинство людей, живущих с заболеваниями почек, не знают о своем состоянии, поскольку на ранних стадиях оно часто протекает бессимптомно. И даже среди пациентов, которым диагноз был установлен, многие не получают надлежащего лечения по поводу болезни почек. Учитывая серьезные последствия прогрессирования болезни почек - утрату функции почек или смерть - крайне важно начать лечение на ранних стадиях и должным образом. Возможности ранней диагностики и лечения заболеваний почек должны быть максимально расширены, начинаясь с уровня первичной медицинской помощи. Существует множество систематических препятствий, начиная с самих пациентов и врачей, и заканчивая уровнем системы здравоохранения и общественными факторами. Для сохранения и улучшения здоровья почек всех и каждого необходимо признать существование каждого из этих барьеров, чтобы разработать устойчивые решения и внедрять их без дальнейших задержек.

Для цитирования: Устранение пробелов в лечении почек: воплощение того, что мы знаем, в то, что мы делаем. Перевод на русский язык Е.В. Паршиной под редакцией Е.В. Захаровой. Нефрология и диализ. 2024. 26(1):9-22. doi: 10.28996/2618-9801-2024-1-9-22

Скачать Рисунок S1. Место, которое занимает нарушение функции почек как причина смерти среди факторов риска смерти 2-го уровня в зависимости от категории мирового дохода и пола
Скачать Таблица S1. Одобренные и перспективные новые лекарственные препараты для лечения различных заболеваний почек
Скачать Таблица S2. Комментарии пациентов относительно доступности, приемлемости цен, информированности, факторов, способствующих и препятствующих оптимальной нефрологической помощи

Весь текст

Ключевые слова: хроническая болезнь почек, равенство, лечение заболеваний почек, общественное здоровье, Всемирный день почки, chronic kidney disease, equity, kidney care, public health, World Kidney Day

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