الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Chronic kidney disease (CKD) clearly meets all criteria that must be met for a health problem to be considered a public health issue, and it is time that it be considered a threat to the health of the public. The declaration of World Kidney Day to be observed annually, beginning in March 2006, sends a clear message to the public, government health officials, physicians, allied health professionals, patients, and families that ’CKD is common, harmful, treatable and even preventable. CKD is increasing worldwide at an annual growth rate of 8%. The prevalence of CKD is higher in developing countries than in the developed world. The worldwide rise in the number of patients with CKD and consequent end-stage renal failure necessitating renal replacement therapy is threatening to reach epidemic proportions over the next decade, and only a small number of countries have robust economies able to meet the challenges posed and so this is putting a substantial burden on global health-care resources. Progression of CKD to ESRD or death might be preventable. Treatments are available that reduce the rate of progression of both CKD and associated comorbid conditions and complications. Preventive strategies of progression of CKD to ESRD or death include: Drug therapy, dietary therapy, early detection and management of associated co-morbidities, screening, and health education. In conclusion, a multifaceted approach is urgently needed to stem the global tide of CKD.