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Nephrol Dial Transplant (2003) 18: 857
© 2003 European Renal Association-European Dialysis and Transplant Association

Comment on the Editorial by Schieppati et al.

Editorial

Tilman B. Drüeke, Editor-in-Chief and Saulo Klahr, Editor-in-Chief

Nephrology Dialysis Transplantation Kidney International

The Editorial Comment by Schieppati, Perico and Remuzzi is devoted to one of the most important issues in the field of nephrology, namely, the prevention of end-stage renal disease. These authors, as well as several other groups, have demonstrated the efficacy of a variety of pharmacologic and non-pharmacologic interventions in decreasing proteinuria and high blood pressure, thereby obtaining a marked slowing of renal disease progression and even its full arrest in the most favourable cases. Although such highly satisfactory results in terms of renal disease and prevention are largely true for patients in Western world countries, the majority of patients in the developing countries of the world do not yet benefit from them.

Because of the exceptional importance of the measures proposed by Schieppati, Perico and Remuzzi, aimed at changing the present situation by a global approach, we have taken the exceptional decision to publish this commentary in our two journals simultaneously.


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Nephrol. Dial. Transplant., November 1, 2003; 18(11): 2453 - 2453.
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