Skip Navigation


NDT Advance Access originally published online on October 11, 2006
Nephrology Dialysis Transplantation 2007 22(2):332-335; doi:10.1093/ndt/gfl494
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
22/2/332    most recent
gfl494v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (1)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Krzesinski, J.-M.
Right arrow Articles by Cohen, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Krzesinski, J.-M.
Right arrow Articles by Cohen, E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

How to tackle the avalanche of chronic kidney disease in sub-Saharan Africa: the situation in the Democratic Republic of Congo as an example

Jean-Marie Krzesinski1, Kiswaya Ernest Sumaili2 and Eric Cohen3

1Division of Nephrology/Transplantation, University of Liège Sart Tilman B35, P.O. BOX 4000 Liege, Belgium, 2Nephrology Unit, University of Kinshasa, P.O. Box 123, Kin Xi, Democratic Republic of Congo (DRC) and 3Nephrology Division, Medical College of Wisconsin, Milwaukee, USA

Correspondence and offprint requests to: Jean-Marie Krzesinski, Division of Nephrology/Transplantation, University of Liège Sart Tilman, Belgium. Email: jm.krzesinski@chu.ulg.ac.be

Keywords: chronic kidney disease; cost of renal replacement therapy; Democratic Republic Congo; developing countries; preventive medicine

The first 150 words of the full text of this article appear below.



   Introduction
 
In developing countries chronic kidney disease (CKD) is a growing problem. In most of sub-Saharan Africa, the vast majority of patients with CKD die because of lack of treatment. Renal replacement therapy is expensive, which makes it unaffordable to the residents of low-income regions. A solution to this problem may lie in preventive interventions. This editorial will focus on the reasons and some ways to reach such objectives.



   Overview of the situation
 
Developing countries now face a double challenge. Besides acute infectious illnesses, they are experiencing the growing problem of chronic diseases, including CKD. In sub-Saharan Africa, the vast majority of patients hospitalized with CKD quickly die because of lack of means for treatment. Moreover, CKD in Africa affects younger adults than in developed countries with a very high risk for disabilities and deaths [1]. This terrifying situation urgently calls for the awareness and aid of the international nephrology community.

Attention to . . . [Full Text of this Article]



   Use of renal replacement therapy
 


   Costs and survival
 


   Causes of the increase in ESRD
 


   Prevention must be first
 


   How to organize prevention? A global approach or an individualized choice?
 


   Pitfalls of prevention: numbers, politics and goals
 


   Manpower problems
 


   Conclusions
 

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Nephrol Dial TransplantHome page
E. K. Sumaili, J.-M. Krzesinski, C. V. Zinga, E. P. Cohen, P. Delanaye, S. M. Munyanga, and N. M. Nseka
Prevalence of chronic kidney disease in Kinshasa: results of a pilot study from the Democratic Republic of Congo
Nephrol. Dial. Transplant., January 1, 2009; 24(1): 117 - 122.
[Abstract] [Full Text] [PDF]