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. 2020:54:86.
doi: 10.11606/s1518-8787.2020054001708. Epub 2020 Aug 21.

Brazilian public policy for chronic kidney disease prevention: challenges and perspectives

[Article in Portuguese, English]
Patrícia Aparecida Barbosa Silva  1 , Líliam Barbosa Silva  1 , Joseph Fabiano Guimarães Santos  2 , Sônia Maria Soares  3
Affiliations

Brazilian public policy for chronic kidney disease prevention: challenges and perspectives

[Article in Portuguese, English]
Patrícia Aparecida Barbosa Silva et al. Rev Saude Publica. 2020.

Abstract
in English, Portuguese

Chronic kidney disease is a pathology with exponential increasing prevalence worldwide. This trend derives mainly from population aging and the growth of chronic conditions, making prevention a priority in public health. Thus, this observation instigates debates on the advances and challenges in public policies aimed at facing the progression of this disease and its risk factors in a contemporary reality that requires changes in the management models of chronic conditions. Brazilian and international experiences show that actions to prevent chronic kidney disease in risk groups remain incipient, especially in low-income countries. This area requires investment, supporting planning individualized, interdisciplinary and shared care with primary health care, as well as the user's responsibility for their care, with proactivity and establishment and monitoring of goals to achieve satisfactory results.

RESUMO: A doença renal crônica é uma patologia com aumento exponencial em suas prevalências no mundo. Essa tendência tem ocorrido principalmente pelo envelhecimento populacional e crescimento das condições crônicas, o que faz da prevenção um tópico prioritário em saúde pública. Destarte este comentário vem instigar o debate sobre os avanços e desafios nas políticas públicas direcionadas ao enfrentamento da progressão dessa doença e seus fatores de risco em uma realidade contemporânea que requer mudanças nos modelos de gestão das condições crônicas. As experiências brasileira e internacional evidenciam que ações de prevenção da doença renal crônica em grupos de risco ainda são incipientes, especialmente em países de baixa renda. Há necessidade de investimento nessa área, apoiando a planificação do cuidado individualizado, interdisciplinar e compartilhado com a atenção primária à saúde, assim como a responsabilização do usuário pelo seu cuidado, com proatividade e estabelecimento e monitoramento de metas para atingir resultados satisfatórios.

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Conflict of interest statement

Conflict of Interest: The authors declare no conflict of interest.

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