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Strategies to address diabetic kidney disease burden in Mexico: a narrative review by the Mexican College of Nephrologists.
Palomo-Piñón, Silvia; Aguilar-Alonso, Jesús Armando; Chávez-Iñiguez, Jonathan Samuel; Hernández-Arellanes, Felipe Ericel; Mariano-Murga, Jesús Antonio; Flores-Rodríguez, Juan Carlos; Pérez-López, María Juana; Pazos-Pérez, Fabiola; Treviño-Becerra, Alejandro; Guillen-Graf, Aurora E; Ramos-Gordillo, Jesús Manolo; Trinidad-Ramos, Pedro; Antonio-Villa, Neftali Eduardo.
Afiliação
  • Palomo-Piñón S; Vicepresidente del Colegio de Nefrólogos de México AC, Mexico City, Mexico.
  • Aguilar-Alonso JA; Directora General del Registro Nacional de Hipertensión Arterial México (RIHTA) Grupo de Expertos en Hipertensión Arterial México (GREHTA), Mexico City, Mexico.
  • Chávez-Iñiguez JS; Servicio de Nefrología, Hospital General de Zona No. 2, Tuxtla Gutiérrez, Mexico.
  • Hernández-Arellanes FE; Servicio de Nefrología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Mexico.
  • Mariano-Murga JA; Departamento de Nefrología, Hospital de Especialidades Dr. Antonio Fraga Mouret, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Mexico City, Mexico.
  • Flores-Rodríguez JC; Clínica de Diálisis Peritoneal, Hospital General de Zona No. 33, Bahía de Banderas, Mexico.
  • Pérez-López MJ; Departamento de Nefrologia y Trasplante, Hospital General Regional No. 1, Cuernavaca, Mexico.
  • Pazos-Pérez F; Departamento de Nefrología, Hospital de Especialidades Dr. Antonio Fraga Mouret, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Mexico City, Mexico.
  • Treviño-Becerra A; Nefrología, UMAE Hospital de Especialidades Dr. Bernardo Sepúlveda Gutiérrez, Centro Medico Siglo XXI, Mexico City, Mexico.
  • Guillen-Graf AE; Academia Nacional de Medicina, Mexico City, Mexico.
  • Ramos-Gordillo JM; Centro de Diagnóstico Ángeles, Mexico City, Mexico.
  • Trinidad-Ramos P; Centro de Diagnóstico Ángeles, Mexico City, Mexico.
  • Antonio-Villa NE; Nefrólogo Independiente, Mexico City, Mexico.
Front Med (Lausanne) ; 11: 1376115, 2024.
Article em En | MEDLINE | ID: mdl-38962740
ABSTRACT
Chronic kidney disease (CKD) is a growing global public health challenge worldwide. In Mexico, CKD prevalence is alarmingly high and remains a leading cause of morbidity and mortality. Diabetic kidney disease (DKD), a severe complication of diabetes, is a leading determinant of CKD. The escalating diabetes prevalence and the complex regional landscape in Mexico underscore the pressing need for tailored strategies to reduce the burden of CKD. This narrative review, endorsed by the Mexican College of Nephrologists, aims to provide a brief overview and specific strategies for healthcare providers regarding preventing, screening, and treating CKD in patients living with diabetes in all care settings. The key topics covered in this review include the main cardiometabolic contributors of DKD (overweight/obesity, hyperglycemia, arterial hypertension, and dyslipidemia), the identification of kidney-related damage markers, and the benefit of novel pharmacological approaches based on Sodium-Glucose Co-Transporter-2 Inhibitors (SGLT2i) and Glucagon-Like Peptide-1 Receptor Agonists (GLP-1 RA). We also address the potential use of novel therapies based on Mineralocorticoid Receptor Antagonists (MRAs) and their future implications. Emphasizing the importance of multidisciplinary treatment, this narrative review aims to promote strategies that may be useful to alleviate the burden of DKD and its associated complications. It underscores the critical role of healthcare providers and advocates for collaborative efforts to enhance the quality of life for millions of patients affected by DKD.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: Mexico Idioma: En Revista: Front Med (Lausanne) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: Mexico Idioma: En Revista: Front Med (Lausanne) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Suíça