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April 4, 2026Journal of Internal Medicine2 citationsOpen Access

Global kidney health: Are we failing the silent pandemic?

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TYTaewon YiDODaniel V. O'HaraALAdeera Levin

Key Points

  • The aim is to highlight the neglect of chronic kidney disease (CKD) and the need for global action to address its rising incidence and impact.
  • Review of current guidelines and evidence related to CKD management.
  • Analysis of screening strategies and their effectiveness.
  • Evaluation of global health policies and prioritization of kidney health.
  • Over 850 million people are affected by CKD, with significant disparities in low-income regions.
  • Early detection and systematic screening can vastly improve treatment options.
  • Limited action on CKD has resulted in it being overlooked in global health agendas.

Abstract

Abstract Chronic kidney disease (CKD), although not infectious, has a sharply rising global incidence, alarming rates of death and disability, and the potential to disrupt health systems and economies. Thus, it demands the urgency and global attention of past pandemics. Over 850 million people are affected, disproportionately impacting people in low‐ and middle‐income countries. Although CKD can be detected with simple and cost‐effective testing, it is a silent condition, often remaining asymptomatic until it has progressed to advanced stages where effective treatment options are limited. Early detection relies on systematic population‐level screening, especially among individuals with comorbidities. The global response to CKD has remained largely silent: There is limited evidence of prioritization within health agendas and inadequate infrastructure for screening, surveillance, and treatment. Coordinated global action is required to halt this silent “pandemic,” especially given advances in care and policy: New effective disease modifying therapies may lead to remission of CKD for many individuals, and the 2025 World Health Organization's adoption of the Kidney Health Resolution at the 78th World Health Assembly prioritizes kidney health to reduce the burden of noncommunicable diseases through promoting early screening, strengthening disease prevention, and improving access to care. In this review, we examine the failure to address the escalating CKD “pandemic” and explore how the use of low‐cost and cost‐effective screening tools, such as simple urine dipstick testing, and applying lessons learned from the COVID‐19 pandemic are critical to further reframing CKD as a public health emergency and prioritizing kidney health on the global agenda.

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Cite This Study

Yi et al. (2026) studied this question.

synapsesocial.com/papers/69d0af36659487ece0fa52e5https://doi.org/10.1111/joim.70088
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