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Titolo	Screening for chronic kidney disease in emerging countries: feasibility and hurdles*
Autore	Norberto Perico1, Rodolfo Flores Bravo2, Felipe Rodriguez De Leon3 and Giuseppe Remuzzi1 - 1Department of Medicine and Transplantation, Ospedali Riuniti?Mario Negri Institute for Pharmacological Research, Bergamo, Italy, 2Department of Medicine, Hospital Juan XXIII, La Paz, Bolivia and 3Department of Nephrology, Complejo Metropolitano, Caja de Seguro Social, Panama City, Panama
Referenza	Nephrol Dial Transplant 2009; doi: 10.1093/ndt/gfp039
Contenuto	Conclusion Medicine is developing evidence for non-communicable chronic disease, including cardiovascular and kidney diseases, but has no equity plan. A more concerted, strategic and multisectorial approach, underpinned by solid research is essential to help reverse the negative trends in incidence of these chronic diseases, not just for few beneficiaries but on a global health equity programme [32]. For that, welldefined population screening and intervention programmes have to be initiated in developing countries. Along these lines, the Research and Prevention Committee of the International Society of Nephrology (ISN)-COMGAN has developed a global early detection and intervention programme for emerging countries that can be implemented according to the peculiar needs and organization facilities of the given country [33] (Figure 1). It is expected that this kind of population screening can increase health awareness, particularly in countries with less sophisticated health systems and help detect a significant proportion of under diagnosed individuals with chronic renal and/or CVDs. Overall, the emphasis is on a model to promote and foster autonomous prevention programmes in regions where they are most needed. The hope is to help reverse the negative trend in the incidence of those chronic diseases in emerging countries and overcome the cost and complexity of renal replacement therapy out of reach for these low-income environments.
Data	05.03.2009

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