Overcoming challenges and bridging gaps in chronic kidney disease management in primary care

Nodrbek Ulug’bekovich Kayumov * and Botir Turg’unpulatovich Daminov

Internal Medicine, Department of Nephrology and Hemodialysis, Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan.
 
Review
World Journal of Advanced Pharmaceutical and Life Sciences, 2024, 07(02), 027-032.
Article DOI: 10.53346/wjapls.2024.7.2.0040
Publication history: 
Received on 14 November 2024; revised on 22 December 2024; accepted on 25 December 2024
 
Abstract: 
Chronic Kidney Disease (CKD) poses significant challenges to primary care systems globally, hindering early detection, effective management, and prevention of disease progression. Key barriers include healthcare system limitations, knowledge gaps among providers, and patient-related factors. In many resource-limited settings, there is insufficient access to specialized care, diagnostic tools, and essential medications, which exacerbates the progression of CKD. Additionally, financial constraints prevent adequate care, while a lack of comprehensive CKD training for primary care providers leads to missed opportunities for early intervention. Patient adherence to lifestyle changes and medications is also influenced by socioeconomic factors, making disease management more complex. Emerging advancements in research, such as novel biomarkers, and technological innovations like telemedicine and wearable devices, offer promising solutions for improving CKD care. However, addressing these challenges requires systemic changes, including policy reforms, enhanced provider education, and better access to resources. The integration of CKD management into primary care could significantly reduce the burden on healthcare systems, improve patient outcomes, and enhance quality of life for those affected.

 

Keywords: 
Chronic Kidney Disease; Primary Care; Management; Healthcare System Limitations; Patient Adherence; Telemedicine; Wearable Devices
 
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