Living with chronic kidney disease (CKD) is associated with hardships for patients and their care-partners. Empowering patients and their care-partners, including family members or friends involved in their care, may help minimize the burden and consequences of CKD related symptoms to enable life participation. There is a need to broaden the focus on living well with kidney disease and re-engagement in life, including an emphasis on patients being in control. The World Kidney Day (WKD) Joint Steering Committee has declared 2021 the year of “Living Well with Kidney Disease” in an effort to increase education and awareness on the important goal of patient empowerment and life participation. This calls for the development and implementation of validated patient-reported outcome measures to assess and address areas of life participation in routine care. It could be supported by regulatory agencies as a metric for quality care or to support labelling claims for medicines and devices. Funding agencies could establish targeted calls for research that address the priorities of patients. Patients with kidney disease and their care-partners should feel supported to live well through concerted efforts by kidney care communities including during pandemics. In the overall wellness programme for kidney disease patients, the need for prevention should be reiterated.

Early detection with a prolonged course of wellness despite kidney disease, after effective secondary and tertiary prevention programmes, should be promoted. WKD 2021 continues to call for increased awareness of the importance of preventive measures throughout populations, professionals, and policy makers, applicable to both developed and developing countries.Kidney transplantation (KT) is the best replacement treatment for end-stage renal disease (ESRD) and demonstrated solid advantages over hemodialysis in terms of survival and morbidity . Currently, the imbalance between the number of patients on a transplant list and the number of organs available constitutes the crucial limitation of this approach. To overcome this limitation, nowadays, most grafts come from deceased donors who are usually over 60-year-old and the most common cause of death is a cerebrovascular event. Just in a few cases, when available, a living donor’s graft is employed. The employment of donated kidneys coming from older patients in conjunction with the chronic use of immunosuppressive therapy increases the risk of incidence of graft tumors that, in most of the cases, are diagnosed as asymptomatic incidental small renal tumors.

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Mishita
Jornal co-ordinator
 Journal of Clinical & Experimental Nephrology