In South Africa, it is estimated that one in eight individuals is grappling with kidney disease. Additionally, only one in four patients can afford treatment, and new openings for treatment at state hospitals become available only upon transplantation or patient mortality.
This has been highlighted by Transplant Education for Living Legacies (Tell) against the backdrop of World Kidney Day, commemorated annually on 14 March.
Stella de Kock, managing director of Tell, said although clear guidelines exist for preventing and managing common risk factors like hypertension and diabetes, only a small portion of individuals with these conditions globally were diagnosed, and even fewer received targeted treatment.
“Many people living with kidney disease are unaware of their condition because early stages are often asymptomatic,” said De Kock.
“Even among diagnosed patients, many do not receive suitable treatment.
“Given the severe consequences of kidney disease progression, including kidney failure or death, it is crucial to initiate treatments early and appropriately.
“Kidney damage typically progresses gradually, with symptoms often appearing only in advanced stages. You could lose up to 90% of your kidney function without showing signs or symptoms.”
De Kock highlighted the risk factors for developing end-stage renal disease (ESRD) are diabetes, high blood pressure and HIV.
“Just 40% and 60% of individuals with hypertension and diabetes, respectively, are aware of their diagnosis, with even fewer receiving treatment and achieving target goals. Additionally, at least one in five people with hypertension and one in three people with diabetes also have chronic kidney disease (CKD).
“The progression to ESRD can be stopped or slowed down with treatment if diagnosed at an early stage,” De Kock advised.
