期刊
KIDNEY INTERNATIONAL
卷 96, 期 5, 页码 1071-1076出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.kint.2019.06.024
关键词
chronic interstitial nephritis of agricultural communities; chronic kidney disease of uncertain/nontraditional etiology; environmental exposure; kidney disease of unknown cause in agricultural laborers; low- and middle-income countries; Mesoamerican nephropathy; tubulointerstitial
资金
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH)
- National Institute of Environmental Health Sciences (NIEHS) of the National Institutes of Health (NIH)
In June 2018, the National Institute of Diabetes and Digestive and Kidney Diseases and the National Institute of Environmental Health Sciences sponsored a workshop to identify research gaps in an increasingly common form of chronic kidney disease in agricultural communities, often termed CKDu. The organizers invited a broad range of experts who provided diverse expertise and perspectives, many of whom had never addressed this particular epidemic. Discussion was focused around selected topics, including identifying and mitigating barriers to research in CKDu, creating a case definition, and defining common data elements. All hypotheses regarding etiology were entertained, and meeting participants discussed potential research strategies, choices in study design, and novel tools that may prove useful in this disease. Achievements of the workshop included robust cross-disciplinary discussion and preliminary planning of research goals and design. Specific challenges in implementing basic and clinical research and interventions in low- and middle-income countries were recognized. A balanced approach to leveraging local resources and capacity building without overreaching was emphasized.
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