title: [Preventing chronic kidney disease in France: advantages, feasibility and concerns].
abstract: Chronic kidney disease concerns 10 to 14 % of Western populations, and these people are at increased risk of mortality. Treating those patients who reach end-stage renal disease is socially and financially costly and requires considerable medical efforts. While the number of nephrologists per inhabitant in France seems to be preserved over time, the increasing prevalence of end-stage renal disease and improvement in early referral of chronic kidney disease patients results in increased workload for renal physicians. In order to reduce the consequences of chronic kidney disease at both, individual and societal levels, promoting primary prevention (elimination of risk factors), secondary prevention (early management of patients) or tertiary prevention (optimal treatment of functional disabilities related to chronic kidney disease) seems relevant. Some of these actions could narrow the gap between current medical practices and recommendations or prevent new end-stage renal disease cases with an acceptable cost-effectiveness ratio. New approaches might be necessary to better control the disease and overcome current limitations such as resistance to treatments.
authors.affiliation: RD-Néphrologie SAS, 104, rue de la Galéra, 34090 Montpellier, France.
authors.forename: Flore
authors.initials: F
authors.lastname: Duranton
authors.affiliation: Centre de néphrologie et transplantation rénale, hôpital de La Conception, AP-HM, 147, boulevard Baille, 13005 Marseille, France; Université Aix-Marseille, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Brunet
authors.affiliation: Service de néphrologie, hôpital Lyon Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France; Inserm U1060 CarMeN, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France; Université Lyon 1, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
authors.forename: Maurice
authors.initials: M
authors.lastname: Laville
authors.affiliation: Laboratoire de recherche en biostatistique, épidémiologie et recherche clinique, institut universitaire de recherche clinique EA2415, 641, avenue du Doyen-Gaston-Giraud, 34093 Montpellier, France.
authors.forename: Paul
authors.initials: P
authors.lastname: Landais
authors.affiliation: Laboratoire de recherche en biostatistique, épidémiologie et recherche clinique, institut universitaire de recherche clinique EA2415, 641, avenue du Doyen-Gaston-Giraud, 34093 Montpellier, France.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Daurès
authors.affiliation: Service de néphrologie, dialyse et transplantation, hôpital Lapeyronie, 641, avenue du Doyen-Gaston-Giraud, 34295 Montpellier, France; Université Montpellier 1, 641, avenue du Doyen-Gaston-Giraud, 34295 Montpellier, France.
authors.forename: Georges
authors.initials: G
authors.lastname: Mourad
authors.affiliation: Divisió de gestió de registres d'activitat, servei Catala de la Salut (CatSalut), Travessera de les Corts, 131-159, Pavelló Ave Maria, 08028 Barcelone, Espagne.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Bustins
authors.affiliation: RD-Néphrologie SAS, 104, rue de la Galéra, 34090 Montpellier, France; Service de néphrologie, dialyse et transplantation, hôpital Lapeyronie, 641, avenue du Doyen-Gaston-Giraud, 34295 Montpellier, France; Université Montpellier 1, 641, avenue du Doyen-Gaston-Giraud, 34295 Montpellier, France; Néphrologie, dialyse Saint-Guilhem, Bassin-de-Thau, 40339, 34024 Sète, France. Electronic address: argiles@rd-n.org.
authors.forename: Angel
authors.initials: A
authors.lastname: Argilés
mesh_terms: D005602:France / Q000453:epidemiology; D006801:Humans; D011314:Preventive Health Services; D051436:Renal Insufficiency, Chronic / Q000145:classification / Q000453:epidemiology / Q000517:prevention & control*
keywords: Chronic kidney disease; Insuffisance rénale; Maladie rénale; Prevention; Prévention; Public health; Renal insufficiency; Santé publique