Contributors: A Bansal (U of Pennsylvania) | P Dedhia (U of Cincinnati) | A Elebiary (Lahey Clinic) | X Vela (U of El Salvador) | D Thomson (ECU) | P Jawa (ECU)

Courtesy: D. Divakaran | mostphotos.com/ 1987407/ human- kidney

ISSN 2372- 0824 (Print) | 2372- 0832 (Electronic)

Kidney
Konnection
A publication exclusively for medical students and residents
in Internal M edicine by N ephrology On- Demand

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WORLD KIDNEY DAY: M ARCH 12, 2015

(@worldkidneyday)

This month's Kidney Konnection celebrates World Kidney Day (WKD). World Kidney Day is the 2nd Thursday of M arch and began in
2006 when health care professionals from 66 nations came together to highlight the devastating consequences of chronic kidney disease
(CKD). Each year World Kidney Day focuses on a specific theme related to CKD: this year's theme: Kidney H ealth For All.
We're celebrating World Kidney Day by testing your knowledge about the global epidemic that is kidney disease. M atch the nation that
most appropriately fits with the clues below. For example, if the clue were: almost 50% of causes of CKD are attributed to diabetes
mellitus, you'd match that clue with the United States. Flip the page to see the answers.
Previous WKD Themes
2014: CKD & aging
2013: Kidneys for Life
2012: Donate Kidneys
2011: Protect your Kidneys
by saving your heart
2010: Controlling diabetes
2009: Keep your pressure
down
2008: Your amazing
kidneys!
2007: CKD: common,
harmful, & treatable
2006: Are your kidneys
OK?

1. This nation has the highest known incidence of chronic kidney disease in the world (H int: it's not the US)
2. Diabetes mellitus is the greatest cause of CKD here, more so than in any other part of the world (H int: it's a very wealthy city- state)
3. Glomerulonephritis is the leading cause of CKD in this nation, more so than in any other part of the world
4. These six nations have the highest prevalence of CKD due to H IV infection in the world (name as many as you can)
5. The number 1 cause of death of middle- aged men is CKD in this nation (greater than cancer, heart disease, & infectious disease)
6. The mean number of months that a patient remains on hemodialysis is < 1 month in this nation
7. One in three individuals over the age of 25 is @ risk for developing CKD in this nation
8. In this region of the world, childhood obesity is the greatest "programmed" risk factor for the future development of CKD
9. Only 7% of all ESRD patients utilize peritoneal dialysis in this country (H int: it's in N orth America)
10. The greatest number of kidney transplants performed in the M iddle East
1

(Answers on the reverse side)

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archIssue9
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Editor: Tejas Desai | Chief: Cynthia Christiano

WORLD KIDNEY DAY: ANSWERS

References
1- 3Lancet
4Clin

382: 260

N ephrol 74: S51

5PLOS N eglected

Tropical

Diseases 8: e3019
6Ethnicity

10

7kidney.org.au

8Lancet

6
4d
5

& Disease 19: S1

382: 273

9M edscape.com
10Clin

N ephrol 74: S85

4c

4b
4a
4f

4e

1. Taiwan. Taiwan leads the world in CKD incidence, ahead of both Japan and the United States, with > 400 cases per million annually
2. Singapore. It is reported that over 60% of all causes of CKD are due to diabetes mellitus (compared to ~ 44% in the US)
3. China. Approximately 43% of all cases of CKD are due to GN s and not diabetes mellitus
4. a) N igeria (38%) b) Cote d'Ivoire (26%) c) Tanzania (28.4%) d) Kenya (25%) e) Uganda (20- 49%) f) Z ambia (34%)
5. N icaragua. The second country whose #1 all- cause mortality is CKD is El Salvador.
6. India. The cost for hemodialysis is so high that many patients abandon therapy.
7. Australia.
8. N orth America. "Programmed" risk factors are those that lead to the decrease in nephron mass near birth. They include: maternal
vitamin A deficiency, childhood obesity, low birth weight, and preterm birth.
9. USA. Canada and M exico have, respectively, a 18% and 65.8% utilization of peritoneal dialysis.
10. Kuwait. Followed by Iran and Jordan.

GET INVOLVED

STAY INVOLVED

Take a picture of yourself drinking a glass of water. Tweet it to

@worldkidneyday or @nephondemand with the message:
?Celebrating #worldkidneyday with a glass of water because
#isupportwkd?.

World Kidney Day is a joint initiative by the International Federation

of Kidney Foundations (IFKF) & the International Society of
N ephrology (ISN ). Both are global leaders in the fight against kidney
disease. Contact them to learn about how you can participate in a
future WKD event.

@IFKF_
ifkf.org

@ISN kidneycare
theisn.org