Aided by the International Society of Nephrology (ISN), Kidney Disease: Improving Global Outcomes

(KDIGO), the Asian Pacific Society of Nephrology, the Australian and New Zealand Society of Nephrology and the Malaysian Society of Nephrology, two regional meetings have now been held: in Hamamatsu, Japan, in 2007 and in Kuala Lumpur, Malaysia, in 2008. The tasks facing AFCKDI are formidable, with enormous economic, cultural and geographic differences characterising the region. However, regional and international interest and support have been overwhelming. At very short notice, in Hamamatsu 16 countries submitted 56 abstracts, selleck inhibitor from which many were chosen to supplement the invited speakers, allowing representation of a very wide range of nations. In Hamamatsu the agreed aims were to clarify the current state of CKD in the Selleckchem PF477736 Asian Pacific region and to promote coordination, collaboration and integration of initiatives to combat this disease

burden. As host chair, Dr. Seichi Matsuo introduced the three main topics for discussion: (1) CKD screening and early detection, (2) clinical practice guidelines (CPGs) and their implementation, and (3) education, implementation and international and regional cooperation and support. Screening for CKD Japan (S. Matsuo) Statutory urinalysis has been carried out on industrial workers since 1972, school children since 1973 and persons aged over 40 years since

1982 [1]. Despite this, Japan unfortunately still ranks among the highest in the world for CKD-5D prevalence and incidence, with particularly a rising incidence of diabetic patients [2]. Clearly screening alone has made little impact, hence the Japanese Association of CKD has now been established and government funded to pursue a strategic research project aimed at prevention of CKD, or reducing CKD-5D. Hong Kong (P. KT. Li) In 2004 the ISN held a Consensus Workshop on Prevention of Progression of Renal Disease in Hong Kong [3]. The consensus was that screening for CKD was worthwhile in diabetic and hypertensive patients and in the relatives of patients with CKD due to diabetes, hypertension and glomerulonephritis, and that CKD was more common 3-mercaptopyruvate sulfurtransferase in individuals over 60–65. This consensus meeting published recommendations for prevention of progression once CKD was detected [4]. Clinical practice guidelines and international collaboration KDIGO (N. Lameire) A non-profit foundation governed by an international board of directors (six currently from our region), KDIGO aims to improve global CKD care by promoting, integrating and aiding implementation of CPGs [5], [6]. KDIGO has published a revision of the definition and classification of CKD [7], reviewed definition, evaluation and classifications in CKD mineral and bone disorders [8], and is in the process of Bafilomycin A1 cell line preparing CPGs on hepatitis C in CKD [9].