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Chronic kidney disease (CKD) is a silent and progressive public health problem that affects millions of people, particularly in the early stages
when the absence of symptoms coexists with already significant kidney damage. Far from being an inevitable process, both its onset and progression can be prevented or delayed by modifying traditional approaches to care. This article proposes a comprehensive approach to CKD, prioritizing early detection and intervention over delayed response. Within this framework, it analyzes the strategic value of kidney health clinics not only as spaces for the treatment of advanced stages, but also as key settings for early detection, structured patient education, and longitudinal follow-up. Healthcare professionals emerge as a central actor, as they constitute the link between specialized clinical knowledge and the patient's daily practices. Their participation facilitates the translation of medical information into sustainable behaviors that contribute to slowing the deterioration of renal function. Beyond the healthcare setting, there is a clear need for strong institutional leadership capable of articulating renal health policies that are inclusive, sustainable, and evaluable over time. It is not only a question of the availability of resources, but also of the ability to guide decisions and engage structures that, by action or omission, directly influence the silent progression of this condition.
Conclusion Chronic kidney disease cannot continue to be an invisible pathology. An effective response does not depend exclusively on highly complex medical interventions, but on early prevention strategies, transformative education, and genuine institutional commitment. This article highlights the urgency of acting before the disease manifests itself through irreversible kidney damage.
