Trends and Perspectives for Improving Quality of Chronic Kidney Disease Care: Conclusions From a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference.

Chronic kidney disease (CKD) affects over 850 million people globally, and there is an urgent need to prevent its development and progression. During the last decade, new perspectives have arisen related to the quality and precision of care for CKD due to the development of new tools and interventions to diagnose and manage CKD. New biomarkers, imaging methods, artificial intelligence techniques, and approaches to organizing and delivering health care may help clinicians to recognize CKD, determine its etiology, assess the dominant mechanisms at given time points, and identify patients at high risk for progression of kidney disease or related events. As opportunities to apply the concepts of precision medicine for CKD identification and management continue to be developed, an ongoing discussion of the potential implications for care delivery is required. The 2022 KDIGO Controversies Conference Improving CKD Quality of Care: Trends and Perspectives examined and discussed best practices for improving the precision of CKD diagnosis and prognosis, managing the complications of CKD, enhancing the safety of care, and maximizing patient quality of life. Existing tools and interventions currently available for the diagnosis and treatment of CKD were identified, with discussion of current barriers for their implementation and strategies for improving the quality of care delivered for CKD. Key knowledge gaps and areas for research were also identified.