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        "resumen" => "Chronic kidney disease (CKD) is a major public health problem throughout the world. In Argentina, kidney failure is becoming a severe sanitary problem. Considering that there are more than 24,000 Argentinean patients under dialysis treatment, the overall cost of ESRD patients can be estimated as adding up to $ 1.000.000.000 per year. There is scarce information on the magnitude of the CKD burden in Argentinean population. Type 2 diabetes mellitus and hypertensive nephrosclerosis are the main causes of inclusion in dialysis programs. The prevalence of diabetes mellitus in the adult varies between 6.5% and 7.7%, and the prevalence of hypertension varies between 23 and 36%. In two studies the relative frequency of proteinuria in adults (by Multistix) was found to be around 8 %. There are some initiatives in Renal Heath. Public: the Argentinean Ministry of Health and Environment has approved the ¿Renal Health Program¿, it promotes early identification of CKD and offering financial incentives. Private by Fresenius Medical Care Argentina: this company launched the ¿Prevention of CKD in ESRD Relatives Program¿, and has developed tools: specific web-based information software for CDK populations, patient education materials, medical education programs and guidelines for primary care physicians, health promotion materials and contends for patient workshops. The ongoing programs includes: renal support to public hospital services, and to public and private social security health plans, nephrological support for primary care physician. The formula for effective renal health care is far from being proven yet, and surely there is not a single way to obtain beneficial changes."
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        "resumen" => "La enfermedad renal crónica (ERC) es uno de los mayores problemas sanitarios de Argentina y del mundo. Considerando que en Argentina existen más de 24.000 pacientes en tratamiento dialítico, el costo total de la diálisis sobrepasa $1.000.000.000 por año. Hay escasa información a nivel nacional sobre la magnitud del problema de la ERC en todas sus etapas. Diabetes tipo 2 y nefroesclerosis hipertensiva son principales causas de ingreso a programas dialíticos. La prevalencia de diabetes mellitus en adultos varía entre 6,5 y el 7,7% y la de hipertensión arterial entre 23 y 36%. La frecuencia relativa de proteinuria (tira Multistix) encontrada fue de alrededor del 8%. Existen algunas iniciativas públicas y privadas en salud renal. Públicas: el Ministerio de Salud y Medio Ambiente Argentino ha aprobado el ¿Programa de Salud Renal¿ que promueve identificación temprana de enfermedad y brinda incentivos económicos. Privados: Fresenius Medical Care Argentina: ha iniciado un ¿Programa de Prevención de ERC¿ para familiares de pacientes en diálisis y desarrollado diversas herramientas: un software basado en la web para información de población con ERC, materiales educativos para pacientes, programas y guías para educación de médicos de atención primaria, materiales para promoción de salud, y contenido para talleres. Los programas en curso incluyen: apoyo nefrológico para centros de atención primaria y hospitales públicos y para planes de salud públicos y privados, apoyo nefrológico para médicos de atención primaria. La fórmula efectiva para el cuidado de la salud renal esta lejos de estar comprobada y probablemente existen más de una alternativa para lograr cambios beneficiosos."
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