Brazilian public policy for chronic kidney disease prevention: challenges and perspectives

Chronic kidney disease is a pathology with exponential increasing prevalence worldwide. This trend derives mainly from population aging and the growth of chronic conditions, making prevention a priority in public health. Thus, this observation instigates debates on the advances and challenges in pub...

Full description

Saved in:
Bibliographic Details
Published inRevista de saúde pública Vol. 54; p. 86
Main Authors Silva, Patrícia Aparecida Barbosa, Silva, Líliam Barbosa, Santos, Joseph Fabiano Guimarães, Soares, Sônia Maria
Format Journal Article
LanguageEnglish
Published Faculdade de Saúde Pública da Universidade de São Paulo 01.01.2020
Universidade de São Paulo
Subjects
Aging
Comment
Health Policy & Services
Health Programs and Plans
Primary Health Care
Renal Insufficiency, Chronic, prevention & control
Risk Groups
Risk Groups
Renal Insufficiency, Chronic, prevention & control
Health Programs and Plans
Insuficiência Renal Crônica, prevenção & controle
Grupos de Risco
Aging
Planos e Programas de Saúde
Primary Health Care
Atenção Primária à Saúde
Envelhecimento
Online AccessGet full text

Cover

Abstract Chronic kidney disease is a pathology with exponential increasing prevalence worldwide. This trend derives mainly from population aging and the growth of chronic conditions, making prevention a priority in public health. Thus, this observation instigates debates on the advances and challenges in public policies aimed at facing the progression of this disease and its risk factors in a contemporary reality that requires changes in the management models of chronic conditions. Brazilian and international experiences show that actions to prevent chronic kidney disease in risk groups remain incipient, especially in low-income countries. This area requires investment, supporting planning individualized, interdisciplinary and shared care with primary health care, as well as the user’s responsibility for their care, with proactivity and establishment and monitoring of goals to achieve satisfactory results.
AbstractList Chronic kidney disease is a pathology with exponential increasing prevalence worldwide. This trend derives mainly from population aging and the growth of chronic conditions, making prevention a priority in public health. Thus, this observation instigates debates on the advances and challenges in public policies aimed at facing the progression of this disease and its risk factors in a contemporary reality that requires changes in the management models of chronic conditions. Brazilian and international experiences show that actions to prevent chronic kidney disease in risk groups remain incipient, especially in low-income countries. This area requires investment, supporting planning individualized, interdisciplinary and shared care with primary health care, as well as the user’s responsibility for their care, with proactivity and establishment and monitoring of goals to achieve satisfactory results.
ABSTRACT Chronic kidney disease is a pathology with exponential increasing prevalence worldwide. This trend derives mainly from population aging and the growth of chronic conditions, making prevention a priority in public health. Thus, this observation instigates debates on the advances and challenges in public policies aimed at facing the progression of this disease and its risk factors in a contemporary reality that requires changes in the management models of chronic conditions. Brazilian and international experiences show that actions to prevent chronic kidney disease in risk groups remain incipient, especially in low-income countries. This area requires investment, supporting planning individualized, interdisciplinary and shared care with primary health care, as well as the user’s responsibility for their care, with proactivity and establishment and monitoring of goals to achieve satisfactory results.
Author Santos, Joseph Fabiano Guimarães
Soares, Sônia Maria
Silva, Patrícia Aparecida Barbosa
Silva, Líliam Barbosa
AuthorAffiliation III Universidade Federal de Minas Gerais Escola de Enfermagem Departamento de Enfermagem Básica Belo Horizonte MG Brasil Universidade Federal de Minas Gerais. Escola de Enfermagem. Departamento de Enfermagem Básica. Belo Horizonte, MG, Brasil
I Universidade Federal de Minas Gerais Escola de Enfermagem Pós-Graduação em Enfermagem Belo Horizonte MG Brasil Universidade Federal de Minas Gerais. Escola de Enfermagem. Pós-Graduação em Enfermagem. Belo Horizonte, MG, Brasil
II Hospital Governador Israel Pinheiro Belo Horizonte MG Brasil Hospital Governador Israel Pinheiro. Belo Horizonte, MG, Brasil
AuthorAffiliation_xml – name: II Hospital Governador Israel Pinheiro Belo Horizonte MG Brasil Hospital Governador Israel Pinheiro. Belo Horizonte, MG, Brasil
– name: I Universidade Federal de Minas Gerais Escola de Enfermagem Pós-Graduação em Enfermagem Belo Horizonte MG Brasil Universidade Federal de Minas Gerais. Escola de Enfermagem. Pós-Graduação em Enfermagem. Belo Horizonte, MG, Brasil
– name: III Universidade Federal de Minas Gerais Escola de Enfermagem Departamento de Enfermagem Básica Belo Horizonte MG Brasil Universidade Federal de Minas Gerais. Escola de Enfermagem. Departamento de Enfermagem Básica. Belo Horizonte, MG, Brasil
– name: Universidade Federal de Minas Gerais
– name: Hospital Governador Israel Pinheiro
Author_xml – sequence: 1
  givenname: Patrícia Aparecida Barbosa
  orcidid: 0000-0001-7363-0773
  surname: Silva
  fullname: Silva, Patrícia Aparecida Barbosa
– sequence: 2
  givenname: Líliam Barbosa
  orcidid: 0000-0002-5576-9744
  surname: Silva
  fullname: Silva, Líliam Barbosa
– sequence: 3
  givenname: Joseph Fabiano Guimarães
  orcidid: 0000-0002-2001-996X
  surname: Santos
  fullname: Santos, Joseph Fabiano Guimarães
– sequence: 4
  givenname: Sônia Maria
  orcidid: 0000-0003-3161-717X
  surname: Soares
  fullname: Soares, Sônia Maria
BookMark eNpVkk9vEzEQxS3UiqaF77DcuGzwv13bHJCgKlCpUg_AhYvlHc-mDht7sTeRwqdnk1SVcrGlmTfPo5_fNbmIKSIh7xhdMtbS9kNhDdO1VlotOeWUNpJSpqh-RRYvnQuyoFTIWhtGr8h1KWtKueBCvyZXgmspjeYL8vtLdv_CEFysxm03BKjGNJ_7qk-5gqec4lz6E3zEfeVDQVewGjPuME4hxY-zxA0DxhWWykVfjZjLiDCFHZY35LJ3Q8G3z_cN-fX17uft9_rh8dv97eeHGhraTLVpwBhQ4ASXDhzvew4GudedBuV7iW3vWwOascb0XHInGwPUqM51njnRihtyf_L1ya3tmMPG5b1NLthjIeWVdXkKMKBV4DvTOqN6r6XXYJyBTnLNsfF9C2r2Wp68CgQckl2nbY7z8vbHgaU9sDwCn3FT2lI9D3w6Dcz0Nuhh5pLdcLbFeSeGJ7tKO6uk0FSw2eD9s0FOf7dYJrsJBXAYXMS0LZZLoYRRgh2k5iSFnErJ2L88w6g9BsMeg2EP32_PgiH-A4C0rMw
CitedBy_id crossref_primary_10_7759_cureus_61657
crossref_primary_10_1186_s12882_022_02911_7
crossref_primary_10_37689_acta_ape_2024AO000171111
crossref_primary_10_1016_j_lana_2021_100101
crossref_primary_10_3389_fpubh_2023_1090196
crossref_primary_10_4236_oju_2022_129049
crossref_primary_10_37689_acta_ape_2024AO00007111
crossref_primary_10_1007_s11255_022_03291_5
crossref_primary_10_56083_RCV4N4_006
crossref_primary_10_31744_einstein_journal_2024RW0519
ContentType Journal Article
Copyright This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright_xml – notice: This work is licensed under a Creative Commons Attribution 4.0 International License.
DBID AAYXX
CITATION
7X8
5PM
GPN
DOA
DOI 10.11606/s1518-8787.2020054001708
DatabaseName CrossRef
MEDLINE - Academic
PubMed Central (Full Participant titles)
SciELO
Directory of Open Access Journals
DatabaseTitle CrossRef
MEDLINE - Academic
DatabaseTitleList CrossRef
Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
DeliveryMethod fulltext_linktorsrc
Discipline Public Health
DocumentTitleAlternate Política pública brasileira na prevenção da doença renal crônica: desafios e perspectivas
EISSN 1518-8787
EndPage 86
ExternalDocumentID oai_doaj_org_article_7cdb96a97fd84d8c9a9cb4282e5df6c7
S0034_89102020000100608
10_11606_s1518_8787_2020054001708
GrantInformation_xml – fundername: Fundação de Amparo à Pesquisa do Estado de Minas Gerais
  grantid: 03556-13
– fundername: Fundação de Amparo à Pesquisa do Estado de Minas Gerais
  grantid: 02212-14
– fundername: Fundação de Amparo à Pesquisa do Estado de Minas Gerais
  grantid: 00108-11
GroupedDBID 123
29P
2WC
5VS
AAYXX
ABXHO
ACHQT
ADBBV
ADRAZ
AENEX
ALMA_UNASSIGNED_HOLDINGS
AOIJS
APOWU
AZFZN
BAWUL
BCNDV
CITATION
DIK
DU5
E3Z
F5P
GROUPED_DOAJ
GX1
HYE
KQ8
M~E
OK1
P2P
PGMZT
RIG
RNS
RPM
RSC
RSL
SCD
XSB
7X8
5PM
53G
GPN
IPNFZ
M48
ID FETCH-LOGICAL-c505t-95c99c7ca324aca2ff2c9e2d8b8c7df4e6fd69c81159f242a459c097babd1a363
IEDL.DBID RPM
ISSN 0034-8910
1518-8787
IngestDate Tue Oct 22 15:16:52 EDT 2024
Fri Oct 18 20:49:17 EDT 2024
Tue Sep 17 21:16:16 EDT 2024
Sat Aug 17 03:32:46 EDT 2024
Fri Aug 23 01:19:12 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Keywords Risk Groups
Renal Insufficiency, Chronic, prevention & control
Health Programs and Plans
Insuficiência Renal Crônica, prevenção & controle
Grupos de Risco
Aging
Planos e Programas de Saúde
Primary Health Care
Atenção Primária à Saúde
Envelhecimento
Language English
License This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
This work is licensed under a Creative Commons Attribution 4.0 International License. http://creativecommons.org/licenses/by/4.0
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c505t-95c99c7ca324aca2ff2c9e2d8b8c7df4e6fd69c81159f242a459c097babd1a363
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Conflict of Interest: The authors declare no conflict of interest.
Authors’ Contribution: Study design and planning: PABS, LBS, JFGS and SMS. Data collection, analysis and interpretation: does not apply. Manuscript development or review: PABS, LBS, JFGS and SMS. Approval of the final version: PABS, LBS, JFGS and SMS. Public responsibility for the content of the article: PABS, LBS, JFGS and SMS.
ORCID 0000-0002-2001-996X
0000-0002-5576-9744
0000-0001-7363-0773
0000-0003-3161-717X
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7438031/
PMID 32844982
PQID 2437397311
PQPubID 23479
PageCount 1
ParticipantIDs doaj_primary_oai_doaj_org_article_7cdb96a97fd84d8c9a9cb4282e5df6c7
scielo_journals_S0034_89102020000100608
pubmedcentral_primary_oai_pubmedcentral_nih_gov_7438031
proquest_miscellaneous_2437397311
crossref_primary_10_11606_s1518_8787_2020054001708
PublicationCentury 2000
PublicationDate 2020-01-01
PublicationDateYYYYMMDD 2020-01-01
PublicationDate_xml – month: 01
  year: 2020
  text: 2020-01-01
  day: 01
PublicationDecade 2020
PublicationTitle Revista de saúde pública
PublicationTitleAlternate Rev. Saúde Pública
PublicationYear 2020
Publisher Faculdade de Saúde Pública da Universidade de São Paulo
Universidade de São Paulo
Publisher_xml – name: Faculdade de Saúde Pública da Universidade de São Paulo
– name: Universidade de São Paulo
References 2002; 39
Luyckx, VA; Tonelli, M; Stanifer, JW 2018; 96
Htay, H; Alrukhaimi, M; Ashuntantang, GE; Bello, AK; Bellorin-Font, E; Benghanem-Gharbi, M 2018; 8
2013; 3
Cohn, A; Campos, GWS; Minayo, MCS; Akerman, M; Drumond Júnior, M; Carvalho, YM 2006
Teixeira, MB; Casanova, A; Oliveira, CCM; Ensgtrom, EM; Bodstein, RCA 2014; 38
2011
Liyanage, T; Ninomiya, T; Jha, V; Neal, B; Patrice, HM; Okpechi, I 2015; 385
Abreu, PF 2006; 28
Malta, DC; Machado, IE; Pereira, CA; Figueiredo, AW; Aguiar, LK; Almeida, WS 2019; 22
Crews, DC; Bello, AK; Saadi, G 2019; 52
2019
Vassalotti, JA; Centor, R; Turner, BJ; Greer, RC; Choi, M; Sequist, TD 2016; 129
Ene-Iordache, B; Perico, N; Bikbov, B; Carminati, S; Remuzzi, A; Perna, A 2016; 4
2006
2004
2014
Perusso, IAO 2013
References_xml – year: 2014
  publication-title: Diretrizes clínicas para o cuidado ao paciente com Doença Renal Crônica - DRC no Sistema Único de Saúde
– volume: 22
  year: 2019
  article-title: Avaliação da função renal na população adulta brasileira, segundo critérios laboratoriais da Pesquisa Nacional de Saúde
  publication-title: Rev Bras Epidemiol
  contributor:
    fullname: Malta, DC; Machado, IE; Pereira, CA; Figueiredo, AW; Aguiar, LK; Almeida, WS
– volume: 52
  issue: 3
  year: 2019
  article-title: Burden, access, and disparities in kidney disease
  publication-title: Braz J Med Biol Res
  contributor:
    fullname: Crews, DC; Bello, AK; Saadi, G
– volume: 28
  start-page: 6
  issue: 3
  year: 2006
  end-page: 7
  article-title: Doença renal crônica e Saúde Pública
  publication-title: J Bras Nefrol
  contributor:
    fullname: Abreu, PF
– year: 2004
  publication-title: Portaria Nº 1168/GM, de 15 de junho de 2004. Institui a Política Nacional de Atenção ao Portador de Doença Renal, a ser implantada em todas as unidades federadas, respeitadas as competências das três esferas de gestão
– year: 2006
  publication-title: Prevenção clínica de doença cardiovascular, cerebrovascular e renal crônica
– start-page: 219
  year: 2006
  end-page: 246
  publication-title: Tratado de Saúde Coletiva
  contributor:
    fullname: Cohn, A; Campos, GWS; Minayo, MCS; Akerman, M; Drumond Júnior, M; Carvalho, YM
– volume: 129
  start-page: 153
  issue: 2
  year: 2016
  end-page: 162
  article-title: Practical approach to detection and management of chronic kidney disease for the primary care clinician
  publication-title: Am J Med
  contributor:
    fullname: Vassalotti, JA; Centor, R; Turner, BJ; Greer, RC; Choi, M; Sequist, TD
– volume: 38
  start-page: 52
  issue: Espec
  year: 2014
  end-page: 68
  article-title: Avaliação das práticas de promoção da saúde: um olhar das equipes participantes do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica
  publication-title: Saude Debate
  contributor:
    fullname: Teixeira, MB; Casanova, A; Oliveira, CCM; Ensgtrom, EM; Bodstein, RCA
– volume: 4
  start-page: e307
  issue: 5
  year: 2016
  end-page: e319
  article-title: Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): a cross-sectional study
  publication-title: Lancet Glob Health
  contributor:
    fullname: Ene-Iordache, B; Perico, N; Bikbov, B; Carminati, S; Remuzzi, A; Perna, A
– year: 2014
  publication-title: Portaria Nº 389, de 13 de março de 2014. Define os critérios para a organização da linha de cuidado da Pessoa com Doença Renal Crônica (DRC) e institui incentivo financeiro de custeio destinado ao cuidado ambulatorial pré-dialítico
– volume: 96
  start-page: 414
  issue: 6
  year: 2018
  end-page: 22D
  article-title: The global burden of kidney disease and the sustainable development goals
  publication-title: Bull World Health Organ
  contributor:
    fullname: Luyckx, VA; Tonelli, M; Stanifer, JW
– volume: 3
  start-page: 1
  issue: 1
  year: 2013
  end-page: 150
  article-title: KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease
  publication-title: Kidney Int
– year: 2011
  publication-title: Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil 2011-2022
– volume: 39
  start-page: S14
  issue: 2
  year: 2002
  end-page: S16
  article-title: K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification
  publication-title: Am J Kidney Dis
– year: 2013
  publication-title: Política Nacional de Atenção ao Portador de Doença Renal: uma experiência no Hospital Universitário do Recife
  contributor:
    fullname: Perusso, IAO
– year: 2019
  publication-title: Global Burden of Disease (GBD) 2017. GBD compare: Viz Hub
– volume: 8
  start-page: 64
  issue: 2
  year: 2018
  end-page: 73
  article-title: Global access of patients with kidney disease to health technologies and medications: findings from the Global Kidney Health Atlas Project
  publication-title: Kidney Int Suppl (2011)
  contributor:
    fullname: Htay, H; Alrukhaimi, M; Ashuntantang, GE; Bello, AK; Bellorin-Font, E; Benghanem-Gharbi, M
– volume: 385
  start-page: 1975
  issue: 9981
  year: 2015
  end-page: 1982
  article-title: Worldwide access to treatment for end-stage kidney disease: a systematic review
  publication-title: Lancet
  contributor:
    fullname: Liyanage, T; Ninomiya, T; Jha, V; Neal, B; Patrice, HM; Okpechi, I
SSID ssj0023238
Score 2.3395686
Snippet Chronic kidney disease is a pathology with exponential increasing prevalence worldwide. This trend derives mainly from population aging and the growth of...
ABSTRACT Chronic kidney disease is a pathology with exponential increasing prevalence worldwide. This trend derives mainly from population aging and the growth...
SourceID doaj
scielo
pubmedcentral
proquest
crossref
SourceType Open Website
Open Access Repository
Aggregation Database
StartPage 86
SubjectTerms Aging
Comment
Health Policy & Services
Health Programs and Plans
Primary Health Care
Renal Insufficiency, Chronic, prevention & control
Risk Groups
SummonAdditionalLinks – databaseName: Directory of Open Access Journals
  dbid: DOA
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Na9wwEBUlhFAoIUlb6jQNChR6MvGnLPXWhIYQSC5tYOlFSCOZLgneZb17SH59ZyRvs84ll1xty7ZmPJ43I80bxr4iiIdcGpEWkFMLM-dTUxuVelHVps4tBh1UjXx9Iy5vq6tJPdlo9UV7wiI9cBTcaQPOKmFU0zpZOQnKKLCImQtfu1ZArCPP1DqYGkKtEj3RDjsJvwSE6Kc9OjaJli8bDAmLgFOIOEaOvFEg7R8hzef7JLfJLd1veqCLPbY7QEf-I77yPnvjuwP2LubdeCwnes_-nC3M45RyFzwyWPN5YP7lCE45RCZcfjd1nX_gw-IMnw80TrPuO14yNFfpuekcnz_VYvYf2O3Fz9_nl-nQPyEFxDXLVNWgFDRgEDQZMEXbFqB84aSV0Li28qJ1QoFEUKhadNWmqhVkqrHGutyUovzItrpZ5z8xTj2JvZC58KWpLCiLwawFtG10ZmVbVgkr1nLU80iToUN4gcLXQfiahK9Hwk_YGUn8_wBiug4HUP960L9-Sf8JO1nrS6Nl0HKH6fxs1WuiWiypM1eesGakyNETx2e66d_Asd0QE3-JI79FlevBtHv9iyh9tESYFSZDQXUmMnn4GpP5zN7STWOK54htLRcr_wVBz9Ieh-_7H3DT_wI
  priority: 102
  providerName: Directory of Open Access Journals
Title Brazilian public policy for chronic kidney disease prevention: challenges and perspectives
URI https://search.proquest.com/docview/2437397311
https://pubmed.ncbi.nlm.nih.gov/PMC7438031
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102020000100608&lng=en&tlng=en
https://doaj.org/article/7cdb96a97fd84d8c9a9cb4282e5df6c7
Volume 54
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwEB61FUJICPEU4VG5EhKndDdx4tjcaEVVgYpAUKniYtljB1a02WizPcCvZ-w4QDhyySEvJ57xzDf2-BuAFwTisZBG5CUWoYSZ87mpjcq9qGpTF5aCjrAb-ey9OD2v3l7UFztQT3thYtI-2tVhd3l12K2-xdzK_goXU57Y4sPZcRNo0nmx2IVdUtApRE9RFi_5aH55lUtyhjfhIFoGQuqLgfybJAMgG4oMywhXAn9MKNrHyU5XSpYz_xRp_GfY89_MyRvBUV3-7ZNO7sKdBCbZ6_Gj78GO7-7D7XEmjo0bjB7Al6ON-bkKsxls5LRmfeQCZgRXGY7cuOz7ynX-B0vLNaxPxE7r7hXdksqtDMx0jvV_dmcOD-H85M3n49M8VVTIkZDONlc1KoUNGoJRBk3ZtiUqXzppJTaurbxonVAoCSaqlpy3qWqFS9VYY11huOCPYK9bd_4xsFCl2AtZCM9NZVFZCm8t0mgn98ZbXmVQTv2o-5E4Q8eAg-Sgoxx0kIOeySGDo9Djvx8I3NfxxHrzVScN0A06q4RRTetk5SQqo9BSFFX62rUCmwwOJnlpGithAcR0fn096EC-yEOtriKDZibIWYvzK6SEkXU7KV0GL0eR6zTYB_0p6JoOuhZ_JoTZS7GUT_67jadwK7xpnOl5BnvbzbV_Tthna_fjnAEd332U-1HvfwFHYwHH
link.rule.ids 230,315,730,783,787,867,888,2109,27936,27937,53804,53806
linkProvider National Library of Medicine
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwEB6VgqASQjyKCE9XQuKU7iZOHJsbragW6FZItFLFxbLHDqxos9Fme6C_nrGTBcKRa97xvL6xPd8AvCYQj5k0Is0xCy3MnE9NaVTqRVGaMrOUdIRq5PmJmJ0VH8_L8y0oN7UwcdM-2sV-c3G53yy-x72V7SVONvvEJp_nh1WgSefZ5AbcJHudFpskfcizeM57B8yLVFI4vA170TcQVp90FOEkuQBZUW6YR8ASGGRC2z5OnrpQMh9FqEjkP0Kf_-6dvBVC1cXfUenoPtwb4CR713_2A9jyzUO428_Fsb7E6BF8PViZ60WYz2A9qzVrIxswI8DKsGfHZT8WrvE_2bBgw9qB2mnZvKVLhoYrHTONY-2f-sxuF86O3p8eztKhp0KKhHXWqSpRKazQEJAyaPK6zlH53EkrsXJ14UXthEJJQFHVFL5NUSqcqsoa6zLDBX8M282y8U-AhT7FXshMeG4Ki8pSgmuR7J0CHK95kUC-GUfd9tQZOqYcJAcd5aCDHPRIDgkchBH_fUNgv44HlqtvetABXaGzShhV1U4WTqIyCi3lUbkvXS2wSmBvIy9N1hKWQEzjl1edDvSLPHTryhKoRoIcvXF8htQw8m4PapfAm17kejD3Tn8JuqaDrsWfCYn2VEzl0_9-xyu4MzudH-vjDyefnsFOeGo_7_MctterK_-CkNDavox6_wvgcgMz
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwEB5BQRUSQrwqwtOVkDil2cSJY3OjhVV5tKoElSoulj12YEWbjTbbA_x6xk4WGo5c847n9Y09_gbgJYF4zKURaYF5aGHmfGoqo1IvyspUuaWkI-xGPjoWh6flh7Pq7Eqrr1i0j3ax155f7LWL77G2srvAbFMnlp0cHdSBJp3nWeea7DrcIJudiU2iPuZavOCDE-ZlKikkbsNu9A-E17OeopwkNyBryg-LCFoCi0xo3cfJW5dKFpMoFcn8Jwj03_rJmyFcnV-NTPO7cGeElOzN8On34Jpv78PtYT6ODduMHsDX_ZX5tQhzGmxgtmZdZARmBFoZDgy57MfCtf4nGxdtWDfSOy3b13TJ2HSlZ6Z1rPu7R7N_CKfzd18ODtOxr0KKhHfWqapQKazREJgyaIqmKVD5wkkrsXZN6UXjhEJJYFE1FMJNWSmcqdoa63LDBd-BrXbZ-kfAQq9iL2QuPDelRWUpybVINk9Bjje8TKDYjKPuBvoMHdMOkoOOctBBDnoihwT2w4j_uSEwYMcDy9U3PeqBrtFZJYyqGydLJ1EZhZZyqcJXrhFYJ7C7kZcmiwnLIKb1y8teBwpGHjp25QnUE0FO3jg9Q6oYubdH1Uvg1SByPZp8rz8HXdNB1-LPhGR7Jmby8X-_4wVsn7yd60_vjz8-gVvhocPUz1PYWq8u_TMCQ2v7PKr9b6rMBEY
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Brazilian+public+policy+for+chronic+kidney+disease+prevention%3A+challenges+and+perspectives&rft.jtitle=Revista+de+sa%C3%BAde+p%C3%BAblica&rft.au=Silva%2C+Patr%C3%ADcia+Aparecida+Barbosa&rft.au=Silva%2C+L%C3%ADliam+Barbosa&rft.au=Santos%2C+Joseph+Fabiano+Guimar%C3%A3es&rft.au=Soares%2C+S%C3%B4nia+Maria&rft.date=2020-01-01&rft.pub=Faculdade+de+Sa%C3%BAde+P%C3%BAblica+da+Universidade+de+S%C3%A3o+Paulo&rft.issn=1518-8787&rft.volume=54&rft_id=info:doi/10.11606%2Fs1518-8787.2020054001708&rft.externalDocID=S0034_89102020000100608
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0034-8910&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0034-8910&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0034-8910&client=summon