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The time is now to narrow the gap between what we know and what we do. Clear guidelines exist for the prevention and management of common risk factors for kidney disease, such as hypertension and diabetes, but only a fraction of people with these conditions worldwide are diagnosed, and even fewer are treated to target. Similarly, the vast majority of people living with kidney disease are unaware of their condition, because in the early stages it is often silent. Even among patients who have been diagnosed, many do not receive appropriate treatment for kidney disease. Considering the serious consequences of kidney disease progression, kidney failure or death, it is imperative that treatments are initiated early and appropriately. Opportunities to diagnose and treat kidney disease early must be maximized beginning at the primary care level. Many systematic barriers exist, ranging from patient to clinician to health systems to societal factors. To preserve and improve kidney health for everyone everywhere, each of these barriers must be acknowledged so that sustainable solutions are developed and implemented without further delay.<\/jats:p>","DOI":"10.1111\/nep.14314","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T05:20:36Z","timestamp":1736486436000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mind the gap in kidney care: Translating what we know into what we do"],"prefix":"10.1111","volume":"30","author":[{"given":"Valerie A.","family":"Luyckx","sequence":"first","affiliation":[{"name":"Department of Public and Global Health, Epidemiology, Biostatistics and Prevention Institute University of Zurich  Zurich Switzerland"},{"name":"Renal Division, Department of Medicine, Brigham and Women's Hospital Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Paediatrics and Child Health University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine R.","family":"Tuttle","sequence":"additional","affiliation":[{"name":"Providence Medical Research Center Providence Inland Northwest Health  Spokane Washington USA"},{"name":"Nephrology Division, Department of Medicine University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina","family":"Abdellatif","sequence":"additional","affiliation":[{"name":"Department of Nephrology Cairo University Hospital  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Correa\u2010Rotter","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Mineral Metabolism National Medical Science and Nutrition Institute Salvador Zubiran  Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7676-7628","authenticated-orcid":false,"given":"Winston W. 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