<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2524-177X</journal-id>
<journal-title><![CDATA[Revista médica del Hospital General de México]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. med. Hosp. Gen. Méx.]]></abbrev-journal-title>
<issn>2524-177X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Médica del Hospital General de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2524-177X2019000400194</article-id>
<article-id pub-id-type="doi">10.24875/hgmx.m19000030</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Chronic renal disease in Mexico: A preventive uncontrolled epidemic]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Polanco-Flores]]></surname>
<given-names><![CDATA[Nasser A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Cervantes Consultorio Especializado en Enfermedades Renales (CEER) ]]></institution>
<addr-line><![CDATA[Tula de Allende Hidalgo]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Salud del Estado de México Departamento de Medicina Interna ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>82</volume>
<numero>4</numero>
<fpage>194</fpage>
<lpage>197</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2524-177X2019000400194&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2524-177X2019000400194&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2524-177X2019000400194&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Diabetic and hypertensive nephropathy are the leading causes of chronic kidney disease (CKD) and renal replacement therapy worldwide, due to the accelerated deterioration in renal function suffered by patients who fail to meet metabolic control and blood pressure targets, respectively, as well as associated comorbidities that contribute as additional factors of progression, causing a dramatic drop in the glomerular filtration rate with subsequent need for dialysis therapy. Given this scenario, it is paradoxical that there are no preventive programs aimed at the early detection of nephropathy in the general consultation at the different health-care levels, which ultimately leads to a delayed referral to the kidney specialist. If we consider persistent hyperglycemia and abnormally high blood pressure rates as the main triggers for the progression of incipient nephropathy up to the advanced stage, CKD is classified as a preventable disease, if greater medical intervention in the first and second level of care was available, as this would change the evolution of the disease in patients.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Epidemics]]></kwd>
<kwd lng="en"><![CDATA[Kidney failure]]></kwd>
<kwd lng="en"><![CDATA[Disease prevention]]></kwd>
<kwd lng="en"><![CDATA[Primary prevention]]></kwd>
<kwd lng="en"><![CDATA[Straining]]></kwd>
<kwd lng="en"><![CDATA[Mass screening]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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