← brief for 2026-09-09 · Slowing decline
Chronic kidney disease of unknown origin - management proposal.
Key takeaways
In farming communities in Central America, Sri Lanka and India, many people lose kidney function for no known reason. They often do not have the usual causes such as diabetes or high blood pressure, and they have little protein in their urine. Suspected triggers include repeated heat stress, farm chemicals, silica particles and contaminated groundwater, but none is proven. This paper proposes how to manage these patients. It is a set of recommendations, not a study, so it carries no new data.
Who did this work
Nieves MC · Nanayakkara N · Garcia-Trabanino R · Jha V · Anand S
Source
Article · PubMed, CKD progression and prevention · 2026 Sep 9
https://pubmed.ncbi.nlm.nih.gov/42714830/