TY - JOUR
T1 - Women and kidney health
T2 - conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference
AU - Conference Participants
AU - Piccoli, Giorgina Barbara
AU - Ahmed, Sofia B.
AU - Fakhouri, Fadi
AU - Garovic, Vesna D.
AU - Hladunewich, Michelle A.
AU - Jesudason, Shilpanjali
AU - Prakash, Jai
AU - Webster, Angela C.
AU - Zakharova, Elena
AU - Cheung, Michael
AU - King, Jennifer M.
AU - Jadoul, Michel
AU - Winkelmayer, Wolfgang C.
AU - Wyatt, Christina M.
AU - Ankawi, Ghada
AU - Attini, Rossella
AU - Bajpai, Divya
AU - Beckerman, Pazit
AU - Bramham, Kate
AU - Brown, Edwina A.
AU - Camilleri, Céline
AU - Collister, David
AU - da Silva Santos, Iara
AU - De La Mata, Nicole L.
AU - de Lourdes Noronha, Irene
AU - Dumanski, Sandra M.
AU - Gaipov, Abduzhappar
AU - Gomez, Lynn A.
AU - González-Bedat, María Carlota
AU - Gutiérrez, Abril
AU - Grams, Morgan E.
AU - Hockham, Carinna
AU - Karumanchi, S. Ananth
AU - Kattah, Andrea G.
AU - Kozlovskaya, Natalia L.
AU - Kramer, Holly J.
AU - Lees, Christoph C.
AU - Lees, Jennifer S.
AU - Lely, A. Titia
AU - Levin, Adeera
AU - Lightstone, Liz
AU - Lucas, Anika
AU - Luders, Claudio
AU - Luyckx, Valerie A.
AU - Madero, Magdalena
AU - Makris, Angela
AU - Małyszko, Jolanta
AU - Martin, Dominique E.
AU - Metcalfe, Amy
AU - Moroni, Gabriella
N1 - Publisher Copyright:
© 2025 Kidney Disease: Improving Global Outcomes (KDIGO)
PY - 2025
Y1 - 2025
N2 - The KDIGO (Kidney Disease: Improving Global Outcomes) Controversies Conference on Women and Kidney Health was convened to identify key sex and gender issues in kidney care, practices for optimizing healthcare in women with kidney diseases, and priorities for future research. Participants emphasized the importance of addressing the influence of sex and gender in diagnosis, risk assessment, prognosis, and treatment of chronic kidney disease (CKD) and its complications, as well as considering issues across the lifespan (puberty, sexual and reproductive health, menopause). CKD is a risk factor for adverse pregnancy outcomes with every type of kidney disease and severity. All women of reproductive age known to have CKD should be counseled on contraception, the ideal timing of pregnancy, the risks and outcomes for mother and fetus, fertility treatments where these are available, medication management, and medical aspects of pregnancy termination. A successful pregnancy is possible across all severities of CKD, including in women living with dialysis or a kidney transplant. Pregnancy should be managed with a multidisciplinary care plan based upon the type of kidney disease and the presence and severity of kidney function impairment, hypertension, and proteinuria. Systematic assessment of blood pressure, proteinuria, and kidney function in all pregnancies would facilitate diagnosis of CKD and detection of acute kidney injury (AKI). Follow-up programs for women who experienced pregnancy-related AKI, preeclampsia, or other hypertensive disorders of pregnancy are important as these conditions may reflect undiagnosed CKD and have important implications for future cardiovascular health.
AB - The KDIGO (Kidney Disease: Improving Global Outcomes) Controversies Conference on Women and Kidney Health was convened to identify key sex and gender issues in kidney care, practices for optimizing healthcare in women with kidney diseases, and priorities for future research. Participants emphasized the importance of addressing the influence of sex and gender in diagnosis, risk assessment, prognosis, and treatment of chronic kidney disease (CKD) and its complications, as well as considering issues across the lifespan (puberty, sexual and reproductive health, menopause). CKD is a risk factor for adverse pregnancy outcomes with every type of kidney disease and severity. All women of reproductive age known to have CKD should be counseled on contraception, the ideal timing of pregnancy, the risks and outcomes for mother and fetus, fertility treatments where these are available, medication management, and medical aspects of pregnancy termination. A successful pregnancy is possible across all severities of CKD, including in women living with dialysis or a kidney transplant. Pregnancy should be managed with a multidisciplinary care plan based upon the type of kidney disease and the presence and severity of kidney function impairment, hypertension, and proteinuria. Systematic assessment of blood pressure, proteinuria, and kidney function in all pregnancies would facilitate diagnosis of CKD and detection of acute kidney injury (AKI). Follow-up programs for women who experienced pregnancy-related AKI, preeclampsia, or other hypertensive disorders of pregnancy are important as these conditions may reflect undiagnosed CKD and have important implications for future cardiovascular health.
KW - acute kidney injury
KW - chronic kidney disease
KW - female
KW - hypertensive disorders of pregnancy
KW - preeclampsia
KW - reproductive health
KW - women
UR - http://www.scopus.com/inward/record.url?scp=105008532221&partnerID=8YFLogxK
U2 - 10.1016/j.kint.2025.02.021
DO - 10.1016/j.kint.2025.02.021
M3 - Article
C2 - 40439632
AN - SCOPUS:105008532221
SN - 0085-2538
JO - Kidney International
JF - Kidney International
ER -
