PMID- 38196830 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240111 IS - 1178-7058 (Print) IS - 1178-7058 (Electronic) IS - 1178-7058 (Linking) VI - 17 DP - 2024 TI - Impact of Sodium-Glucose Cotransporter-2 Inhibitors in the Management of Chronic Kidney Disease: A Middle East and Africa Perspective. PG - 1-16 LID - 10.2147/IJNRD.S430532 [doi] AB - Chronic kidney disease (CKD) is a major public health concern in the Middle East and Africa (MEA) region and a leading cause of death in patients with type 2 diabetes mellitus (T2DM) and hypertension. Early initiation of sodium-glucose cotransporter - 2 inhibitors (SGLT-2i) and proper sequencing with renin-angiotensin-aldosterone system inhibitors (RAASi) in these patients may result in better clinical outcomes due to their cardioprotective properties and complementary mechanisms of action. In this review, we present guideline-based consensus recommendations by experts from the MEA region, as practical algorithms for screening, early detection, nephrology referral, and treatment pathways for CKD management in patients with hypertension and diabetes mellitus. This study will help physicians take timely and appropriate actions to provide better care to patients with CKD or those at high risk of CKD. CI - (c) 2024 Elkeraie et al. FAU - Elkeraie, Ahmed Fathi AU - Elkeraie AF AUID- ORCID: 0000-0002-0305-2290 AD - Department of Internal Medicine and Nephrology, Alexandria University, Alexandria, Egypt. FAU - Al-Ghamdi, Saeed AU - Al-Ghamdi S AD - Department of Medicine, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. FAU - Abu-Alfa, Ali K AU - Abu-Alfa AK AD - Department of Internal Medicine, Division of Nephrology and Hypertension, American University of Beirut, Beirut, Lebanon. FAU - Alotaibi, Torki AU - Alotaibi T AD - Transplant Nephrology, Hamed Al-Essa Organ Transplant Center, Sabah Health Region, Kuwait City, Kuwait. FAU - AlSaedi, Ali Jasim AU - AlSaedi AJ AD - Department of Nephrology, College of Medicine, University of Baghdad, Nephrology and Transplantation Center, Medical City Complex, Baghdad, Iraq. FAU - AlSuwaida, Abdulkareem AU - AlSuwaida A AD - Department of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Arici, Mustafa AU - Arici M AD - Department of Nephrology, Faculty of Medicine, Hacettepe University, Altindag, Ankara, Turkey. FAU - Ecder, Tevfik AU - Ecder T AD - Department of Medicine, Istinye University; Division of Nephrology, Topkapi, Istanbul, Turkey. FAU - Ghnaimat, Mohammad AU - Ghnaimat M AD - Department of Nephrology, Specialty Hospital, Jaber Ibn Hayyan St. Shmeisani, Amman, Jordan. FAU - Hafez, Mohamed Hany AU - Hafez MH AD - Department of Nephrology and Medicine, Cairo University, Cairo, Egypt. FAU - Hassan, Mohamed H AU - Hassan MH AD - Department of Medicine, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates. FAU - Sqalli, Tarik AU - Sqalli T AD - Department of Nephrology, Moroccan Society of Nephrology, Casablanca, Morocco. LA - eng PT - Journal Article DEP - 20240103 PL - New Zealand TA - Int J Nephrol Renovasc Dis JT - International journal of nephrology and renovascular disease JID - 101550217 PMC - PMC10771977 OTO - NOTNLM OT - chronic kidney disease OT - nephrology referral OT - screening OT - sodium-glucose cotransporter-2 inhibitors COIS- Ahmed Fathi ElKeraie received speaker honoraria from AstraZeneca, Novartis, Boehringer Ingelheim, Sanofi, Johnson and Johnson, Amgen, Roche, Astellas Pharma, Inc., and Fresenius Kabi. Saeed Al-Ghamdi received speaker honoraria from AstraZeneca, Astellas Pharma Inc., AbbVie, and Vifor Pharmaceuticals. Ali K Abu-Alfa received speaking and consulting honoraria and/or research support from Astellas Pharma Inc., AstraZeneca, Baxter Healthcare, Boehringer Ingelheim, Fresenius Medical Care, Novartis and Sanofi-Aventis. His contribution to this publication was made in his individual capacity and not as part of his American University of Beirut or any other organization or institution duties or responsibilities. Mustafa Arici received speaker honoraria from Amgen, Astellas Pharma Inc., AstraZeneca, Bayer, Boehringer Ingelheim, Menarini, MSD, Novo Nordisk, Sandoz and Sanofi. He also received honoraria as an advisory board member for Astellas Pharma Inc., AstraZeneca, Bayer, Boehringer Ingelheim, MSD, and Novo Nordisk. Tevfik Ecder received speaker honoraria from Amgen, Astellas Pharma Inc., AstraZeneca, Bayer, Boehringer Ingelheim, Menarini, Recordati, Sandoz and Sanofi. The authors report no other conflicts of interest in this work. EDAT- 2024/01/10 06:42 MHDA- 2024/01/10 06:43 PMCR- 2024/01/03 CRDT- 2024/01/10 03:43 PHST- 2023/07/18 00:00 [received] PHST- 2023/11/28 00:00 [accepted] PHST- 2024/01/10 06:43 [medline] PHST- 2024/01/10 06:42 [pubmed] PHST- 2024/01/10 03:43 [entrez] PHST- 2024/01/03 00:00 [pmc-release] AID - 430532 [pii] AID - 10.2147/IJNRD.S430532 [doi] PST - epublish SO - Int J Nephrol Renovasc Dis. 2024 Jan 3;17:1-16. doi: 10.2147/IJNRD.S430532. eCollection 2024.