With a population of 1.2 billion people, India is one of the rapidly emerging economies of the world. However, the country still has a low-income economy. Prof Abraham states that about 10% of the population has chronic kidney disease (CKD), and the prevalence of stage 4 CKD, age adjusted, is 150–232 per million population. Due to cost and unaffordability of healthcare services, more than 95% of Indian patients with CKD die when they reach end-stage kidney failure. Malnutrition is common among patients with CKD, especially those on dialysis, with resulting increased morbidity and mortality. Prof Abraham argues that nutrition assessment using multiple parameters is essential for early intervention and has significant impact on patient care.
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