Chronic kidney disease: the nephrologist crisis is now

More patients, fewer doctors: nephrology struggles with a dangerous imbalance

A silent epidemic with no doctors to fight it

Chronic Kidney Disease (CKD) is quickly becoming one of the most urgent global health concerns. And yet, at the same time as its prevalence skyrockets, nephrologists are disappearing. According to the Italian Society of Nephrology, over 61% of available nephrology training positions went unfilled in 2024—a sharp increase from 58% in 2023.

More patients, fewer cures: the healthcare paradox

“CKD is a progressive and endemic disease now more widespread than many chronic illnesses prioritized by the WHO,” warns Luca De Nicola, President of the Italian Society of Nephrology. Over the past 30 years, the number of new dialysis patients has grown by 43%, placing a heavy burden on both patients and national health systems. Despite this, public awareness remains low, and the specialist shortage could make things worse.

Training, prevention, screening: three key actions

The solution, De Nicola explains, lies in investing in nephrology education and implementing early screening programs, especially in collaboration with general practitioners and public institutions. CKD is asymptomatic until its late stages, so early diagnosis is often the only way to avoid dialysis or transplant, with substantial savings for healthcare systems.

A legislative proposal supported by Deputy Speaker of the Chamber, Giorgio Mulè, would launch nationwide screening programs for at-risk populations, offering a turning point in early intervention.

Young Renal Week 2025: building the future of nephrology

That’s the backdrop for Young Renal Week 2025, now taking place in Brescia until May 14. The training week is dedicated to 120 nephrology residents and is a cornerstone of professional development. As Maura Ravera from the Italian Kidney Foundation highlights, educating new specialists is essential not only for saving lives, but for offering a dynamic and forward-looking career path.

“With nephrology in constant evolution and scientific research reshaping CKD treatments,” Ravera concludes, “we must combine traditional medical knowledge with new evidence and technologies.”