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Taking a broader view of the health care needs of people with chronic kidney disease

Heather G Mack, Deborah J Colville and Judith A Savige
Med J Aust 2022; 216 (11): . || doi: 10.5694/mja2.51562
Published online: 20 June 2022

To the Editor: We thank Polkinghorne and Kerr1 for their editorial on the health care needs of people with chronic kidney disease (CKD). We write to highlight the burden of visual loss suffered by people with CKD and its effects on quality of life and mortality.


  • 1 University of Melbourne, Melbourne, VIC
  • 2 Melbourne Health, Melbourne, VIC


Correspondence: hmack@eyesurgery.com.au

Competing interests:

Heather Mack is on the Novartis Advisory Board for voretigene neparvovec‐rzyl in Australia.

  • 1. Polkinghorne KR, Kerr PG. Taking a broader view of the health care needs of people with chronic kidney disease. Med J Aust 2022; 216: 137‐138. https://www.mja.com.au/journal/2022/216/3/taking‐broader‐view‐health‐care‐needs‐people‐chronic‐kidney‐disease
  • 2. Nusinovici S, Sabanayagam C, Teo BW, et al. Vision impairment in CKD patients: epidemiology, mechanisms, differential diagnoses, and prevention. Am J Kidney Dis 2019; 73: 846‐857.
  • 3. Kianersi F, Taheri S, Fesharaki S, et al. Ocular manifestations in hemodialysis patients: importance of ophthalmic examination in prevention of ocular sequels. Int J Prev Med 2019; 10: 20.
  • 4. Fox CS, Matsushita K, Woodward M, et al. Associations of kidney disease measures with mortality and end‐stage renal disease in individuals with and without diabetes: a meta‐analysis. Lancet 2012; 380: 1662‐1673.
  • 5. Mahmoodi BK, Matsushita J, Woodward M, et al. Associations of kidney disease measures with mortality and end‐stage renal disease in individuals with and without hypertension: a meta‐analysis. Lancet 2012; 380: 1649‐1661.
  • 6. Ehrlich JR, Ramke J, Macleod D, et al. Association between vision impairment and mortality: a systematic review and meta‐analysis. Lancet Glob Health 2021; 9: e418‐e430.
  • 7. Scott AW, Bressler NM, Ffolkes S, et al. Public attitudes about eye and vision health. JAMA Ophthalmol 2016; 134: 1111‐1118.

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