REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot175210.32687/1561-5936-2025-29-1-37-41Original ArticleMedical, social aspects of chronic kidney diseaseBezymyannyyAlexey S.dkd@zdrav.mos.ruMingazovaElmira N.elmira_mingazova@mail.ruDirectorate for the coordination of the activities of medical organizations of the Moscow Department of Health, Moscow, RussiaKazan State Medical University, Kazan, RussiaN. A. Semashko National Research Institute of Public Health, Moscow, Russian Federation151220251374115102025Copyright © 2025,2025In the modern world, there are high risks of kidney damage in the aging population, especially in the presence of severe concomitant conditions such as diabetes mellitus, hypertension, cardiovascular diseases, as well as after complex surgical operations. After reaching the age of 40—50 years, there is a gradual decrease in glomerular filtration rate (GFR), an indicator reflecting the effectiveness of the kidneys. The social determinants of CKD include lifestyle and living conditions, including housing conditions, food security, psychological factors, socio-economic level, educational level, and access to medical care. Screening, primarily aimed at high-risk individuals, including patients with hypertension, diabetes mellitus, and people over the age of 65, is being implemented worldwide to identify people with CKD.chronic kidney diseasemedical and social factorsrisksdeterminantsold agescreening diagnosticsхроническая болезнь почекмедико-социальные факторырискидетерминантыпожилой возрастскринингдиагностика[Wolf U, Ghadir H, Drewas L, Neef R. Underdiagnosed CKD in geriatric trauma patients and potent prevention of renal impairment from polypharmacy risks through Individual Pharmacotherapy Management (IPM-III). J Clin Med. 2023;12(13):4545. DOI: 10.3390/jcm12134545][Vaidya SR, Aeddula NR. Chronic kidney disease. Treasure Island; 2024.][Oude Engberink A, Tessier G, Kamil I, et al. 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