The size of each section of the triangle has been drawn in proportion to the associated health gains and, thus, the priority for investment. The figure illustrates that of the components of integrated kidney care, treatments that delay or prevent progression from kidney disease to kidney failure should be the highest priority, and hemodialysis (HD) should be the lowest priority. Within the various modalities available for kidney replacement among people with kidney failure, kidney transplantation should be the highest priority and HD should be the lowest priority.
However, within countries that choose to offer kidney replacement, a mix of all 3 modalities will often be most appropriate. Treatments that delay or prevent progression from kidney disease to kidney failure include those aimed at treatment of the primary kidney disease, such as immunosuppressive medications for people with lupus nephritis.