Evidence map›Paper›PMID 42281717›Full record

ReviewCureus2026

Heat Stress and Non-Traditional Chronic Kidney Disease (CKDnt) Among Nepali Migrant Workers: A Climate-Sensitive Global Health Perspective.

Roshan Thapa, Sachita Shrestha, Dinesh Neupane, Janavi Wagle, Pinky Jha

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Roshan ThapaInternal Medicine, Medical College of Wisconsin, Wauwatosa, USA.
Sachita ShresthaInternal Medicine, University of Michigan, Michigan, USA.
Dinesh NeupanePublic Health Sciences, Johns Hopkins Health System, Baltimore, USA.
Janavi WagleInternal Medicine, Brookfield East High School, Brookfield, USA.
Pinky JhaInternal Medicine, Medical College of Wisconsin, Wauwatosa, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Climate change-driven heat exposure is an emerging global health crisis with profound implications for outdoor and manual laborers. Among the most concerning outcomes is chronic kidney disease of non-traditional origin (CKDnt), increasingly documented in regions experiencing extreme temperatures. Nepali migrant workers, primarily employed in construction, manufacturing, and agriculture across Gulf Cooperation Council (GCC) countries, face severe occupational heat exposure with limited labor protections. This perspective examines how chronic heat stress contributes to kidney injury among Nepali migrant workers, synthesizing pathophysiologic mechanisms, epidemiologic trends, qualitative evidence on working conditions, and weaknesses in global and national policy responses. Drawing from comparative findings from countries that are global hotspots of CKDnt, we argue that CKDnt reflects a convergence of climate change, labor exploitation, and global inequity. Strengthening Wet Bulb Globe Temperature (WBGT)-based heat-protection protocols, embedding comprehensive renal screening into migration systems, reforming bilateral labor agreements, and advancing international recognition of CKDnt as a climate-sensitive occupational disease are urgent priorities. Addressing this issue is essential not only for safeguarding migrant health but also for advancing climate justice and sustainable development.

Indexed as

ckdntclimate changeglobal healthheat stress nephropathymigrant workersoccupational hazards

Identifiers

PMID42281717
PMCPMC13249586

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.