Primary Care of the Patient with Chronic Kidney Disease

Meghan M Kiefer; Michael J Ryan

doi:10.1016/j.mcna.2015.05.003

Primary Care of the Patient with Chronic Kidney Disease

Med Clin North Am. 2015 Sep;99(5):935-52. doi: 10.1016/j.mcna.2015.05.003.

Authors

Meghan M Kiefer¹, Michael J Ryan²

Affiliations

¹ Division of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. Electronic address: [email protected].
² Division of Nephrology, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.

PMID: 26320040
DOI: 10.1016/j.mcna.2015.05.003

Abstract

Chronic kidney disease (CKD) is defined by reduced estimated glomerular filtration rate, increased proteinuria, or both. CKD affects more than 10% of US adults, or 20 million people, and the numbers are rising as the population ages. However, CKD remains underdiagnosed. Diabetes and hypertension are the most common causes of CKD. Although end-stage renal disease is a feared complication of CKD, patients with CKD have a much greater risk of dying of cardiovascular (CV) disease than progressing to kidney failure. Special effort should be made to address modifiable CV risk factors in patients with CKD.

Keywords: Albuminuria; Chronic disease management; Chronic kidney disease; Primary care; Proteinuria.

Publication types

Review

MeSH terms

Cardiovascular Diseases / etiology
Cardiovascular Diseases / prevention & control*
Disease Management*
Disease Progression
Early Diagnosis
Early Medical Intervention
Glomerular Filtration Rate
Humans
Primary Health Care / methods
Proteinuria / diagnosis
Renal Insufficiency, Chronic* / complications
Renal Insufficiency, Chronic* / diagnosis
Renal Insufficiency, Chronic* / physiopathology
Renal Insufficiency, Chronic* / therapy