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Chronic Kidney Disease (cont.)

Chronic Kidney Disease Prevention and Prognosis

Chronic kidney disease cannot be prevented in most situations. The patient may be able to protect their kidneys from damage, or slow the progression of the disease by controlling their underlying conditions such as diabetes mellitus and high blood pressure.

  • Kidney disease is usually advanced by the time symptoms appear. If a patient is at high risk of developing chronic kidney disease, they should see their health care practitioner as recommended for screening tests.
  • If a patient has a chronic condition such as diabetes, high blood pressure, or high cholesterol, they should follow the treatment recommendations of their health care practitioner. The patient should see their health care practitioner regularly for monitoring. Aggressive treatment of these diseases is essential.

The patient should avoid exposure to drugs especially NSAIDs (nonsteroidal anti-inflammatory drugs), chemicals, and other toxic substances as much as possible.

Chronic Kidney Disease Prognosis

There is no cure for chronic kidney disease. The natural course of the disease is to progress until dialysis or transplant is required.

  • Patients with chronic kidney disease are at a much higher risk than the general population to develop strokes and heart attacks.
  • People undergoing dialysis have an overall 5-year survival rate of 32%. The elderly and those with diabetes have worse outcomes.
  • Recipients of a kidney transplant from a living related donor have a 2-year survival rate greater than 90%.
  • Recipients of a kidney from a donor who has died have a 2-year survival rate of 88%.
Medically Reviewed by a Doctor on 11/11/2014
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Read What Your Physician is Reading on Medscape

Chronic Kidney Disease »

Chronic kidney disease (CKD) is characterized by an irreversible deterioration of renal function that gradually progresses to end-stage renal disease (ESRD).

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