Chronic Kidney Disease (cont.)
Chronic Kidney Disease Prevention
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.
- The elderly and those who have diabetes have worse outcomes.
- People undergoing dialysis have an overall 5-year survival of 40%. Those who undergo peritoneal dialysis have a 5-year survival of 50%.
- Transplant patients who receive a live donor kidney have a 5-year survival of 87% and those who receive a kidney from a deceased donor have a 5-year survival of almost 75%.
- Survival continue to increase for patients with chronic renal disease. Mortality has decreased by 28% for dialysis patients and 40% for transplant patients since 1996.
Support Groups and Counseling for Chronic Kidney Disease
American Association of Kidney Patients
American Kidney Fund
National Kidney Foundation
Kasper, D., et al. Harrison’s Principles of Internal Medicine. McGraw-Hill Education/Medical. 19th edition, 2015.
"Kidney Disease: Improving Global Outcomes (KDIGO)." Kidney Disease Improving Global Outcomes (KDIGO). 2008.
"National Kidney Foundation Guidelines and Commentaries." National Kidney Foundation. 2012.
"U.S. Renal Data System, USRDS 2015 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States." National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Bethesda, MD. 2015.
Medically Reviewed by a Doctor on 2/23/2016
Pranay Kathuria, MD, FACP, FASN, FNKF
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