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Chronic kidney disease--management update
David W Johnson1, Tim Usherwood
1University of Queensland at Princess Alexandra Hospital, Brisbane, Queensland. david_johnson@health.qld.gov.au
Insights
Chronic kidney disease (CKD) affects 1 in 6 Australians, often unnoticed. Early detection and management of CKD, including blood pressure control, can halve kidney failure and cardiovascular risk.
Area of Science:
- Nephrology
- Public Health
Background:
- Chronic kidney disease (CKD) is a prevalent, serious, and underdiagnosed condition.
- Defined by reduced glomerular filtration rate or kidney damage for over 3 months.
- Affects approximately 1 in 6 Australian adults, with most unaware of their condition.
Purpose of the Study:
- To provide health professionals with essential information on classifying and managing CKD.
- To highlight the importance of timely interventions for CKD patients.
Main Methods:
- This article synthesizes current knowledge on CKD classification and management.
- Focuses on risk factor monitoring, complication treatment, and medication avoidance.
Main Results:
- Regular monitoring of cardiovascular and renal risk factors is crucial.
- Identifying and treating common CKD complications is essential for patient care.
- Avoiding medications that exacerbate CKD is a key management strategy.
Conclusions:
- Early detection and appropriate management of CKD, particularly blood pressure control, are vital.
- Effective CKD management can reduce kidney failure progression by up to 50%.
- Timely interventions significantly decrease cardiovascular risk in CKD patients.
Background:
Chronic kidney disease (CKD), defined as a glomerular filtration rate less than 60 mL/min/1.73 m2 and/or evidence of kidney damage for a period of at least 3 months, is an increasingly common, serious and under-recognised condition. A recent population study demonstrated that one in every 6 Australian adults has CKD (of which the vast majority are unaware).
Objective:
This article aims to provide timely information to health professionals about how to classify and manage CKD.
Discussion:
Management of CKD involves regular monitoring of cardiovascular and renal risk factors, identifying and treating common CKD complications, and avoiding medications that may worsen CKD. Early detection and timely appropriate management of CKD (especially with respect to blood pressure control) will substantially reduce kidney failure progression and cardiovascular risk by up to 50%.
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