The management of CKD: a look into the future

A Khwaja1, M El Kossi, J Floege

  • 1Department of Academic Nephrology, Sheffield Kidney Institute, Sheffield, UK. arif.khwaja@sth.nhs.uk

Kidney International
|August 19, 2007
PubMed

Insights

Chronic kidney disease (CKD) is a growing global health issue. This review explores new experimental therapies targeting kidney fibrosis to slow CKD progression, offering hope beyond current treatments.

Area of Science:

  • Nephrology
  • Fibrosis Research
  • Translational Medicine

Background:

  • Chronic kidney disease (CKD) and end-stage renal disease (ESRD) present significant global public health and economic challenges.
  • Progressive kidney fibrosis is a hallmark of CKD, driving disease progression.
  • Current treatments primarily focus on blood pressure control, with limited options targeting the fibrotic process itself.

Purpose of the Study:

  • To review experimental therapeutic strategies for slowing CKD progression.
  • To explore novel approaches that prevent or reverse kidney fibrosis.
  • To highlight potential treatments targeting the underlying mechanisms of kidney remodeling.

Main Methods:

  • Literature review of experimental studies on kidney fibrosis.
  • Analysis of pathophysiologic steps in kidney remodeling.
  • Exploration of therapeutic targets for fibrotic processes.

Main Results:

  • Limited current therapies exist for targeting kidney fibrosis directly.
  • Experimental strategies show promise in preventing or reversing fibrosis.
  • Understanding kidney remodeling pathways is key to developing new treatments.

Conclusions:

  • Novel therapeutic strategies targeting kidney fibrosis are crucial for managing CKD.
  • Experimental approaches offer potential for slowing CKD progression.
  • Further research into fibrotic mechanisms may yield effective treatments.

Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of fluid...
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...