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[Definition of CKD and classification of CKD stage]
1Department of Internal Medicine, Nippon Medical School.
Insights
Chronic kidney disease (CKD) poses significant risks, including increased cardiovascular disease and dialysis needs. Early identification and management are crucial for improving patient quality of life.
Area of Science:
- Nephrology
- Cardiovascular Medicine
Context:
- Chronic kidney disease (CKD) is a growing public health concern.
- CKD significantly increases the risk of cardiovascular events, such as myocardial infarction.
- There is a rising incidence of patients requiring dialysis due to kidney failure.
Purpose:
- To define and classify chronic kidney disease (CKD).
- To highlight the importance of CKD evaluation, prevention, and treatment.
- To underscore the impact of CKD on patient quality of life.
Summary:
- CKD is defined by abnormal renal function/morphology (e.g., proteinuria) and an estimated glomerular filtration rate (eGFR) below 60 mL/min.
- CKD is staged 1-5 based on eGFR levels, with stage 1 having eGFR >90 mL/min and stage 5 having eGFR <15 mL/min.
- Despite classification challenges, CKD management is vital for patient outcomes.
Impact:
- Emphasizes the critical role of CKD identification and management in reducing cardiovascular risks.
- Highlights the necessity of standardized CKD staging for effective patient care.
- Underscores the potential for improved quality of life through proactive CKD interventions.
Abstract:
CKD is important, because of not only the breaking increase of dialysis patients, but also the increase of risk to cardiovascular disease especially myocardial infarction. Definition of CKD is consisted with 2 criteria, one is abnormal renal function or morphology especially proteinuria. Second is eGFR less than 60 mL/min calculated by the equation using serum creatinine. CKD is classified by eGFR from stage 1 to stage 5. stage 1 is eGFR being more than 90 mL/min and with other renal abnormality such as proteinuria. In stage 2, eGFR is between 60-90 mL/min, in stage 3, 30-60 mL/min, in stage 4, 15-30 mL/min, and in stage 5, under 15 mL/min, respectively. There are many issues including this definition and classification of CKD, but still CKD is important for evaluation, prevention, and treatment, in terms of improving QOL of peoples.
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Chronic Kidney Disease IV: Nursing Management
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