Autosomal dominant polycystic kidney disease: a case study

Area of Science:

• Nephrology
• Genetics
• Primary Care Medicine

Background:

• Autosomal dominant polycystic kidney disease (ADPKD) is the leading genetic cause of chronic kidney disease (CKD) and end-stage renal disease in adults.
• CKD management is increasingly shifting to primary care settings, highlighting the need for primary care providers (PCPs) to understand ADPKD.
• Accurate diagnosis typically relies on kidney imaging and genetic testing.

Observation:

• This article presents a case study detailing the management of an ADPKD patient by a family nurse practitioner (FNP) in collaboration with a nephrologist.
• The case illustrates the complexities of ADPKD care within a primary care context.

Findings:

• ADPKD diagnosis is primarily based on imaging and genetic analysis.
• Effective ADPKD treatment presents challenges for PCPs, necessitating collaborative care with nephrologists.
• The case study demonstrates a model for comprehensive patient management.

Implications:

• Enhanced PCP awareness and understanding of ADPKD are crucial for early diagnosis and intervention.
• Multidisciplinary collaboration between PCPs and nephrologists is essential for managing ADPKD patients effectively.
• A continuum of care, extending through end-of-life, can be established for individuals with ADPKD.