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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 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...
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...
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...
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration01:28

Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration

Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area. This equation is...
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...

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Screening for chronic kidney disease: which strategy?

Stein I Hallan1, Paul Stevens

  • 1Department of Renal Medicine, St. Olav University Hospital, Trondheim, Norway. stein.hallan@ntnu.no

Journal of Nephrology
|February 16, 2010
PubMed
Summary

Screening for chronic kidney disease (CKD) is not recommended for the general population. However, high-risk individuals, including those with diabetes mellitus, hypertension, or over 60, should undergo kidney function tests.

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Area of Science:

  • Nephrology
  • Public Health
  • Internal Medicine

Background:

  • Screening for chronic kidney disease (CKD) is increasingly advocated but faces criticism and lacks universal acceptance.
  • Current screening strategies require improvement in efficiency and diagnostic accuracy.

Purpose of the Study:

  • To discuss challenges in CKD screening.
  • To suggest improvements in diagnostic and therapeutic strategies for CKD.
  • To identify optimal screening criteria and patient management approaches.

Main Methods:

  • Analysis of current CKD screening problems and limitations.
  • Review of diagnostic criteria, including glomerular filtration rate and albuminuria.
  • Discussion of risk stratification for CKD progression and cardiovascular events.

Main Results:

  • Diabetes mellitus, hypertension, and age >60 are key inclusion criteria for CKD screening.
  • A small proportion of detected CKD cases progress to end-stage renal disease (ESRD).
  • Albuminuria is crucial for stratifying CKD stages and predicts cardiovascular events.

Conclusions:

  • General population CKD screening is not advised.
  • High-risk groups (diabetes, hypertension, age >60) require glomerular filtration rate estimation and albuminuria testing.
  • Enhanced primary and secondary care collaboration is essential for implementing CKD guidelines.