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Managing advanced chronic kidney disease: a primary care guide
Ankit Sakhuja1, Jennifer Hyland, James F Simon
1Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Primary care physicians can manage early chronic kidney disease (CKD) with specialist nephrology input. As CKD progresses, care transitions to nephrologists for end-stage renal disease, including dialysis and transplantation.
Area of Science:
- Nephrology
- Internal Medicine
- Primary Care
Background:
- Chronic kidney disease (CKD) is a prevalent condition requiring coordinated patient care.
- Effective management of CKD necessitates collaboration between primary care physicians and nephrologists.
Purpose of the Study:
- To outline the collaborative care model for managing chronic kidney disease (CKD).
- To define the roles of primary care physicians and nephrologists in different stages of CKD.
Main Methods:
- Review of current clinical guidelines and best practices for CKD management.
- Analysis of care transition points based on disease progression.
Main Results:
- Early-stage CKD is manageable in primary care with nephrology consultation.
- Advanced and end-stage CKD require specialized nephrology care, including renal replacement therapies.
Conclusions:
- A collaborative approach ensures optimal CKD patient outcomes.
- Timely transition of care to nephrologists is crucial as CKD advances towards end-stage renal disease.
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