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Epidemiology and Challenges to the Management of Advanced CKD

Azzour D Hazzan1, Candice Halinski1, Sofia Agoritsas1

  • 1SB Division of Nephrology, Department of Medicone, Hofstra Northwell School of Medicine, Great Neck, NY; and Division of Nephrology, Lenox Hill Hospital, New York, NY.

Advances in Chronic Kidney Disease
|June 22, 2016
PubMed

Insights

Advanced chronic kidney disease (CKD) care requires different strategies as kidney function declines. Optimal management during advanced CKD is crucial for better transitions to end-stage renal disease (ESRD).

Area of Science:

  • Nephrology
  • Internal Medicine
  • Public Health

Background:

  • Advanced chronic kidney disease (CKD) presents unique treatment challenges.
  • Kidney function decline necessitates planning for renal replacement therapy.
  • Effective management in advanced CKD improves outcomes for end-stage renal disease (ESRD).

Purpose of the Study:

  • To review definitions and epidemiology of advanced CKD.
  • To discuss the outcomes associated with advanced CKD.
  • To highlight barriers to optimal advanced CKD care.

Main Methods:

  • Literature review of advanced CKD definitions.
  • Analysis of epidemiological data for advanced CKD.
  • Examination of outcomes and care barriers in advanced CKD.

Main Results:

  • Advanced CKD is characterized by distinct treatment goals.
  • Substantial barriers impede optimal care for advanced CKD patients.
  • Understanding epidemiology and outcomes is key for improved patient management.

Conclusions:

  • Successful management of advanced CKD is vital for patient outcomes.
  • Addressing care barriers can enhance transitions to ESRD.
  • Further research into advanced CKD definitions and epidemiology is warranted.

Keywords:
CKDDialysis preparationEpidemiology

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