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A practical approach to chronic kidney disease in primary care
Seng Wee Cheo1, Qin Jian Low2, Tzyy Huei Lim2
1MRCP (UK), Department of Internal Medicine, Hospital Lahad Datu, Lahad Datu Sabah, Malaysia.
Insights
Chronic kidney disease (CKD) is a growing concern in Malaysia. Early diagnosis and prevention are key to managing CKD, as there is currently no cure.
Area of Science:
- Nephrology
- Primary Care Medicine
- Public Health
Background:
- Chronic kidney disease (CKD) is a significant health issue in primary care.
- CKD incidence and prevalence are rising in Malaysia, linked to non-communicable diseases.
- Current treatments focus on early diagnosis and slowing disease progression due to the lack of a cure.
Purpose of the Study:
- To present a practical approach for managing CKD in primary care settings.
- To outline diagnostic criteria and evaluation methods for CKD.
- To detail management strategies for CKD patients.
Main Methods:
- Review of current clinical guidelines and literature on CKD.
- Description of diagnostic workup for suspected kidney abnormalities.
- Outline of evidence-based management principles for CKD.
Main Results:
- CKD is defined by kidney abnormalities present for at least 3 months.
- Increasing non-communicable diseases correlate with rising CKD rates in Malaysia.
- Effective CKD management relies on timely diagnosis and intervention.
Conclusions:
- A practical, systematic approach to CKD diagnosis and management is essential in primary care.
- Early detection and prevention of progression are crucial for improving CKD outcomes.
- Primary care physicians play a vital role in the longitudinal care of CKD patients.
Abstract:
Chronic kidney disease (CKD), a common clinical problem in primary care, can be defined as any abnormality of the kidney structure and/or function that has been present for at least 3 months. Over the past 20 years, the incidence and prevalence of CKD have been increasing in Malaysia in line with the rising number of non-communicable diseases. At present, CKD has no cure. The treatment of CKD is very much dependent on early diagnosis and prevention of CKD progression. In this article, we aim to illustrate a practical approach to CKD in primary care, including diagnosis, evaluation, and management of CKD.
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