Chronic kidney disease: Updates, priorities, and current challenges

Jane S Davis1, Kim Zuber

  • 1Jane Davis is a Nephrology Nurse Practitioner at the University of Alabama, Division of Nephrology, Birmingham, AL. Kim Zuber is Executive Director, American Academy of Nephrology PAs, Melbourne, FL.

Nursing
|October 20, 2025
PubMed

Insights

Chronic kidney disease (CKD) is often unrecognized, impacting many people. Nurses play a vital role in its early detection, management, and prevention, especially when comorbid with conditions like diabetes and heart disease.

Area of Science:

  • Nephrology
  • Public Health
  • Nursing Education

Background:

  • Chronic kidney disease (CKD) is a prevalent yet frequently undiagnosed condition.
  • CKD often coexists with common diseases like diabetes and heart disease, highlighting the need for increased awareness.
  • Nurses require comprehensive knowledge of CKD for effective patient care.

Purpose of the Study:

  • To review the prevalence, diagnosis, and screening of CKD.
  • To outline strategies for CKD prevention and interventions to delay disease progression.
  • To identify key nursing roles and strategies in managing patients with CKD.

Main Methods:

  • Literature review on CKD prevalence, diagnosis, screening, and prevention.
  • Analysis of current clinical guidelines for CKD management.
  • Synthesis of evidence-based nursing interventions for CKD care.

Main Results:

  • CKD affects a significant population segment and is often underdiagnosed.
  • Early screening and prevention are crucial for managing CKD.
  • Guideline-directed interventions can effectively delay CKD progression.

Conclusions:

  • Nurses are essential in recognizing and managing CKD.
  • Implementing targeted screening and prevention programs can improve patient outcomes.
  • Adopting evidence-based nursing strategies is critical for optimal CKD patient care.

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