title: Management of chronic renal insufficiency: a call for a proactive approach.
abstract: As many as 6.2 million Americans may have chronic renal insufficiency (CRI), an insidious disease that can arise as a result of diabetes, hypertensive nephrosclerosis, chronic glomerulonephritis, and many other disorders. CRI usually progresses over time to end-stage renal disease, when patients require either dialysis or kidney transplantation in order to survive. With this population identified, primary care physicians, nephrologists, and payers have an opportunity to prevent or at least slow the progression of renal disease. The Renal Anemia Management Period (RAMP) may help raise awareness of the need for early diagnosis and aggressive treatment of anemia, one of the leading causes of morbidity in CRI patients. Such treatment has the potential to prevent or control the development of significant morbidity and mortality.
authors.affiliation: Tufts University School of Medicine, New England Medical Center, Boston, USA.
authors.forename: B J
authors.initials: BJ
authors.lastname: Pereira
mesh_terms: D000740:Anemia / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy*; D011314:Preventive Health Services; D013997:Time Factors