title: Preventing kidney failure: primary care physicians must intervene earlier.
abstract: Mild chronic kidney disease often goes unnoticed until a substantial loss of renal function has occurred. Given the increasing incidence of chronic kidney disease, primary care physicians play a critical role in the early evaluation and intervention of patients at risk. This article discusses the key steps, with emphasis on patients with mild disease due to diabetes or hypertension.
authors.affiliation: Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio 44106, USA. Christopher.Hebert@med.va.gov
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Hebert
mesh_terms: D000806:Angiotensin-Converting Enzyme Inhibitors; D001794:Blood Pressure; D003404:Creatinine / Q000652:urine; D005919:Glomerular Filtration Rate; D006801:Humans; D007676:Kidney Failure, Chronic / Q000145:classification / Q000175:diagnosis / Q000503:physiopathology / Q000517:prevention & control*; D011507:Proteinuria / Q000209:etiology
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors; D003404:Creatinine