Chronic kidney disease--management update.
BACKGROUND
Chronic kidney disease (CKD), defined as a glomerular filtration rate less than 60 mL/min/1.73 m2 and/or evidence of kidney damage for a period of at least 3 months, is an increasingly common, serious and under-recognised condition. A recent population study demonstrated that one in every 6 Australian adults has CKD (of which the vast majority are unaware).


OBJECTIVE
This article aims to provide timely information to health professionals about how to classify and manage CKD.


CONCLUSIONS
Management of CKD involves regular monitoring of cardiovascular and renal risk factors, identifying and treating common CKD complications, and avoiding medications that may worsen CKD. Early detection and timely appropriate management of CKD (especially with respect to blood pressure control) will substantially reduce kidney failure progression and cardiovascular risk by up to 50%.
Johnson
David W
DW
University of Queensland at Princess Alexandra Hospital, Brisbane, Queensland. david_johnson@health.qld.gov.au
Usherwood
Tim
T
D000328:Adult; D000740:Anemia / Q000209:etiology / Q000628:therapy; D001786:Blood Glucose / Q000378:metabolism; D004044:Dietary Proteins / Q000008:administration & dosage; D005194:Family Practice / Q000379:methods*; D006801:Humans; D006937:Hypercholesterolemia / Q000188:drug therapy / Q000209:etiology; D006973:Hypertension / Q000209:etiology / Q000517:prevention & control; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D007676:Kidney Failure, Chronic / Q000150:complications / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy*; D009765:Obesity / Q000150:complications / Q000517:prevention & control; D010819:Physician's Role; D017410:Practice Guidelines as Topic; D011507:Proteinuria / Q000209:etiology / Q000517:prevention & control; D016540:Smoking Cessation / Q000379:methods
D001786:Blood Glucose; D004044:Dietary Proteins; D000960:Hypolipidemic Agents