[Clinical guidelines on identification,  management and complications  of chronic kidney disease].
The key messages of these guidelines on chronic kidney disease are: Chronic kidney disease (CKD) is a public health problem due to its wide distribution, high rate of complications and cost. CKD is a common condition, its prevalence being about 10%, and is treatable if it is detected on time. A patient with CKD has a higher risk of cardiovascular mortality than of progression of its underlying renal disease. A new definition of CKD, based on estimated Glomerular Filtration Rate (eGFR) and kidney damage, facilitates its detection and management. CKD is detected with three simple tests: 1) Blood pressure measurement, 2) Detection of proteinuria or albuminuria in an isolated urine sample, and 3) Estimation of renal function (eGFR), based on serum creatinine, age, gender and race. The CKD risk groups are individuals with diabetes, hypertension and a family history of renal disease. The most cost-effective measures are to detect and treat diabetic and hypertensive patients in the community. Therapy must emphasize the maximal reduction of cardiovascular risk. The complications of CKD such as anemia and renal osteodystrophy can be identified and treated on time. Most patients with chronic kidney disease are detected in the community, therefore their initial care must be organized at the level of primary care, along with programs for hypertension and diabetes.
Flores
Juan C
JC
Alvo
Miriam
M
Borja
Hernán
H
Morales
Jorge
J
Vega
Jorge
J
Zúñiga
Carlos
C
Müller
Hans
H
Münzenmayer
Jorge
J
D000419:Albuminuria / Q000175:diagnosis / Q000628:therapy; D002677:Chile; D048909:Diabetes Complications / Q000175:diagnosis / Q000628:therapy; D006417:Hematuria / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000150:complications; D007676:Kidney Failure, Chronic / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D007677:Kidney Function Tests; D011507:Proteinuria / Q000175:diagnosis / Q000628:therapy