David W Johnson1, Tim Usherwood. 1. University of Queensland at Princess Alexandra Hospital, Brisbane, Queensland. david_johnson@health.qld.gov.au
Abstract
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. DISCUSSION: 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%.
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. DISCUSSION: 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%.
Authors: John Gunstad; Therese Anne Keary; Mary Beth Spitznagel; Athena Poppas; Robert H Paul; Lawrence H Sweet; Karin F Hoth; Andreana P Haley; Daniel E Forman; Ronald A Cohen Journal: Int J Neurosci Date: 2009 Impact factor: 2.292