Why work together? Developing effective comanagement strategies for the care of patients with CKD.

The ever-growing population of patients with CKD has prompted an increasing emphasis on earlier identification and proactive management by primary care providers. The provision of effective CKD care will necessitate a collegial relationship between the primary care providers and nephrologists exists. In this paper, barriers to the development of this working relationship, potential solutions within existing practice patterns, and newer ideas for effective communication will be explored.