TY - JOUR
T1 - The role of the primary care physician in managing early stages of chronic kidney disease
AU - Coritsidis, George N.
AU - Linden, Ellena
AU - Stern, Aaron S.
N1 - Funding Information:
The authors developed this review article from their continuing medical education symposium “Chronic Kidney Disease: What Every Primary Care Physician Needs to Know,” which was presented May 13, 2010 in East Elmhurst, NY. Assistance editing the authors’ first draft and preparing the manuscript for publication was provided by Andrew Cooper, PhD, CMPP and Kim Coleman Healy, PhD, of Envision Scientific Solutions; editorial assistance was supported by Genzyme Corporation. The authors adhered to all International Committee of Medical Journal Editors qualifications for authorship and are solely responsible for the manuscript content.
PY - 2011/9
Y1 - 2011/9
N2 - Recent increases in obesity, diabetes, and hypertension, along with the aging of the US population, are driving a dramatic rise in the prevalence of chronic kidney disease (CKD). Despite this increase, the majority of Americans with early-stage CKD remain unaware of their disease. Primary care physicians are at the forefront of efforts for early recognition of CKD and management to control its progression. Patients with CKD should be referred to nephrologists no later than the point at which their estimated glomerular fi ltration rate reaches 30 mL/ min. Nephrology evaluation at this point is essential to facilitate timely preparation for care of end-stage renal disease through preemptive transplantation or planned transition to dialysis. In addition to stringent control of underlying hypertension and/or diabetes, mineral metabolic parameters (serum parathyroid hormone, phosphorus, calcium, and bicarbonate) in patients with advancing CKD should be managed closely to avoid adverse effects on the cardiovascular and skeletal systems.
AB - Recent increases in obesity, diabetes, and hypertension, along with the aging of the US population, are driving a dramatic rise in the prevalence of chronic kidney disease (CKD). Despite this increase, the majority of Americans with early-stage CKD remain unaware of their disease. Primary care physicians are at the forefront of efforts for early recognition of CKD and management to control its progression. Patients with CKD should be referred to nephrologists no later than the point at which their estimated glomerular fi ltration rate reaches 30 mL/ min. Nephrology evaluation at this point is essential to facilitate timely preparation for care of end-stage renal disease through preemptive transplantation or planned transition to dialysis. In addition to stringent control of underlying hypertension and/or diabetes, mineral metabolic parameters (serum parathyroid hormone, phosphorus, calcium, and bicarbonate) in patients with advancing CKD should be managed closely to avoid adverse effects on the cardiovascular and skeletal systems.
KW - Chronic kidney disease
KW - Chronic kidney disease mineral and bone disorder
KW - Diabetes
KW - Estimated glomerular fi ltration rate
KW - Hypertension
UR - http://www.scopus.com/inward/record.url?scp=80052748392&partnerID=8YFLogxK
U2 - 10.3810/pgm.2011.09.2473
DO - 10.3810/pgm.2011.09.2473
M3 - Article
C2 - 21904100
AN - SCOPUS:80052748392
SN - 0032-5481
VL - 123
SP - 177
EP - 185
JO - Postgraduate Medicine
JF - Postgraduate Medicine
IS - 5
ER -