Chronic kidney disease – a role of nephrologists and general practitioner

Česká verzia

Authors: M. Kubišová; S. Dusilová Sulková
Authors place of work: Přednosta: prof. MUDr. Luboš Sobotka, CSc. ; Nefrologické oddělení Kliniky gerontologické a metabolické, FN a LF UK Hradec Králové
Published in the journal: Prakt. Lék. 2009; 89(5): 261-264
Category: Case Report

Summary

The article describes the case report of a patient with chronic kidney disease (CKD) progressing to renal failure necessitating the introduction of haemodialysis. Chronic kidney disease affects as many as 10 % of population, however only a fraction leads to renal failure. Treatment and follow-up by a nephrologist may slow CKD progression and defer haemodialysis, to better prepare a patient for this treatment and thus, to make introduction of haemodialysis simpler. Nephrologists may better diagnose and treat secondary complications associated with diminishing renal function.

Key words:
chronic kidney disease, polycystic kidney, renal failure, anaemia, hyperparathyreosis, left heart hypertrophy, haemodialysis.

Zdroje

1. Ayus, J.C., Valderabano, F., Verde, E. et al. Effects of erythropoietin on left ventricular hypertrophy in adults with severe chronic renal failure and hemoglobin <10 g/dl. Kidney Int. 2005, 68, p. 768-795.

2. Bossola, M., Tazza, L., Vulpio, C., Luciani, G. Is regression of left ventricular hypertrophy in maintenance hemodialysis patients possible. Semin. Dial. 2008, 21, 5, p. 422-430.

3. Care and referral of adult patients with reduced renal function. Recommendations from the Canadian Society of Nephrology. Dostupné na http://csnscn.ca/local/files/guidelines/implementationscommittee/CKDReferralSummary2007.doc

4. European Best Practice Guidelines Expert Group on Hemodialysis: Section I. Measurement of renal function, when to refer and when to start dialysis. Nephrol. Dial. Transplant. 2002, 17, Suppl.7, p. 7-15.

5. Jungers, P. Late referral: loss of chance for the patient, loss of money for society. Nephrol. Dial. Transplant. 2002, 17, p. 371-375.

6. Levey, A.S., Eckardt, K.U., Tsukamoto, Y. et al. Definition and classification of chronic kidney disease: a position statement from Kidney Disease: Improving Global Outcome (KDIGO). Kidney Int. 2005, 67, p. 2089-2100.

7. Kidney Disease Outcomes Quality Initiative. Clinical Practice Guidelines for chronic kidney disease: evaluation, classification and stratification. Am. J. Kidney Dis. 2002, 39 (Suppl.1), p. S46-S75.

8. Navaneethan, S.D., Aloudat, S., Singh, S. A systematic review of patients and health system characteristics associated with late referral in chronic kidney disease. BMC Nephrology [on line] doi 10.1186/1471-2369-9-3. Dostupné na www.biomedcentral.com/1471-2369-9-3

9. Rychlík, I., Lopot, F. Statistická ročenka dialyzační léčby v České republice v roce 2007. [on line] Dostupná v pdf formátu na www.nefrol.cz.

10. Wauters, J.P., Lameire, N., Davison, A., Ritz, E. Why patients with progressing kidney disease are referred late to the nephrologist: on cause and proposals for improvement. Nephrol. Dial.Transplant. 2005, 20, p. 490-496.