01-06-2009 | Guidelines
Chapter 15. Follow-up of CKD patients
Published in: Clinical and Experimental Nephrology | Issue 3/2009
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It is important in the follow-up of CKD patients to slow worsening of the disease and to prevent CVD.
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In the case of eGFR ≥ 50 mL/min/1.73 m 2 , primary care physicians manage CKD, collaborating with nephrologists.
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In the case of eGFR < 50 mL/min/1.73 m 2 , primary care physicians and nephrologists manage CKD concurrently.
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A patient is recommended to be referred to nephrologists immediately after onset of abrupt increase of urinary protein or rapid decline of eGFR.
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Strategies of follow-up vary depending on primary diseases for CKD.
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Urinalysis, calculation of eGFR, and image testing are conducted at regular intervals to assess kidney function as well as to try to find CVD.