Volume 5 -Issue 2 and at end stage. This is worse in our environment where empirical treatment of nephrology patients' overrides biopsy based treatment [4,5]. Different authors have put forward research findings which suggest that age, environmental influence and race are contributory to the development and progression of CKD. De Mulder PH, et al.[6] and Rowe JW, et al. [7] in their separate reports observed gradual loss of renal function with age while Odenigbo et al reported that the burden of infection and other environmental factors by most developing countries including Nigeria contribute to the broadened spectrum of chronic kidney diseases [6][7][8]. Besides, other workers have documented that CKD is more common among people of black race than other races, and that ESRD constitutes the leading cause of death in Africa [9][10][11]. Also, ESRD causes an enormous socio-economic burden on our society and the health care systems,