Practical Strategies for Diagnosis and Treatment of CKD

Abstract

The burden of Chronic Kidney Disease (CKD) will rise markedly -by 2040, it will be among the five leading causes of death worldwide. In the early stages, the disease is usually asymptomatic, which is why in many cases the diagnosis is lacking and the disease remains untreated. The uncurbed progression limits therapeutic options and increases the likelihood of End-Stage Kidney Disease (ESKD), cardiovascular events, and ultimately premature mortality. Risk factors play a central role in identifying people living with CKD who must be screened using guideline-based diagnostics. A multimorbid approach that targets kidney, but also cardiovascular risk and comprises lifestyle modifications as well as pharmacological treatment is necessary to successfully manage the disease. This review summarizes current strategies for the management of CKD with emphasis on primary care management and aims to highlight the importance of General Practitioners (GPs) in the diagnosis and care of people with CKD.