Chronic renal disease

doi:10.1136/bmj.325.7355.85

BMJ 2002;325:85-90 ( 13 July )

Clinical review

Chronic renal disease

Malvinder S Parmar, director of dialysis.

Timmins and District Hospital, Timmins, ON, Canada

Correspondence to: 707 Ross Avenue East, Suite 108, Timmins, ON, Canada P4N 8R1 atbeat@ntl.sympatico.ca

The first 150 words of the full text of this article appear below.

Early identification and active management of patients with renal impairment in primary care can improve outcomes

The number of patients with end stage renal disease is growing worldwide. About 20-30 patients have some degree of renal dysfunctionfor each patient who needs renal replacement treatment.¹ Diabetesand hypertension are the two most common causes of end stage renaldisease and are associated with a high risk of death from cardiovasculardisease.

Mortality in patients with end stage renal disease remains 10-20 times higher than that in the general population. The focusin recent years has thus shifted to optimising the care of thesepatients during the phase of chronic kidney disease, before theonset of end stage renal disease. This review summarises currentknowledge about the various stages of chronic renal disease, therisk factors that lead to progression of disease, and their associationwith common cardiovascular risk factors. It also provides . . . [Full text of this article]

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Detecting renal impairment early improves outcome
BMJ 2002 325: 0. [Full Text]

This article has been cited by other articles:

Fox, C. H., Brooks, A., Zayas, L. E., McClellan, W., Murray, B. (2006). Primary Care Physicians' Knowledge and Practice Patterns in the Treatment of Chronic Kidney Disease: An Upstate New York Practice-based Research Network (UNYNET) Study. J Am Board Fam Med 19: 54-61 [Abstract] [Full text]
Parmar, M. S (2004). Recurrent hypoglycaemia in a diabetic patient as a result of unexpected renal failure. BMJ 328: 883-884 [Full text]

Rapid Responses:

Read all Rapid Responses

chronic renal disease: Maurice COHEN
bmj.com, 17 Jul 2002 [Full text]
Chronic renal insufficiency in older people: cystatin C should be mentioned: Shelagh E O'Riordan, et al.
bmj.com, 24 Jul 2002 [Full text]
Chemical exposure - a common cause of end-stage renal failure: Uffe Ravnskov
bmj.com, 30 Jul 2002 [Full text]
GFR, Cystatin C, chemical exposure and chronic renal disease: Author's reply to rapid responses.: Malvinder S. Parmar
bmj.com, 27 Aug 2002 [Full text]
In above letter serum creatinine is in micromoles/L and not mmol/L: Malvinder S. Parmar
bmj.com, 31 Aug 2002 [Full text]
Orexin: the cause of insomnia in renal failure?: Hugh C Rayner
bmj.com, 19 Jan 2003 [Full text]
Re: insomnia in chronic renal disease: Richard G Fiddian-Green
bmj.com, 5 Mar 2003 [Full text]