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Thursday, 17 September 2015 16:38

CKD: has implications well beyond the risk of dialysis Featured

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Kidney disease does affect 1:10 adults. It is defined as: “abnormalities of kidney structure and/or function present for greater than three months, with implications for health.”

A recent New York Times article describes a debate between nephrologists whereby some assert that lower eGFR is not necessarily kidney disease, and that because most older individuals with impaired kidney function do not go on to dialysis, we should not label them as such.

Large bodies of evidence exist that describe the increased risk of Acute Kidney Injury (AKI), drug toxicity, hospitalization, cardiovascular events, infections and death, where evidence of kidney abnormalities is present.

Kidney disease as a global health problem, is more than just about whether or not people need dialysis. Note that all people with diabetes do not have complications from diabetes. Neither do they all require insulin or medication, but we have not put an age limit or ask that we do not call them diabetics.

At ISN, we support the accurate diagnosis and management of people with acute and chronic kidney disease, as both have implications for individuals, families, society and healthcare systems.

Read 1946 times Last modified on Friday, 18 September 2015 08:25
Adeera Levin

ISN Past-President (2015-2017) Adeera Levin is Professor of Medicine and Head Divsision of Nephrology at the University of British Columbia in Vancouver, Canada and a consultant nephrologist based at St Paul's Hospital, Providence Health Care.

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