{"title":"[DIAGNOSTIC APPROACH TO PATIENTS WITH CHRONIC KIDNEY DISEASE].","authors":"J Vučak, E VučK, I Balint","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>According to consensus definition, chronic kidney disease (CKD) includes urinary excretion of albumin >30 mg/day and/\nor reduction in kidney function defined as a decrease in estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2\nfor a period longer than three months, in the presence of kidney tissue damage verified by imaging or histologic methods.\nIn developed world, the first cause of CKD is diabetes, followed by arterial hypertension, and the less frequent causes\nare inflammatory disease (glomerulonephritis, interstitial nephritis) and congenital condition (polycystic kidney disease).\nCurrently, there is valid classification under the acronym CGA, where C stands for the cause, G for glomerular filtration rate\n(GFR category) and A for the level of albuminuria category. In early stages, patients usually have no symptoms but there are\nchanges in creatinine values, estimated GFR (eGFR) reduction and presence of albuminuria, especially in patients at risk.\nDetermining the grade of renal impairment is important because of different approaches to treatment, monitoring, expected\ncomplications, and patient education. Due to improved diagnostic methods and population aging, CKD is diagnosed ever\nmore increasingly. Family physicians should be familiar with the basic principles of screening and diagnosis of CKD to\nprovide them with appropriate care in collaboration with secondary and tertiary health care.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
According to consensus definition, chronic kidney disease (CKD) includes urinary excretion of albumin >30 mg/day and/
or reduction in kidney function defined as a decrease in estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2
for a period longer than three months, in the presence of kidney tissue damage verified by imaging or histologic methods.
In developed world, the first cause of CKD is diabetes, followed by arterial hypertension, and the less frequent causes
are inflammatory disease (glomerulonephritis, interstitial nephritis) and congenital condition (polycystic kidney disease).
Currently, there is valid classification under the acronym CGA, where C stands for the cause, G for glomerular filtration rate
(GFR category) and A for the level of albuminuria category. In early stages, patients usually have no symptoms but there are
changes in creatinine values, estimated GFR (eGFR) reduction and presence of albuminuria, especially in patients at risk.
Determining the grade of renal impairment is important because of different approaches to treatment, monitoring, expected
complications, and patient education. Due to improved diagnostic methods and population aging, CKD is diagnosed ever
more increasingly. Family physicians should be familiar with the basic principles of screening and diagnosis of CKD to
provide them with appropriate care in collaboration with secondary and tertiary health care.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.