Chronic Kidney Disease

Disease State Hub

Podcasts

podcast

podcast

Incidental Finding of Papillary Renal Cell Carcinoma on Renal Biopsy

07/04/2023

In this podcast, James Matera, DO, speaks about a patient case presentation of a 41-year-old man with a recurrence of minimal change disease and an incidental finding of papillary renal cell carcinoma on...

07/04/2023

Nutrition411: The Podcast, Ep. 3

Plant-Based Nutrition in a World of Opportunities

06/23/2023

In this episode, Lisa Jones interviews Annamarie Rodriguez, RDN, LD, FAND, and Abbie Gellman, MS, RD, CDN, on the impact of plant-based nutrition on health, misconceptions about plant-based eating, and what...

06/23/2023

Podcast

Tools For a Successful Urgent-Start Peritoneal Dialysis Program

05/14/2023

In this podcast, James Matera, DO, speaks about the importance and benefits of urgent-start peritoneal dialysis (PD) in the management of patients with chronic kidney disease, the tools needed for a...

05/14/2023

Podcast

The Role, Benefits, and Challenges of Urgent-Start Peritoneal Dialysis

01/28/2023

In part 1 of this 2-part episode, James Matera, DO, FACOI, speaks about the role, benefits, and challenges of urgent-start peritoneal dialysis in adults and children with chronic kidney disease...

01/28/2023

podcast

Social Determinants of Chronic Kidney Disease

11/22/2022

In this podcast, James Matera, DO, speaks about the impact of poverty and food insecurity on chronic kidney disease (CKD), including an update to a study funded by the National Institutes of Health on food...

11/22/2022

Chronic Kidney Disease Snapshot

Reviewed by James Matera, DO

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CKD is the progressive loss of kidney function, which filters waste products from the blood and maintains fluid balance by producing urine. Advanced CKD can cause dangerous levels of fluid, electolytes, and nitrogenous waste to build up in the body.

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CKD may lead to high blood pressure, heart disease, stroke, and early death. CKD can also be called chronic kidney failure or chronic renal insufficiency. CKD is classified into 5 levels, based on the estimated glomerular filtration rate (eGFR).

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Nephrologist, Nutritionist, Primary Care Physician, Transplant Surgeon

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nausea, vomiting, loss of appetite, fatigue and weakness, sleep problems, urinating more or less, decreased mental sharpness, muscle cramps, swelling of feet and ankles, dry, itchy skin, hypertension, shortness of breath, chest pain

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Serum Creatinine Blood Test: Creatinine is a waste product from the normal use of muscles in the body. The serum creatinine level increases if the kidneys are not functioning properly. Creatinine level > 1.2 for women and > 1.4 for men is considered elevated.

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eGFR measures kidney function. Creatinine level, age, and sex are used to calculate eGFR. As kidney disease progresses, eGFR decreases. eGFR <60 ml/min is generally below normal limits and <15 ml/min is generally considered advanced kidney failure.

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Blood urea nitrogen (BUN) measures the amount of urea nitrogen in the blood, which is a waste product that the body creates from breaking down protein in food. Healthy kidneys filter urea nitrogen out of the blood, and it exits the body through urine.

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BUN (continued): Normal levels of urea nitrogen depend on age and other factors and generally range from 7 to 20. As kidney disease progresses, the BUN level increases.

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CKD is slightly more common in women compared with men and more common in Black adults compared with White or Asian adults.

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38% of people aged 65 years or older have CKD, 12% of people aged 45 to 64 years have CKD, and 6% of people aged 18 to 44 years have CKD.

Research Summaries

roundtable wrap-up

roundtable wrap-up

Collaboration as a Tool in Managing Nutrition for Patients With CKD

07/05/2023

Did you watch our Multidisciplinary Roundtable on managing nutrition in patients with chronic kidney disease? Here are some highlights that you may have missed.

07/05/2023

Research Summary

Parathyroidectomy Has No Effect on Preserving Kidney Function in Older Adults With Hyperparathyroidism

06/14/2023

Jessica Ganga

Researchers evaluated the effectiveness of parathyroidectomy to manage kidney function in adults with hyperparathyroidism.

06/14/2023

Research Summary

Most Adults With Diabetes Can Use GLP-1 RAs, SGLT-2 Inhibitors But Don't

04/17/2023

Researchers set out to determine the percentage of people in the United States with type 2 diabetes who meet the recommended criteria to use GLP-1 receptor agonists and SGLT-2 inhibitors as well as patients...

04/17/2023

FDA alert

FDA Approves First Oral Treatment for CKD-Caused Anemia for Adults on Dialysis

02/08/2023

The FDA approves the first-of-its-kind treatment for anemia caused by CKD for adults who receive dialysis following the results of a randomized clinical trial.

02/08/2023

Research Summary

New Guidelines for Treatment of CKD, Diabetes Emphasizes Comprehensive Care

02/03/2023

The Work Group from the Kidney Disease: Improving Global Outcomes organization updated its set of guidelines that offers clinical practice guidelines in the treatment of chronic kidney disease and...

02/03/2023

September 2023

Current Issue

September 2023

Volume 63

Issue 9

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