Core Concepts
Early screening for chronic kidney disease is crucial to prevent late diagnosis and improve patient outcomes.
Abstract
The article emphasizes the significance of early screening for chronic kidney disease to prevent late diagnosis and improve patient outcomes. It highlights the importance of identifying risk factors, proper management, and the role of primary care physicians in screening and referral. Key insights include:
- Advocacy for early screening to reverse the trend of late diagnosis.
- Factors indicating the need for kidney disease screening.
- Similarities between kidney and cardiovascular risk factors.
- Diagnostic criteria for chronic kidney disease.
- Importance of glomerular filtration rate and albuminuria in screening.
- Strategies for reducing cardiovascular risk in patients with chronic kidney disease.
- Guidelines for managing hypertension, lipid control, and diabetes in patients with kidney disease.
- The impact of drug-based therapy on kidney disease progression.
- Criteria for referral to a specialist and expectations from family doctors and nephrologists in managing chronic kidney disease.
Stats
Chronic kidney disease develops in 15% of the adult population in Spain.
80% of nephrology cases referred to specialists come from primary care.
14% of patients seen in primary care in Spain have chronic kidney disease.
Quotes
"We need to head off this trend toward late diagnosis. As the disease progresses, it significantly increases cardiovascular risk and leads to higher mortality, going on dialysis, transplants, etc." - Teresa Benedito
"Empagliflozin is not currently indicated for chronic kidney disease in adults. This sodium-glucose cotransporter-2 inhibitor delays kidney disease and reduces morbidity." - Roberto Alcázar