Chronic kidney disease in primary care practice


DOI: https://dx.doi.org/10.18565/therapy.2023.3.106-112

Shilov E.M., Sigitova O.N.

1) N.V. Sklifosovsky Institute of Clinical Medicine of I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov University); 2) Kazan State Medical University of the Ministry of Healthcare of Russia; 3) Kazan State Medical Academy – a branch of Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
Abstract. Chronic kidney disease (CKD) often progresses to the end stage with complete loss of kidneys function, requiring dialysis or renal transplantation. At the same time, the mortality of CKD patients rapidly increases, primarily from cardiovascular causes, as the glomerular filtration rate decreases and protein (albumin) excretion in the urine gets more intensive. The progression of the disease can be slowed down by the use of a set of renoprotective therapy measures, including lifestyle changes, diet, and special drug classes use. Lecture presents the process of making medical decisions concerning CKD treatment with an emphasis at them aspects relevant to primary care physicians.
Keywords: outpatient management, methods of nephrocardioprotection, chronic kidney disease, diagnosis
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About the Autors

Evgeny M. Shilov, MD, professor, professor of the Department of internal, occupational diseases and rheumatology, N.V. Sklifosovsky Institute of Clinical Medicine of I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov University). Address: 119435, Moscow, 11/5 Rossolimo Str. E-mail: emshilov@gmail.com
Olga N. Sigitova, MD, professor of the Department of polyclinic therapy and general medical practice, Kazan State Medical University of the Ministry of Healthcare of Russia, professor of the Department of urology of Kazan State Medical Academy – a branch of Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia. Address: 420012, Kazan, 49 Butlerova Str. E-mail: osigit@rambler.ru. ORCID: https://orcid.org/0000-0001-8983-245X


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