Chronic Kidney Disease

Disease State Hub

MULTIDISCIPLINARY ROUNDTABLE

Key Approaches to Managing Patients With CKD

In this Multidisciplinary Roundtable discussion, James Matera, DO, speaks with nephrologist Wayne Kotzker, MD, primary care physician Maria Ciminelli, MD, cardiologist Lance Berger, MD, and nutritionist Jamie Miller, RD, about the role of the multidisciplinary approach in the management of patients with chronic kidney disease (CKD), including referring a patient to a specialist, ensuring risk reduction and slowing the progression of end-stage renal disease, and cardiovascular risk factors in patients with CKD.

Featured

Research Summary

Research Summary

Urate-Lowering Therapy Does Not Increase Kidney Disease Risk in Patients With Gout

03/20/2025

Kate Young

A recent study examining gout and chronic kidney disease found that achieving a serum urate level below 6 mg/dL with urate-lowering therapy does not increase the risk of severe or end-stage kidney disease...

03/20/2025

Research Summary

Research Summary

Dual SGLT1/2 Inhibitor Sotagliflozin Lowers Risk of Myocardial Infarction and Stroke

03/03/2025

Miranda Manier, BA

A study assesses whether the dual sodium–glucose co-transporter (SGLT) 1/2 inhibitor sotagliflozin reduces ischemic events in diabetes and kidney disease.

03/03/2025

Respiratory Diseases Roundup

Respiratory Diseases Roundup

Human Metapneumovirus Concerns, COVID-19 Impact on Kidney Health, Long COVID in Younger Adults, and More

02/04/2025

Miranda Manier, BA

In this respiratory disease roundup, experts examine the rising cases of human metapneumovirus in China, new research on COVID-19’s long-term effects on kidney function, the effectiveness of...

02/04/2025

Interactive Features

Pop Quiz

Nutritional Status as a Predictor of CKD Adverse Events

09/16/2023

Utilizing appropriate markers of nutritional status in individuals with chronic kidney disease is essential to providing appropriate care. Do you know which biomarker measurement can be used to predict...

09/16/2023

Pop Quiz

Pop Quiz

Calcium Intake and Chronic Kidney Disease

08/18/2023

Patients with chronic kidney disease (CKD) are encouraged to maintain a diet that helps manage the disease. Do you know the recommended amount of calcium a person with CKD should ingest every day?

08/18/2023

Poll

Transparent blue Xray of a person. The person's kidneys stand out in the image. They are highlighted as red.

Poll

Controversies in CKD Management

01/07/2023

Controversies exist in the management of chronic kidney disease and comorbidities. Do you think the currently available clinical practice guidelines sufficiently address these controversies?

01/07/2023

Pop Quiz

Defining CKD

04/25/2021

Do you know how long abnormal kidney structure or function should be present before a patient is diagnosed with chronic kidney disease? Test your knowledge with our latest pop quiz!

04/25/2021

Poll

ESRD, Amputations, and Death

09/17/2018

Nearly half of patients with ESRD who undergo a lower extremity amputation die within how many years of amputation?

09/17/2018

Clinical Insights

Video

Video

Estimated GFR With Cystatin C and Creatinine in Clinical Practice

11/20/2024

In this video, Eric Gottlieb, MD, MS, discusses the use of cystatin C vs creatinine to estimate glomerular filtration rate in diverse patient populations and how the use of cystatin C to estimate GFR can...

11/20/2024

NUTRITION411: THE PODCAST, EP. 45

Advanced Nutritional Strategies for Patients With Renal Disorders

10/25/2024

Lisa Jones, MA, RDN, LDN, FAND

In this podcast episode, Lisa Jones, MA, RDN, LDN, FAND, interviews Kimberly Snodgrass, RDN, LD, FAND, a renal care coordinator at Fresenius Medical Care, on advanced nutritional strategies that dietitians...

10/25/2024

Nutrition411: The Podcast, Ep. 44

Navigating the Challenges of Dietary Management in Patients With Common Renal Conditions

10/17/2024

Lisa Jones, MA, RDN, LDN, FAND

In this podcast episode, Lisa Jones, MA, RDN, LDN, FAND, interviews Kimberly Snodgrass, RDN, LD, FAND, a renal care coordinator at Fresenius Medical Care, on how dietitians can effectively address some...

10/17/2024

Nutrition411: The Podcast, Ep. 43

Nutrition411: The Podcast, Ep. 43

Managing Key Nutrients in Patients With Renal Disease

10/14/2024

Lisa Jones, MA, RDN, LDN, FAND

In this podcast episode, Lisa Jones, MA, RDN, LDN, FAND, interviews Kimberly Snodgrass, a renal care coordinator at Fresenius Medical Care, on how dietitians can help patients with renal disease manage...

10/14/2024

Video

Video

A Man With Severe Tophaceous Gout, Stage 3 Chronic Kidney Disease

09/26/2024

Monica Richey, MSN, ANP-BC/GNP

Monica Richey, MSN, ANP-BC/GNP ...

In this video, Monica Richey, MSN, ANP-BC/GNP, discusses the clinical challenges and strategies in managing a patient with severe tophaceous gout and stage 3 chronic kidney disease, including urate-lowering...

09/26/2024

Chronic Kidney Disease Snapshot

Reviewed by James Matera, DO

For more nephrology content, visit the Resource Center.

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.

For more nephrology content, visit the Resource Center.

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).

For more nephrology content, visit the Resource Center.

Nephrologist, Nutritionist, Primary Care Physician, Transplant Surgeon

For more nephrology content, visit the Resource Center.

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

For more nephrology content, visit the Resource Center.

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.

For more nephrology content, visit the Resource Center.

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.

For more nephrology content, visit the Resource Center.

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.

For more nephrology content, visit the Resource Center.

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.

For more nephrology content, visit the Resource Center.

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

For more nephrology content, visit the Resource Center.

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

Research Summary

Urate-Lowering Therapy Does Not Increase Kidney Disease Risk in Patients With Gout

03/20/2025

Kate Young

03/20/2025

Research Summary

Dual SGLT1/2 Inhibitor Sotagliflozin Lowers Risk of Myocardial Infarction and Stroke

03/03/2025

Miranda Manier, BA

A study assesses whether the dual sodium–glucose co-transporter (SGLT) 1/2 inhibitor sotagliflozin reduces ischemic events in diabetes and kidney disease.

03/03/2025

Respiratory Diseases Roundup

Human Metapneumovirus Concerns, COVID-19 Impact on Kidney Health, Long COVID in Younger Adults, and More

02/04/2025

Miranda Manier, BA

In this respiratory disease roundup, experts examine the rising cases of human metapneumovirus in China, new research on COVID-19’s long-term effects on kidney function, the effectiveness of...

02/04/2025

Research Summary

Research Summary

Roxadustat Shows Noninferiority to rHuEPO-α for Chemotherapy-Induced Anemia Treatment

02/03/2025

Kate Young

This phase 3 study demonstrated that roxadustat, an oral hypoxia-inducible factor prolyl hydroxylase inhibitor, is noninferior to rHuEPO-α in improving hemoglobin levels for chemotherapy-induced anemia,...

02/03/2025

Research Summary

Can Statins Reduce Mortality Risk Among Older Adults With Moderate Chronic Kidney Disease?

09/24/2024

Miranda Manier, BA

Researchers developed a cohort study of more than 14,000 participants to determine whether there is an association between statin initiation and a reduced risk of mortality and major adverse cardiovascular...

09/24/2024

March 2025

Current Issue

March 2025

Volume 65

Issue 3

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