CKD is an important source of long-term morbidity and mortality

CKD Treatment

Chronic kidney disease may seem to have come on suddenly. But it has been happening bit by bit for many years as a result of damage to your kidneys.

Early diagnosis and treatment of the underlying cause and/or the institution of secondary preventive measures are imperative in patients with chronic kidney disease (CKD). These steps may delay, or possibly halt, progression of the disease. Early referral to a nephrologist is of extreme importance.

Stage 4 CKD is severely reduced kidney function, 15-30% (eGFR 15-29ml/min/1.73m2)
Stage 5 CKD is very severely reduced kidney function less than 15%

The goal of treatment for Stage 4 CKD is to prevent or slow further damage to your kidneys. Another condition such as diabetes or high blood pressure usually causes kidney disease, so it is important to identify and manage the condition that is causing your kidney disease. It is also important to prevent diseases and avoid situations that can cause kidney damage or make it worse.

This topic provides information about chronic kidney disease. If you are looking for information about sudden kidney failure, see the topic Acute Kidney Injury.

Having treatment for Stage 4 CKD means that for some time your kidneys camera.gif have not been working the way they should. Your kidneys have the important job of filtering your blood. They remove waste products and extra fluid and flush them from your body as urine. When your kidneys don't work right, wastes build up in your blood and make you sick.


treatment for Stage 4 CKD is an important source of long-term morbidity and mortality. It has been estimated that CKD affects more than 20 million people in the United States. Given that most patients are asymptomatic until the disease has significantly progressed, they remain unaware of the condition. Thus, it is essential to have clinical practice guidelines aimed at early detection, evaluation, diagnosis, and treatment of this condition. This chapter reviews the medical management of patients with CKD, emphasizing measures aimed at slowing disease progression and treatment of its common complications. Methods used for estimating the level of renal function are presented elsewhere in this section

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