Essentials Of Chronic Kidney Disease

Kidney disease touches nearly 14% of the population. Of the 661,000 Americans at the end stage of chronic kidney disease, 468,000 require dialysis and 193,000 have an effective kidney transplant. Both are miracles and have reshaped an illness once universally fatal into one of expectation and life. (Source: NIDDK) However, Medicare payments for dialysis alone are 34 billion dollars a year; it is among their foremost expenditures. (Source: USRDS). As both a life-saving procedure and a costly enterprise, the management of kidney disease commands the attention of care givers, providers and patients. Our understanding of the nuances of care make a difference, not just in the quality and betterment of the lives of patients, but in reducing the cost burdens we as a society must bear. Within this context, the intent of this book is to anticipate what the practicing nephrologist or internist needs to know when approaching, diagnosing and managing a patient with kidney disease. It is also designed to inspire the reader to seek a deeper understanding of the subject that pertains to the patient being treated. It is also ideal to use as a reference, as it is packed full of knowledge that will be most useful at the point of care. Thus, it is to be kept on the desk or a convenient shelf in a doctors office, or in the house staff or clinic break room, so that it is easily accessible for everyday use. The book is divided into five sections. The first section, The Approach to Chronic Kidney Disease, consists of eleven chapters. Each chapter is designed to help the clinician gain perspective in caring for kidney patients, and taken together, will help create the foundation on which to build a well-rounded approach to CKD patients. In the second section, Major Medical Conditions and Management, an additional eleven chapters each focus on a specific disorder and how it can be best approached. These disorders range from everyday conditions like hypertension and diabetes to those that are rarely seen. The seven chapters of the third section, Management Principles in CKD, focus on specific conditions and complications that result from an impairment in kidney function. Once a patient has reached the point where renal replacement therapy is necessary, there are several options and modalities that are available. The nine chapters of the next section, ESRD Replacement Therapy, will discuss modalities and the approaches taken to optimize the patients quality of life and well-being. The final section, Innovations and Updates in Kidney Disease, includes two chapters that will give the reader a glimpse of what is on the horizon.

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Kidney disease touches nearly 14% of the population. Of the 661,000 Americans at the end stage of chronic kidney disease, 468,000 require dialysis and 193,000 have an effective kidney transplant. Both are miracles and have reshaped an illness once universally fatal into one of expectation and life. (Source: NIDDK) However, Medicare payments for dialysis alone are 34 billion dollars a year; it is among their foremost expenditures. (Source: USRDS). As both a life-saving procedure and a costly enterprise, the management of kidney disease commands the attention of care givers, providers and patients. Our understanding of the nuances of care make a difference, not just in the quality and betterment of the lives of patients, but in reducing the cost burdens we as a society must bear.Within this context, the intent of this book is to anticipate what the practicing nephrologist or internist needs to know when approaching, diagnosing and managing a patient with kidney disease. It is also designed to inspire the reader to seek a deeper understanding of the subject that pertains to the patient being treated.It is also ideal to use as a reference, as it is packed full of knowledge that will be most useful at the point of care. Thus, it is to be kept on the desk or a convenient shelf in a doctor's office, or in the house staff or clinic break room, so that it is easily accessible for everyday use.The book is divided into five sections. The first section, "The Approach to Chronic Kidney Disease", consists of eleven chapters. Each chapter is designed to help the clinician gain perspective in caring for kidney patients, and taken together, will help create the foundation on which to build a well-rounded approach to CKD patients. In the second section, "Major Medical Conditions and Management", an additional eleven chapters each focus on a specific disorder and how it can be best approached. These disorders range from everyday conditions like hypertension and diabetes to those that are rarely seen. The seven chapters of the third section, "Management Principles in CKD", focus on specific conditions and complications that result from an impairment in kidney function.Once a patient has reached the point where renal replacement therapy is necessary, there are several options and modalities that are available. The nine chapters of the next section, "ESRD Replacement Therapy", will discuss modalities and the approaches taken to optimize the patient's quality of life and well-being. The final section, "Innovations and Updates in Kidney Disease", includes two chapters that will give the reader a glimpse of what is on the horizon.

The World's Leading Experts Provide all the 'Essentials' Needed to Manage Patients in the Office and on the Ward! Nearly 17% of adults in the United States have Chronic Kidney Disease (CKD), and one of the most common causes of CKD is hypertension. Treatment of hypertension has become the most important intervention in the management of all forms of Chronic Kidney Disease. Chronic Kidney Disease (CKD) and Hypertension Essentials is a current, concise, and practical step-by-step guide to the identification, treatment and management of hypertension in patients with CKD. This quick reference is an ideal resource for primary care physicians, cardiologists, nephrologists and physicians in training.

Chronic kidney disease (CKD) is a major global public health problem, affecting nearly one in seven adults in the United States alone. It is a disease that integrates chronic illness at several levels, and the progressive condition is associated with high rates of co-morbidity. This text provides a comprehensive, current state-of-the art review of this field, serving as a valuable resource for primary care providers and non-nephrology clinicians that treat patients with CKD. It is comprised of 24 chapters focused on specific aspects of the disease. The first 2 chapters provide a bit of background on the disease, describing the anatomy and physiology of the kidney as well as the definition and epidemiology of the disease. The following 3 chapters discuss the detection, prevention and progression of the disease. The next 6 chapters describe the relationship of the disease with other conditions and most common co-morbidities such as diabetes and hypertension. The chapters, that follow focus on the CKD associated complications and the CKD within special populations such as the elderly and minorities as well as dietary restrictions and drug dosing. The book concludes with discussion on preparation for renal replacement therapy and preemptive organ transplantation as an alternative to dialysis in the management of the advanced CKD. Written by experts in the field, Approach to Chronic Kidney Disease is a comprehensive guide for clinicians, especially primary care providers including residents and fellows in training, who take care of chronic kidney disease patients. It is also a useful tool for researchers dealing with this challenging field.

Patients with kidney disease often find it difficult to understand and undertake the lifestyle changes that will help them stay as healthy as possible. This book offers patients information and guidance on how to stay healthy with kidney disease in a clear, comprehensive, and encouraging way. The first section explains the basics of the disease and how it interacts with other common health issues, such as diabetes, cardiovascular disease, and aging. The second section breaks down the changes a patient can make to their exercise, treatment, and diet to maximize their kidney function, including helpful tips and healthy recipes. Written by top nephrologists with experience writing for non-specialists, this easy-to-read guide will help kidney disease patients and caregivers manage the illness and keep patients healthy.​

This book provides a comprehensive and systematic review of the latest findings in a wide spectrum of clinically important aspects of chronic kidney disease (CKD), focusing on clinical diagnosis and therapeutics. CKD is a global health problem with a rising morbidity and mortality. The last decade has seen significant improvements in determining the incidence, prevalence, and complications of CKD, mainly thanks to the definitions of CKD developed by the National Kidney Foundation’s Kidney Disease Outcomes Quality Initiative (K/DOQI). However, increased recognition of CKD has led to awareness of the limitations of its clinical diagnosis and treatment, which are essential to patients’ wellbeing. This book is of particular value not only to nephrologists, but also to general practitioners and residents with an interest in CKD. It offers a well-organized exposition of the current knowledge base. Compared with previously published books on kidney disease and CKD, it has a smaller number of more concise chapters. As a result, readers can easily obtain an overview of the most important topics in CKD. We hope that practitioners will gain as much from reading this practical guide to clinical management of CKD as we have from editing it.