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A Kidney DiseaseBiography
Chronic kidney disease cannot be prevented in most situations. The patient may be able to protect their kidneys from damage, or slow the progression of the disease by controlling their underlying conditions such as diabetes mellitus and high blood pressure.
Kidney disease is usually advanced by the time symptoms appear. If a patient is at high risk of developing chronic kidney disease, they should see their health care practitioner as recommended for screening tests.
If a patient has a chronic condition such as diabetes, high blood pressure, or high cholesterol, they should follow the treatment recommendations of their health care practitioner. The patient should see their health care practitioner regularly for monitoring. Aggressive treatment of these diseases is essential.
The patient should avoid exposure to drugs especially NSAIDs (nonsteroidal anti-inflammatory drugs), chemicals, and other toxic substances as much as possible.
Chronic Kidney Disease Prognosis
There is no cure for chronic kidney disease. The natural course of the disease is to progress until dialysis or transplant is required.
Patients with chronic kidney disease are at a much higher risk than the general population to develop strokes and heart attacks.
People undergoing dialysis have an overall 5-year survival rate of 32%. The elderly and those with diabetes have worse outcomes.
Recipients of a kidney transplant from a living related donor have a 2-year survival rate greater than 90%.
Recipients of a kidney from a donor who has died have a 2-year survival rate of 88%
Kidney Transplantation and Follow-up
Kidney transplantation offers the best outcomes and the best quality of life. Successful kidney transplants occur every day in the United States. Transplanted kidneys may come from living related donors, living unrelated donors, or people who have died of other causes (deceased donors). In people with type I diabetes, a combined kidney-pancreas transplant is often a better option.
However, not everyone is a candidate for a kidney transplant. People need to undergo extensive testing to ensure their suitability for transplantation. Also, there is a shortage of organs for transplantation, requiring waiting times of months to years before getting a transplant.
A person who needs a kidney transplant undergoes several tests to identify characteristics of his or her immune system. The recipient can accept only a kidney that comes from a donor who matches certain of his or her immunologic characteristics. The more similar the donor is in these characteristics, the greater the chance of long-term success of the transplant. Transplants from a living related donor generally have the best results.
Transplant surgery is a major procedure and generally requires 4 to 7 days in the hospital. All transplant recipients require lifelong immunosuppressant medications to prevent their bodies from rejecting the new kidney. Immunosuppressant medications require careful monitoring of blood levels and increase the risk of infection as well as some types of cancer.
Chronic Kidney Disease Follow-up
If a patient has chronic kidney disease, their health care practitioner will recommend a schedule of regular follow-up visits.
At these visits, the patient's underlying condition and kidney status will be evaluated.
The patient will have regular blood and urine tests and possibly imaging studies as part of this ongoing evaluation.
A Kidney DiseaseBiography
Chronic kidney disease cannot be prevented in most situations. The patient may be able to protect their kidneys from damage, or slow the progression of the disease by controlling their underlying conditions such as diabetes mellitus and high blood pressure.
Kidney disease is usually advanced by the time symptoms appear. If a patient is at high risk of developing chronic kidney disease, they should see their health care practitioner as recommended for screening tests.
If a patient has a chronic condition such as diabetes, high blood pressure, or high cholesterol, they should follow the treatment recommendations of their health care practitioner. The patient should see their health care practitioner regularly for monitoring. Aggressive treatment of these diseases is essential.
The patient should avoid exposure to drugs especially NSAIDs (nonsteroidal anti-inflammatory drugs), chemicals, and other toxic substances as much as possible.
Chronic Kidney Disease Prognosis
There is no cure for chronic kidney disease. The natural course of the disease is to progress until dialysis or transplant is required.
Patients with chronic kidney disease are at a much higher risk than the general population to develop strokes and heart attacks.
People undergoing dialysis have an overall 5-year survival rate of 32%. The elderly and those with diabetes have worse outcomes.
Recipients of a kidney transplant from a living related donor have a 2-year survival rate greater than 90%.
Recipients of a kidney from a donor who has died have a 2-year survival rate of 88%
Kidney Transplantation and Follow-up
Kidney transplantation offers the best outcomes and the best quality of life. Successful kidney transplants occur every day in the United States. Transplanted kidneys may come from living related donors, living unrelated donors, or people who have died of other causes (deceased donors). In people with type I diabetes, a combined kidney-pancreas transplant is often a better option.
However, not everyone is a candidate for a kidney transplant. People need to undergo extensive testing to ensure their suitability for transplantation. Also, there is a shortage of organs for transplantation, requiring waiting times of months to years before getting a transplant.
A person who needs a kidney transplant undergoes several tests to identify characteristics of his or her immune system. The recipient can accept only a kidney that comes from a donor who matches certain of his or her immunologic characteristics. The more similar the donor is in these characteristics, the greater the chance of long-term success of the transplant. Transplants from a living related donor generally have the best results.
Transplant surgery is a major procedure and generally requires 4 to 7 days in the hospital. All transplant recipients require lifelong immunosuppressant medications to prevent their bodies from rejecting the new kidney. Immunosuppressant medications require careful monitoring of blood levels and increase the risk of infection as well as some types of cancer.
Chronic Kidney Disease Follow-up
If a patient has chronic kidney disease, their health care practitioner will recommend a schedule of regular follow-up visits.
At these visits, the patient's underlying condition and kidney status will be evaluated.
The patient will have regular blood and urine tests and possibly imaging studies as part of this ongoing evaluation.
A Kidney Disease
A Kidney Disease
A Kidney Disease
A Kidney Disease
A Kidney Disease
A Kidney Disease
A Kidney Disease
A Kidney Disease
A Kidney Disease
A Kidney Disease
A Kidney Disease
