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Frequent office visits of patients with chronic kidney disease: Is a prelude to prevention of dialysis
Anil K Mandal, Department of Nephrology, Northeast Florida Area Hospitals, St. Augustine, FL 32084, United States
Anil K Mandal, Department of Medicine, University of Florida, Gainesville, FL 32605, United States
Author contributions: Mandal AK solely contributed to this paper.
Correspondence to: Anil K Mandal, Professor, Department of Nephrology, Northeast Florida Area Hospitals, 665 State Road 207, Suite 102, St. Augustine, FL 32084, United States. amandal@med-spec.com
Telephone: +1-904-8248158 Fax: +1-904-8231284
Received: April 14, 2013
Revised: November 20, 2013
Accepted: January 13, 2014
Published online: February 6, 2014
Revised: November 20, 2013
Accepted: January 13, 2014
Published online: February 6, 2014
Core Tip
Core tip: Diabetes and hypertension are two most common causes of chronic kidney disease (CKD). Nephrology office practice constitutes vast majority of the patients with CKD of different stages. While CKD stages 1-3 [glomerular filtration rate (GFR) (< 60 - > 30 mL/min)] produce slight or no symptoms or signs, CKD stages 4-6 (GFR < 30 - < 10 mL/min) may increase blood pressure and produce fluid electrolyte and acid-based disorders. The goal of office practice is to identify these disorders, then treat them to enable patients to live asymptomatically.