2017
DOI: 10.7196/samj.2017.v107i9.12366
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Recent important strategies in the management of chronic kidney disease

Abstract: The burden of chronic kidney disease (CKD) is considerably higher in low-and middle-income countries, which are less able than the developed world to cope with treating advanced renal failure owing to financial constraints. Prevention, early diagnosis and implementation of existing knowledge can improve outcomes. This review presents several recent advances to assist with avoiding and slowing down CKD progression and reducing common comorbid complications. The following are discussed: the possible use of metfo… Show more

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“…In SA, however, the huge costs of dialysis and transplantation dictate that our CKD management should first and foremost be aimed at prevention and, secondly, at renoprotection. The review presented in the CME section of SAMJ [2] highlights recent information relating to the use of metformin in the management of diabetes in patients with CKD, the essential and early treatment of CKD acidosis (i.e. estimated glomerular filtration rate (eGFR) ≤59 mL/min), early dietary therapy, early lowering of serum uric acid and the introduction of adequate and ongoing exercise -all aimed at slowing the progression of CKD.…”
mentioning
confidence: 99%
“…In SA, however, the huge costs of dialysis and transplantation dictate that our CKD management should first and foremost be aimed at prevention and, secondly, at renoprotection. The review presented in the CME section of SAMJ [2] highlights recent information relating to the use of metformin in the management of diabetes in patients with CKD, the essential and early treatment of CKD acidosis (i.e. estimated glomerular filtration rate (eGFR) ≤59 mL/min), early dietary therapy, early lowering of serum uric acid and the introduction of adequate and ongoing exercise -all aimed at slowing the progression of CKD.…”
mentioning
confidence: 99%