What is included in the evaluation and treatment of chronic kidney disease (CKD) in children?

Updated: Jul 21, 2020
  • Author: Sanjeev Gulati, MD, MBBS, DNB(Peds), DM, DNB(Neph), FIPN(Australia), FICN, FRCPC(Canada); Chief Editor: Craig B Langman, MD  more...
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Patients with chronic kidney disease (CKD) should be evaluated to determine the following:

  • Diagnosis (type of kidney disease)

  • Comorbid conditions (such as hyperlipidemia)

  • Severity, which based on level of kidney function

  • Complications, related to level of kidney function

  • Risk for loss of kidney function

  • Risk for cardiovascular disease

Treatment of chronic kidney disease should include the following:

  • Specific therapy based on diagnosis

  • Evaluation and management of reversible causes of renal dysfunction

  • Prevention and treatment of complications of decreased kidney function (eg, anemia, bone disease, cardiovascular manifestations, hypertension, growth failure)

  • Evaluation and management of comorbid conditions

  • Slowing the loss of kidney function

  • Preparation for kidney failure therapy

  • Replacement of kidney function with dialysis and transplantation if signs and symptoms of uremia are present

  • Management of complications

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