24.07.2021 – 07:25
“Ask the doctor” is the newest section, a platform that enables contact between doctor and patient.
If you have any questions about everything that worries you about your health, here you will get answers from experienced doctors, without booking appointments and avoiding long queues.
Patients:Why should kidney disease be treated well?
Doctor:Chronic kidney disease (CKD) does not have a cure to cure it and this disease affects more than 10% of the adult population worldwide.
If people with CKD survive long enough, many will end up with kidney failure, also known as end-stage renal disease (ESKD), because without the kidneys the condition is not compatible with life. In these stages replacement therapy is required in the form of intermittent treatment with dialysis or kidney transplantation.
However, patients with ESKD undergoing dialysis often have poor clinical outcomes. In these patients cardiovascular morbidity and mortality from CKD are extremely high with an overall five-year survival of less than 50%.
Each year, approximately 120,000 Americans develop ESKD and begin dialysis. Despite efforts to prolong life on dialysis, 10% of these patients die in the first 90 days after undergoing dialysis and 20% in the first year. In addition to the high mortality rates from early dialysis, a large proportion of the elderly experience severe functional decline after switching to dialysis therapy. Therefore, by delaying or preventing the progression of kidney damage to avoid kidney replacement therapy, clinical outcomes can be improved by avoiding the high costs of dialysis therapy.
The steering committee of World Kidney Day declared 2020 and 2021 as the years of CKD prevention and the intention to live well with CKD. These statements underscore the key importance of both primary prevention of CKD as well as secondary and tertiary interventions for early diagnosis of CKD and treatment to control progression to ESKD and its complications.
Among the main components of prevention strategies are nutritional (nutritional) and dietary intervention.
It is important to evaluate contemporary data on dietary management of CKD focusing on the role of plant-based protein-restricted diets based on the premise that possible dietary approaches should be the foundation of non-pharmacological strategies in slowing the progression of CKD and avoiding or delaying ESKD.
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