Ask the Doctor
Questions about kidney disease? Risk factors? Signs and symptoms? Are you concerned about yourself, a friend or family member? Ask Dr. Spry.
New York, NY
April 2 , 2003
Twenty million Americans have chronic kidney disease (CKD) and at least 20 million more are at risk. But early detection and intervention can help prevent the progression of chronic kidney disease to kidney failure. To help clinicians evaluate and treat those with the disease and at increased risk, the National Kidney Foundation (NKF) has developed a series of CKD clinical action plans available at the NKF's Kidney Disease Outcomes Quality Initiative (K/DOQI) web site: www.kdoqi.org.
"Until now, there hasn't been an effective tool to help clinicians diagnose and treat CKD, especially in its earliest stages," explained Brian Pereira, M.D. and president of the NKF. "Using this new resource, clinicians can dynamically generate individualized clinical action plans based on patient data, such as the glomerular filtration rate (GFR) and the presence or absence of kidney damage, hypertension and/or diabetes. It's an ideal resource for primary care physicians, nurse practitioners and nephrologists."
After the clinician inputs patient data, the clinical action plans output the patient's stage of CKD and treatment recommendations, providing links to relevant tables, charts and findings within the K/DOQI clinical practice guidelines.
The CKD clinical action plans, a resource of NKF's K/DOQI Learning System (KLS), are based on the five stages of CKD, as defined in the K/DOQI Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification and Stratification, published in the American Journal of Kidney Diseases in February, 2002. As the foundation develops and publishes new clinical practice guidelines, these recommendations will be folded into the CKD clinical action plans so they will be continuously enhanced.
The Kidney Disease Outcomes Quality Initiative (K/DOQI) provides evidence-based clinical practice guidelines developed by volunteer physicians and health care providers for all phases of kidney disease and related complications, from diagnosis to monitoring and management. K/DOQI expands the Dialysis Outcomes Quality Initiative or DOQI, a project begun by the National Kidney Foundation in 1995 and recognized throughout the world for improving the care of dialysis patients. For more information, please visit www.kdoqi.org.
About the National Kidney Foundation
The National Kidney Foundation is dedicated to preventing kidney and urinary tract diseases, improving the health and well being of individuals and families affected by these diseases, influencing public policy in support of the kidney community and increasing the availability of all organs for transplantation. For more information, please call (800) 622-9010.