PPT-CKD Nilang Patel Epidemiology of CKD

Definition of CKD Staging of CKD Etiology of CKD How to measure Kidney function Incidence of ESRD per million population 1990 by HSA unadjusted USRDS 2000 Incidence of ESRD per million population 2000 by HSA unadjusted . Pro: Andy Stein. Con: Dan Ford. Chair: Prof. Higgins. Tuesday, 5. th. November 2013, 1-2pm. CSB Room 00067. The expanding definition of CKD is unnecessarily labelling many people as diseased: Summary. Epidemiology. What is epidemiology?. How a disease is distributed in a population of people. What are the three main categories of epidemiological clues? . Person. Place. Time. What is a hypothesis? . . 1. A term derived from the Greek:.  . . epi. . : on, upon. demos . : the people. logos . : the study of .  .  . (Webster's Unabridged Dictionary).  . Dictionary definition of epidemiology. Metformin must be considered the cornerstone of treatment when not contraindicated (eGFR <30). In patients not at goal on metformin monotherapy, adding an SGLT. 2. inhibitor like empagliflozin is warranted when not contraindicated (eGFR <45). ( ) CVD benefit ?Class effect?. 1 Table 1.1 Distribution of NHANES participants with diabetes, self-reported cardiovascular disease, & single sample markers of CKD, 2007-2012. Data Source: National Health and Nutrition Examination Survey (NHANES), 1988–1994, 1999-2004 & 2005–2012 participants age 20 & older. Note: Cardiovascular disease designation is based on self-report of any CVD condition (see CKD Analytical Methods chapter for detail); CKD is defined as eGFR <60 or ACR ≥30. Abbreviations: ACR, urine albumin/creatinine ratio; CKD, chronic kidney disease; SR CVD, self-reported cardiovascular disease; DM, diabetes mellitus; eGFR, estimated glomerular filtration rate; . not applicable.. Learning Objectives. Facilitate timely testing and intervention in patients at-risk for chronic kidney disease (CKD).. Apply appropriate . clinical measures . to manage risk and increase . patient . safety in CKD.. Learning Objectives. Utilize appropriate screening tools, such as GFR and ACR, in order to diagnose and monitor CKD patients.. Classify CKD, based on GFR and albuminuria categories, in order to guide appropriate treatment. . FDCPA v. Bankruptcy Code: WHICH RULES? Presented by: Mayur Patel – Ginsburg Patel, P.C. – Houston Randy Rios – Hughes Watters Askanase , LLP – Houston SOUTHERN DISTRICT OF TEXAS BANKRUPTCY BENCH BAR CONFERENCE Chapter 1: CKD in the General Population 2017 Annual Data Report Volume 1: Chronic Kidney Disease 2 Table A Kidney Disease Outcomes and Quality Improvement (KDOQI) CKD Staging Guidelines CKD Stage Description 1 PGY 1 1 jalu.patel@va.gov Susan Paek DPM susan.paek@va.gov 09/15/2019 jalu.patel@va.gov n n Phone/Inperson 4 4 4 4 4 4 4 4 4 4 4 4 4 4 Unfilled Positions ogram Name: _______________________________ KDIGO Guideline Co-Chairs:. Alfred K. Cheung, MD. Johannes F.E. Mann, MD. Guideline: . Kidney Disease: Improving Global Outcomes (KDIGO) Blood Pressure Work Group. KDIGO 2021 Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease. Kidney Int. 2021;99(3S):S1–S87. KDIGO 2017 Clinical Practice Guideline Update. Speaker’s Guide. Summary of KDIGO CKD-MBD Guideline Recommendations. This Speaker’s Guide combines the new recommendation statements . (noted in green) . Narender Goel et al.. Middletown Medical PC,. Montefiore Medical Center & Albert Einstein College of . Medicine, New York. 4th International Conference on Nephrology & Therapeutics. September . Konstantia. Ass. Prof. of Nephrology D.U.TH.. Reduced quality of life . van Haalen et al. BMC Nephrology 2020. Worse renal survival. Lamerato et al. BMC Nephrology 2022. Increase in morbidity and mortality.