Post Date December, 03 2023
A total of 1741 patients with stage 3 chronic kidney disease from 32 communities in the United Kingdom were included in the study. The estimated glomerular filtration rate was approximately 30-60ml/min/1.73m2. During a total follow-up period of 5 years, only 4 patients eventually progressed to end-stage renal failure, and the majority of the remaining patients either experienced remission (19.3% of patients), remained stable (34.1% of patients), or slightly progressed (17.7% of patients).
Because the majority of patients selected were elderly people in their 60s, 70s, and 80s, 247 patients died during the follow-up process, and the cause of death was basically not kidney disease, but cardiovascular disease.
"If this study is mainly aimed at young people, not patients with mid renal function, but patients with better, normal, or slightly abnormal renal function, then the results should be better.". Age and low levels of basal glomerular filtration rate are themselves risk factors for renal function progression.
Even with these factors, most patients with chronic kidney disease exhibit a good process, which also tells us from a side perspective that the psychological burden of patients with chronic kidney disease is far from needing to be so large. Even if you get old and the renal function is not so good, it is not easy to enter dialysis.
The article also discussed our common goal of doctors and patients, so that some people who may make progress can find the reasons that lead to the progress of renal function, such as proteinuria, hypertension, anemia, diabetes and other factors, and intervene with appropriate methods.
However, there are also reasons why this research result is not suitable for our national population. In foreign countries, there are community hospitals that can serve as gatekeepers for patients with kidney disease. Normal care can be provided in the community. When there is a problem, the community doctors will identify which situations require intervention, when they need to see the attending doctor, and the treatment is relatively standardized.
In our country, there are many disorders in the diagnosis and treatment of kidney disease, and many patients use drugs in a disorderly manner. Usually, there are no gatekeepers to manage them, as in foreign countries. The community hospitals in our country are far from playing their due role. In fact, it doesn't need to be complicated to be a kidney disease janitor, and it's enough to be able to identify problems. However, the concept of community hospitals still remains: seeing occult blood, ah ah, you can be toxic, see protein, ah, you can be toxic, or you don't even know what's going on. It's really heartbreaking to have high creatinine and not know how to let patients see the department of kidney medicine.
