What consultations are indicated for the management of chronic kidney disease (CKD)?

Updated: Jul 21, 2021
  • Author: Pradeep Arora, MD; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Consultations for the management of patients with chronic kidney disease (CKD) may include the following:

  • Early nephrology referral (decreases morbidity and mortality)

  • Renal dietitian

  • Surgery for permanent vascular access or for peritoneal catheter placement

  • Referral to renal transplant center

Patients with CKD should be referred to a nephrologist early in the course of their disease and have continued nephrologic follow-up until initiation of chronic renal replacement therapy, during dialysis, and after kidney transplantation. Moreover, a multidisciplinary approach to care, including involvement of the nephrologist, primary care physician, renal dietitian, nurse, and social worker, should be initiated early in the course of CKD, with close patient follow-up.


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