Staging of CKD from the Kidney Org. - Kidney Disease

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Staging of CKD from the Kidney Org.

Rutiqazuti profile image
3 Replies

kidney.org/atoz/content/gfr... towards the bottom of page to see the graft and the table representing the stages of CKD.

R

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Rutiqazuti profile image
Rutiqazuti
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userotc profile image
userotc

Page Not Found for that so I presume you meant to link kidney.org/atoz/content/gfr

Another option via an organisation from your US is kidneyfund.org/all-about-ki... which gives a bit more detail besides eGFR.

In my mum's case, we wondered if she had progressed from stage 3 to 2 when she exceeded eGFR 60 (thanks to Nutritional Therapy).

Arguably the 2nd link better enables that evaluation based on other factors besides function. Sadly that link doesn't even seem to refer to nutrition but, there again, the NKF one pays it minimum respect rather than prioritising it.

Rutiqazuti profile image
Rutiqazuti in reply to userotc

I shared links directly from websites. Links had the graphs of all five stages, each stage is a different color.

Thank you for your reply as the sites were all about both ADPKD & CKD.

Ruti

userotc profile image
userotc in reply to Rutiqazuti

Thanks. I did see the colour-coded representation in your other post. In my mum's case, the surgery appears to be keener to test her 24h urine (done in last 4 lab tests) rather than proteinuria (ACR - tested in 2 of those 4), presumably because 24h is considered to be the gold standard. So we have less ACR data to monitor.

Mum's nephro is confident that her proteinuria will not progress to a level when he gets involved and there are some indicators which support that eg 24h urine trend, so 🤞

Using that representation also does not seem to help evaluate her possible progress from stage 3 to 2, other than via eGFR, as her latest ACR of 15.7 mg/mmol just indicates moderate proteinuria.

However, it is interesting that the relative risk indicators suggest that, if proteinuria did increase to >30 mg/mmol, she would be at high risk of kidney failure even in stage 3. But that would conflict with more positive comments elsewhere for CKD 3 e.g. "The lifetime risk of kidney failure for a middle-aged person is 8% for men and 3% for women" ncbi.nlm.nih.gov/pmc/articl...

Any comment?

Personally I believe (and hope) that, with nutrition and other healthy life changes, most people in Stage 3 will not move to Stage 4 or Stage 5, which is similar to the quote in my previous link kidneyfund.org/all-about-ki...

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