CKD to dialysis

[cj2022]

Can anyone tell me the percentage of CKD that progress to dialysis. I am 3b.

[jodaer]

100% unless you die before you need it.

[Parsley56 in reply to jodaer]

That is not accurate.

[jodaer in reply to Parsley56]

How is that not accurate/

[Live4Hope in reply to jodaer]

Because there is no evidence provided. There was a claim without any sources, peer reviewed journals, or credible industries in Kidney care. Allow me to present an example.

Ckd is a broad spectrum of disorders classifying kidney problems. In other words, not all CKD is created equal, some progress more than others and some do not depending on the following main factors:

1. Age of diagnosis.

2. Overall Health.

3. Cause (some studies suggest manageable underlying conditions can support in preventing progression. 50% of early stage CKD did not progress over a 10-15 year period and some cases halted the condition.)

4. Gender.

5. Genetics.

6. Protein in urine ( 29 and under, less risk of progression. 30 or higher increased risk.)

7. Diet. Diet is more for managing underlying conditions more than preventing further damage but animal proteins can make acid which can cause further damage in stages 3B or more but it's a good practice to reduce the amount of animal protein in any stage.

In summary:

CKD does not necessarily mean you sre going to get worse with proper management it is possible to halt progression and that is slowly becoming more common but management doesn't mean cure of course, focus on improving your health entirely, live in the present, and know there is a community out there ready to support.

Here are some sources that support my findings.

Here are the links to the sources I mentioned:

# National Kidney Foundation (NKF)

1. Chronic Kidney Disease (CKD) webpage: (link unavailable)

# American Kidney Fund (AKF)

1. Chronic Kidney Disease (CKD) webpage: (link unavailable)

# National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

1. Chronic Kidney Disease & Polycystic Kidney Disease (PKD) webpage: (link unavailable)

# Kidney Care Partners (KCP)

1. Chronic Kidney Disease (CKD) webpage: (link unavailable) (Note: KCP is a coalition of kidney care stakeholders, and their website may not have a dedicated CKD webpage. However, they do provide resources and information on CKD management.)

# American Society of Nephrology (ASN)

1. Chronic Kidney Disease (CKD) webpage: (link unavailable) (Note: ASN is a professional organization for nephrologists, and their website may require registration or membership to access certain resources.)

Please note that these links may be subject to change, and it's always a good idea to verify the accuracy of online information.

[Darlenia in reply to Live4Hope]

I think it was a play on words (and life). Everyone will eventually die, hence kidney stoppage is inevitable. But, yes, there are things one can do to stave things off in the meantime.

[Runquik123]

You can stay at 3b for many years and in some cases you could turn your kidney function around with diet.

[Pepperthedog]

I can't find clear percentages of risk that Stage 3b patients will progress to kidney failure - it depends partly on the underlying cause - but apparently it's not inevitable. Something else may get us first 😉! Due to a family genetic mutation, several of my cousins progressed to dialysis and transplant in their 30s and 40s, but at 81 I'm still at 3b despite a reduction in eGFR. As other members have suggested, diet is a key factor, as is regular exercise. There are yoga exercises online aimed specifically at kidney support that might help delay it.

[tonyng42 in reply to Pepperthedog]

Curious to know how yoga can help. I am 51M at 3a, and regularly do strength exercises and cardio. Thx!!

[Pepperthedog in reply to tonyng42]

There's a lot of convincing evidence that regular exercise can help maintain better BP and eGFR levels, depending on the origin of the problem; yoga is only one of several possible disciplines, but particularly good for a range of factors relevant to CKD, including flexibility; and as I mentioned, there are poses specifically relevant to kidney health. Your strength & cardio should help if not overdone!

I've attended Iyengar classes (a particularly disciplined form of yoga) for more than 25 years - along with diet, medication and practice, I'm sure it's helped me avoid dialysis into my 80s, whereas my mother started at 60. The following article is from an Indian journal: hilarispublisher.com/open-a.... (There's lots more online but always look for well-referenced, preferably peer-reviewed articles as they're more reliable).

Abstract: "Chronic kidney disease (CKD) is a medical condition characterized by progressive renal dysfunction which leads to permanent renal impairment and premature mortality, which affects patient’s quality of life significantly. Diabetes, hypertension and glomerulo-nephritis are known to be the most common causes of CKD. Recent studies have reported that there is a strong association of oxidative stress, chronic inflammation and psychological stress with CKD. These factors significantly affect the treatment outcome in CKD. Treatment modalities which control these factors can contribute significantly towards CKD management.

"Yoga is an ancient traditional science which encompasses yogic physical postures (asanas), yogic breathing practices (pranayama), meditations and relaxation techniques. Several scientific studies have shown that yoga reduces blood pressure, heart rate, respiratory rate, oxidative stress, psychological stress and inflammatory conditions. It also improves heart rate variability by bringing balance in autonomic nervous system by reducing sympathetic tone and increasing parasympathetic activity. In several studies, it has been reported that yoga has significant role in the management of non-communicable diseases like diabetes, hypertension, coronary heart diseases etc. Regular yoga practice can help control sugar levels in diabetics, blood pressure in hypertensives and reduce the risk of cardiac complications in patients with heart diseases. Thus, yoga has promising role in the primary and secondary management of CKD as an adjuvant. Here, we compile all these researches and based on this present a yoga module useful in CKD along with necessary precautions to be taken while doing yoga."

Another study suggests: Asanas, pranayama, and mental imagery techniques have been demonstrated to significantly reduce blood pressure, blood urea, and serum creatinine levels, and also improve the physical and psychological aspects of QOL in dialysis patients. sciencedirect.com/science/a...

Note that although both articles apply to patients receiving dialysis, there is also evidence yoga can help pre-dialysis patients too: pmc.ncbi.nlm.nih.gov/articl...

[Bassetmommer NKF Ambassador]

Wow, people are giving you a whole lot of misinformation. There is no guarantee that kidney patients will ever get dialysis. The main factor is location. So, look you the local transplant facilities and you can see their numbers. It is not up to the cause totally and not up doctors. It is insurance. What comorbidities are they dealing with? What is your track record with your health. Overweight....forget it. Cancer...probably not, so many factors. You can stay at 3 b if you maintain a good diet and healthy lifestyle. But someday, maybe in the way far away future, it will go down. MY husband is steady at 3 b for many years, and he is diabetic...I also am his food police. I was stage 4 and lasted 6 years when I was told it would be 6 months.

[Pkd1958 in reply to Bassetmommer]

Bassetmommer

What does "Overweight....forget it" mean? Will not progress to dialysis or will not get transplant? I don't understand what you are saying

[JHutton1994 in reply to Pkd1958]

I presume they mean the latter. Restrictions on who can get a transplant are often very strict.

[Bassetmommer NKF Ambassador in reply to Pkd1958]

Overweight for transplant. Most places have a BMI level and they vary. You have to look it up for each center, and sometimes, they change it as they feel.

[Pkd1958]

Perhaps it should say morbidly obese, most transplant centers accept up to a BMI of 40 but still it depends on how the weight is distributed around the surgical sight as evaluated by transplant surgeon. being a little overweight is far from the real disqualifications

[Darlenia]

Chronis Kidney disease (CKD) is a big broad umbrella name for any number of diseases that cause kidney issues. It's similar to saying I have cancer...how many cancer patients will need chemotherapy? The answer depends heavily on the type of cancer one has. For example, basal cell skin cancer is vastly different from pancreatic cancer. Many live with basal skin cancer without many issues at all; on the other hand, steps need to be taken quickly to deal with pancreatic cancer using heavy therapies. So, do you know what "type" of kidney disease you have? Is it from diabetes (the leading cause), high blood pressure, an autoimmune condition, polycystic kidney disease, old age, misuse of medications, a genetic problem, or a direct injury? Or something else? Knowing the reason for your kidney disease will put you on the path to figuring out your situation and steps you may be able to take to live well and long. Many avoid dialysis by being proactive, but it's nice that dialysis (or transplant) is there when needed. Yes, one can indeed survive without functioning kidneys today; sadly, that can't be said for many of our other organs. If you don't know the reason for your kidney issues, I urge you to sit down and have a nice conversation with your doctor(s). Knowing is empowering.

[KajNybom]

CKD4 is dangerous and it is my understanding that CKD5 means dialysis. Does that answer your question? Should factor in other health concerns like diabetes.

[WYOAnne NKF Ambassador]

I am not sure anyone can tell you who will progress to ESRD and who won't. I am sure there are insurance companies that have statistics regarding that. I think it depends on what has caused your CKD. Are you diabetic, are you overweight, are you following a kidney friendly diet, is your BP under control, do you have polycystic kidney disease, do you have an autoimmune disease, etc.

I was diagnosed with FSGS in 1992. They traced my diagnosis back to a case of strep throat I had at age 9, followed by a couple months later with nephritis. I was put on the transplant list August of 1998 , dialysis a year later and had my transplant October 1999.

Once you have damage to your kidneys there is no reversing it. Whether you end up in dialysis depends on your age and what other health problems you have. FSGS made my kidneys scar up inside and over time it just got worse and worse.

The best thing you can do is be healthy - follow a kidney diet and stay hydrated!

[gojets]

it is a small percentage , like others have mentioned., It really depends on your age. That is the most important thing stage three at 70 is way different than stage three if you’re 40 I just read a big article and it was very general, but it was basically 1-100,000 people,