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dc.creatorMezzano A,Sergio
dc.creatorAros E,Claudio
dc.date2005-03-01
dc.date.accessioned2020-02-17T15:35:14Z
dc.date.available2020-02-17T15:35:14Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000300011
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/131780
dc.descriptionChronic kidney disease is a worldwide health problem. The incidence and prevalence of kidney failure is in constant increase, involving poor outcomes and high costs. The leading causes of kidney failure are type 2 diabetes and hypertension. The new initiative "Kidney Disease Improving Global Outcomes (KDIGO)" is a global public health approach to face this problem. A formal definition for chronic kidney disease and a staging of kidney diseases from kidney damage with preserved function to kidney failure, were proposed. We reviewed the main mechanisms involved in renal disease progression, with emphasis in the proteinuria and the intrarenal activation of renin angiotensin system. Moreover, the evidence in the literature of therapeutical interventions with proved efficacy in slowing the rate of reduction of renal function is discussed, particularly the optimal control of hypertension, reduction of proteinuria and renin angiotensin system blocking. Finally, we recommend a strategy for the clinical management of patients in the different stages of chronic kidney disease (Rev Méd Chile 2005; 133: 338-48)
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dc.languagees
dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98872005000300011
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.133 n.3 2005
dc.subjectDiabetic nephropathy
dc.subjectGlomerular filtration rate
dc.subjectKidney diseases
dc.subjectKidney failure
dc.subjectProteinuria
dc.titleEnfermedad renal crónica: clasificación, mecanismos de progresión y estrategias de renoprotección


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