Tratamiento conservador en pacientes con diagnóstico de insuficiencia renal crónica

Abstract

INTRODUCTION For Chronic Kidney Disease (CKD) there are treatments that are based on renal replacement therapy (RRT) and conservative treatment (TC), which is based on the treatment of the disease and the reversible factors that worsen renal function with the purpose of preserving glomerular filtration (GFR) and preventing renal progression. OBJECTIVE To analyze the prevalence of risk factors in CKD to be treated in a timely manner by CT in primary care (PC). DEVELOPMENT CKD is defined as "decreased renal function"; Expressed by an FG ¬ lower than 60 ml / min / 1.73 m2 or a persistent renal damage during at least 3 months, it is classified in stages according to the FG and its treatment depends on it. RESULTS: through the review of the articles, a study was analyzed with a population of 97,665 individuals ≥ 60 years belonging to 40 primary care centers in Barcelona between January 1 and December 31, 2010; The median age was 70 years; 57.3% were women, presenting a higher prevalence of HT (61.4 versus 57%), dyslipidemia (51.3% vs 50.6%) and obesity (44.9% vs 34%) (p <0, 05); While men, higher prevalence of smoking (21.2 versus 3.48%), DM (29.3 versus 22.3%) and previous CVD (18.5 versus 9.5%) (p <0.001). CONCLUSION CT is a good option to treat the risk factors and comorbidities in patients with CKD, avoiding the rapid evolution of advanced stages