Wat te doen bij chronische nierschade?

Nynke Scherpbier*

*Corresponding author voor dit werk

OnderzoeksoutputAcademicpeer review


Chronic kidney disease is a common problem seen in general practice, and the disorder is a risk factor for the development of cardiovascular disease. Appropriate management can improve the prognosis. In most patients, and especially those with diabetes or hypertension, kidney disease is caused by vascular disease. These patients can largely be cared for in general practice, by making use of the National Guideline for Chronic Kidney Disease (Transmurale Afspraak Chronische Nierschade) and the existing organizational structure for diabetes care and cardiovascular risk factor management. High blood pressure and albuminuria can be managed by the practice nurse, supervised by the general practitioner. The nurse can also be responsible for identifying secondary hyperparathyroidism and anaemia. A nephrologist can be consulted about treatment for these conditions, and advice about medication safety, additional investigations, and indications for referral. Relatively young patients, patients with proteinuria, and patients suspected of having a non-vascular cause of kidney disease should be referred. Regional agreements should be reached with nephrologists about possibilities for consultation. Tele nephrology may be useful for this. It is advisable to involve the dispensing chemist and laboratories in the organization of care.

Vertaalde titel van de bijdrageHow should chronic kidney disease be treated?
Originele taal-2Dutch
Pagina's (van-tot)652-657
Aantal pagina's6
TijdschriftHuisarts en Wetenschap
Nummer van het tijdschrift12
StatusPublished - dec.-2013
Extern gepubliceerdJa


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