PUK13 Prevention in Predialitic Stage has Better Results in Health

Abstract

Evaluates if modifying the epidemiology of renal disease, more patients in predialysis and less in dialysis, improves the quality of life Chronic Kidney Disease (CKD) is a long-term condition described as the gradual loss of kidney function over time There are various stages of chronic renal failure prior to dialysis which are also considered as kidney failure. Those in stages III and IV present a significant percentage of complications from CKD which damage the renal function and accelerate the need of dialysis. Medical literature suggests early treatment of renal anemia, proteinuria and hypertension in patients who have not reached the renal replacement therapy Preventing complications, through adequate care of known progression factors (diabetes, hypertension, correction of anemia, and proteinuria), of CKD in predialysis stages reduces the progression of renal disease. Progression of renal damage can be slow down through early intervention preventive treatments such as control of glucose levels, anemia, hypertension and proteinuria in the early stages of the disease. We developed a simulation of 1000 patients from predialysis stage coming to dialysis in a period of 30 months. Without prevention treatment 57% of the patients will require dialysis, 1% will be transplanted and 9.1% will die, while with the prevention treatment only 25% will require dialysis, 0.5% will be transplanted and 4% will die during this period. The early treatment of patients provides better quality of life and significant savings compared with dialysis. Transplantation as a form of replacement therapy is the best choice for quality life and cost.