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Abstract
Chronic kidney disease (CKD) is a disease of epidemic proportions, affecting 11% of the population and having far-reaching consequences in quality of life, mortality, and overall cost of health. So far, CKD care has been suboptimal. Evidence-based guidelines for management of patients with CKD have been established by the National Kidney Foundation. Early recognition of CKD and its associated complications and timely referral to a nephrologist are the key components of management. Coordinated care and effective communication between the primary care physician, the nephrologist, and other providers are critical to improve the outcome. Using a simple mnemonic, SHAPE UP, we outline a program for comprehensive care of patients with CKD. We believe that implementing this program in medical and renal clinics will enhance the care of CKD patients.
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