This refers to the final stage of chronic kidney disease where there is severe irreversible deterioration in the function of the kidney. Individuals with end stage kidney disease are dependent on dialysis to replace the function of the kidney and ultimately need kidney transplant to survive. Chronic kidney disease is extremely common, affecting 11 to 13% of the population according to a recent study. Of these, approximately 0.1% are in the final stage with end stage kidney disease.
Any insult to the kidney can ultimately lead to end stage disease. Therefore, the causes are extensive. Some of the common ones are listed below
While there are no specific criteria for diagnosing end stage kidney disease, a person may be considered to have this condition based on dependence on dialysis for survival. The symptoms and underlying history of a kidney disease prompts clinicians to look out for end stage disease even before the individual reaches a critical stage. The following investigations are generally performed during evaluation.
The definitive treatment of End Stage Kidney Disease is Kidney replacement. This is achieved through a kidney transplant of a live donor kidney or a deceased donor kidney which is obtained from a cadaver. Patients who require a kidney are placed on the transplant waitlist and need to undergo many tests to identify a suitable donor match. Meanwhile the following measures are taken to manage their Kidney failure
End Stage Kidney Disease, when untreated ultimately results in death. The build up of urea in the body can affect the brain causing uremic encephalopathy and the fluid overload can lead to heart failure. Chronic dialysis can support the patient but carries the risk of infection. Ultimately, a new kidney is required for survival.
This post was last modified on July 14, 2023 4:03 pm
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