PROTEIN AND CKD
There seems to be a period of susceptibility that determines the effect of protein intake on the kidney.
In this regard, both the etiology of the pre-existing (or underlying) kidney disorder as well as its chronicity and severity are of paramount importance. When present, some comorbid conditions have a strong modulating effect on the eventual course and outcome of kidney disease.
Additionally, specific parameters of disease activity have a stronger predictive value than others. Age and ethnicity also have an important effect on the evolution and trajectory of CKD.
In this context, the sound management of the patient with CKD encompasses a wholistic and dynamic approach which must start with a clear understanding of the disease process, defining milestones and management goals, patient engagement and accountability, integrated, longitudinal care, monitoring parameters of activity, risk stratification, multidisciplinary collaboration and adjusting therapeutic interventions and lifestyle changes to specific individual needs (more to follow). Our goal is to optimize quality of life and patient satisfaction while providing value and outcome driven care.
