How early in the course of your #kidney disease you receive care from a nephrologist influences how well you do and your risk of dying, as this article points out. Everyone should understand their GFR and what stage of kidney disease they are in each time you have labwork. This article refers to patients with a GFR of 44 or less which is CKD3b to CKD 5. If you have kidney disease and have not seen a nephrologist, speak to your primary care doctor at your next visit. The goal is to halt or slow the progression of your chronic kidney disease at the earliest point possible.
http://cjasn.asnjournals.org/content/early/2014/07/28/CJN.10481013.abstract