Definition of Stage 2 Chronic Kidney Disease
Hello Doctor, I saw the item "Stage 2 Chronic Kidney Disease" in my family member's medical record.
After searching online, I would like to ask if a doctor must include Stage 2 Chronic Kidney Disease in the medical record only if the patient has abnormal urine tests, such as proteinuria or hematuria, and a GFR between 60 and 89 mL/min/1.73m².
Are both of these conditions necessary? Additionally, I would like to know if there is an official government website where I can find the standard definition of chronic kidney disease, as the information online is too complex and I am unsure which sources are accurate.
Sunny, 20~29 year old female. Ask Date: 2020/06/17
Dr. Hou Angting reply Family Medicine
1.
Stage 2 chronic kidney disease requires the presence of both conditions.
2.
It is recommended to visit the Kidney Health Education Network (http://www.ckd-tsn.org.tw/) for further information.
This is the educational website of the Taiwan Society of Nephrology, which clarifies questions related to kidney disease.
Reply Date: 2020/06/17
More Info
Understanding Stage 2 Chronic Kidney Disease (CKD) is crucial for managing kidney health and preventing further complications. CKD is defined as a gradual loss of kidney function over time, and it is classified into five stages based on the estimated Glomerular Filtration Rate (eGFR) and the presence of kidney damage markers, such as proteinuria or hematuria.
To specifically address your question about Stage 2 CKD, it is indeed characterized by an eGFR ranging from 60 to 89 mL/min/1.73m². However, the diagnosis of CKD is not solely dependent on the eGFR; it also requires evidence of kidney damage, which is typically assessed through urine tests. This means that for a patient to be classified as having Stage 2 CKD, they must meet both criteria: an eGFR within the specified range and the presence of kidney damage, which can manifest as abnormalities in urine tests, such as proteinuria (excess protein in urine) or hematuria (blood in urine).
In summary, both conditions are necessary for a diagnosis of Stage 2 CKD. If either the eGFR is outside the specified range or there are no signs of kidney damage, the classification may need to be reconsidered. It is important to have regular follow-ups and urine tests to monitor kidney function and detect any changes early.
Regarding your inquiry about official definitions and guidelines for CKD, the National Kidney Foundation (NKF) provides comprehensive resources and guidelines for CKD management. Their website (www.kidney.org) offers a wealth of information, including definitions, staging criteria, and management strategies. Additionally, the Kidney Disease: Improving Global Outcomes (KDIGO) organization publishes clinical practice guidelines that are widely recognized and used in the medical community. Their guidelines can be found at www.kdigo.org.
It is understandable that navigating online information can be overwhelming, especially with the abundance of resources available. Therefore, relying on reputable organizations like the NKF and KDIGO can help ensure that you are accessing accurate and evidence-based information regarding CKD.
In conclusion, Stage 2 CKD requires both an eGFR of 60-89 mL/min/1.73m² and evidence of kidney damage, such as proteinuria or hematuria. For authoritative information, refer to the National Kidney Foundation and KDIGO guidelines. Regular monitoring and consultation with healthcare providers are essential for managing CKD effectively and preventing progression to more advanced stages.
Similar Q&A
Exercise Guidelines for Patients with Stage 2 Chronic Kidney Disease
Hello, Doctor Wu. I have stage 2 chronic kidney disease (with a glomerular filtration rate fluctuating between 70 and 80) and a urine protein-to-creatinine ratio (UPCR) below 600. Can I engage in jogging as a form of exercise? I plan to run about 2 kilometers daily. I've hea...
Dr. Wu Hongjie reply Internal Medicine
There are no specific exercise recommendations for kidney disease; it is advisable to consult a rehabilitation physician. In general, aerobic exercise is preferable to anaerobic exercise. Wishing you health and safety.[Read More] Exercise Guidelines for Patients with Stage 2 Chronic Kidney Disease
Understanding Kidney Function Tests and Chronic Kidney Disease in Seniors
Hello Doctor: I would like to ask about a 90-year-old patient whose glomerular filtration rate (GFR) was found to be in the range of stage 2 during a blood test in early March. Does this indicate chronic kidney disease (CKD), or should we wait for the next blood test (in three mo...
Dr. Huang Yaoxuan reply Internal Medicine
Hello Matza: 1. "Chronic" kidney disease refers to a condition where kidney function abnormalities persist for a duration of 3 to 6 months with minimal variation. 2. Regarding the 90-year-old elder you mentioned, the glomerular filtration rate (GFR) falls within stag...[Read More] Understanding Kidney Function Tests and Chronic Kidney Disease in Seniors
Understanding Kidney Tumor Staging: Clarifying Conflicting Guidelines
Hello, a month ago during a health check-up, an ultrasound revealed a tumor in the kidney measuring approximately 3 centimeters. There have been no symptoms such as hematuria or pain, and I am currently undergoing further evaluation. I searched online and found varying definition...
Dr. Chen Junyi reply Oncology
First, confirm whether it is renal cell carcinoma or transitional cell carcinoma of the renal pelvis before discussing staging.[Read More] Understanding Kidney Tumor Staging: Clarifying Conflicting Guidelines
Understanding Stage 1 Chronic Kidney Disease: Symptoms and Concerns
Hello, doctor... I have had mild proteinuria since high school. During a company health check, the urine test showed proteinuria intermittently (+/-). About six years ago, I underwent a 24-hour urine test, and the results were within the normal range. My creatinine levels have al...
Dr. Wu Jiyu reply Internal Medicine
1. Chronic Kidney Disease Stage 1 is defined as a glomerular filtration rate (GFR) of 90 mL/min/1.73 m² or higher, accompanied by proteinuria, hematuria, or abnormal kidney morphology. Based on your description of "24-hour urine test results within normal range," this d...[Read More] Understanding Stage 1 Chronic Kidney Disease: Symptoms and Concerns
Related FAQ
(Urology)
Dialysis(Internal Medicine)
Acute Renal Failure(Internal Medicine)
Hypertension(Family Medicine)
Kidney(Pediatrics)
Urine Report(Family Medicine)
Proteinuria(Internal Medicine)
Edema(Family Medicine)
Blood(Family Medicine)
Chronic Diseases(Pharmacology)