Managing CKD.

The reality is that the majority of the CKD population have one or more co-morbid conditions with a known higher prevalence in ethnic minorities and lower socio-economic groups; combine this with the increase in childhood obesity and prevalence of diabetes and it is clear why we have an epidemic of CKD. Without effective prevention and early detection programmes, this will continue to escalate. Early detection and referral of CKD patients to nephrology teams is pivotal in slowing the progression to ESRD and reducing the demand for dialysis.