What are the stages of CKD?

July 28, 2024

The Chronic Kidney Disease Solution™ By Shelly Manning The information provided in this write-up about The Chronic Kidney Disease Solution, a guide, helps in motivating people to get rid of the chronic problems on their kidneys without using any harmful methods. It eliminates your kidney problem by focusing on the poor health of your gut and inflammation.


What are the stages of CKD?

Chronic kidney disease (CKD) is classified into stages based on the glomerular filtration rate (GFR), a measure of how well the kidneys filter waste from the blood. These stages help determine the severity of kidney damage and guide treatment decisions. The stages range from mild to severe, ultimately leading to end-stage renal disease (ESRD) if left untreated. Here’s a detailed overview of the stages of CKD:

Stage 1: Kidney Damage with Normal or Increased GFR (GFR ≥ 90 mL/min/1.73 m²)

  • Characteristics:
    • At this stage, there is evidence of kidney damage, often identified through markers such as proteinuria (excess protein in the urine) or abnormalities in urine tests or imaging studies.
    • Despite the presence of kidney damage, the GFR is normal or slightly increased, indicating that the kidneys are still filtering waste effectively.
  • Symptoms:
    • Usually asymptomatic, as the kidneys can compensate for any loss in function.
  • Management:
    • Focus on managing underlying conditions such as hypertension and diabetes, lifestyle modifications, and regular monitoring to prevent further damage.

Stage 2: Mild Reduction in GFR (GFR 60-89 mL/min/1.73 m²)

  • Characteristics:
    • Mild decrease in kidney function with evidence of kidney damage, similar to stage 1.
    • GFR is slightly reduced but still above 60 mL/min/1.73 m².
  • Symptoms:
    • Typically minimal or absent; patients may still be unaware of any kidney issues.
  • Management:
    • Monitoring of kidney function and progression, addressing risk factors, and continuing management of underlying conditions.

Stage 3: Moderate Reduction in GFR (GFR 30-59 mL/min/1.73 m²)

  • Subdivisions:
    • Stage 3a: GFR 45-59 mL/min/1.73 m²
    • Stage 3b: GFR 30-44 mL/min/1.73 m²
  • Characteristics:
    • Moderate loss of kidney function, with a more noticeable reduction in GFR.
    • At this stage, symptoms may begin to appear, and kidney function is compromised.
  • Symptoms:
    • Fatigue, edema (swelling), changes in urination, and other signs of waste buildup in the body.
  • Management:
    • More intensive monitoring and treatment of underlying conditions, dietary changes, and potential introduction of medications to manage symptoms and slow progression.

Stage 4: Severe Reduction in GFR (GFR 15-29 mL/min/1.73 m²)

  • Characteristics:
    • Significant decline in kidney function with a GFR of 15-29 mL/min/1.73 m².
    • The kidneys are significantly impaired in their ability to filter waste.
  • Symptoms:
    • More pronounced symptoms, including severe fatigue, swelling, difficulty concentrating, loss of appetite, and other signs of uremia (accumulation of waste products in the blood).
  • Management:
    • Preparation for renal replacement therapy, such as dialysis or kidney transplantation.
    • Management of complications, including anemia, bone disease, and cardiovascular issues.

Stage 5: Kidney Failure (GFR < 15 mL/min/1.73 m² or Dialysis)

  • Characteristics:
    • Also known as end-stage renal disease (ESRD), this stage is characterized by kidney failure, where the kidneys can no longer maintain homeostasis.
    • GFR falls below 15 mL/min/1.73 m².
  • Symptoms:
    • Severe symptoms of kidney failure, including nausea, vomiting, loss of appetite, weakness, sleep disturbances, and cognitive changes.
  • Management:
    • Renal replacement therapy, either through dialysis or kidney transplantation, becomes necessary to sustain life.
    • Comprehensive management of complications and maintaining quality of life.

Additional Considerations

  • Early Detection and Prevention:
    • Early detection of CKD, particularly in stages 1 and 2, is crucial for preventing progression. Regular screening for at-risk populations, such as those with diabetes, hypertension, or a family history of kidney disease, can help detect CKD early.
  • Patient Education and Lifestyle Modifications:
    • Educating patients about CKD and its progression, encouraging lifestyle changes (diet, exercise, smoking cessation), and adherence to medication regimens are vital components of management.
  • Monitoring and Management:
    • Regular monitoring of GFR, blood pressure, and other relevant parameters is essential for managing CKD and its complications.

Chronic kidney disease is a progressive condition, and managing it involves a combination of medical treatment, lifestyle changes, and patient education. Early intervention can significantly slow the progression of CKD and improve patient outcomes

The Chronic Kidney Disease Solution™ By Shelly Manning The information provided in this write-up about The Chronic Kidney Disease Solution, a guide, helps in motivating people to get rid of the chronic problems on their kidneys without using any harmful methods. It eliminates your kidney problem by focusing on the poor health of your gut and inflammation.