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Management is directed at slowing progression of chronic kidney disease and reducing the associated cardiovascular risk by treating hypertension, use of angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers as first-line therapy in high-risk cases, treatment with statins and lifestyle measures. Patients at high risk of rapid progression or requiring specific therapy as well as those with chronic kidney disease stage 4 or 5 should be referred to a nephrology service.<\/jats:p>","DOI":"10.12968\/hmed.2018.79.8.438","type":"journal-article","created":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T14:06:41Z","timestamp":1533218801000},"page":"438-443","source":"Crossref","is-referenced-by-count":1,"title":["What every doctor needs to know about chronic kidney disease"],"prefix":"10.31083","volume":"79","author":[{"given":"Isma","family":"Kazmi","sequence":"first","affiliation":[{"name":"Research Fellow and Specialist Registrar, Centre for Kidney Research and Innovation, Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6189-3437","authenticated-orcid":false,"given":"Latha","family":"Gullapudi","sequence":"additional","affiliation":[{"name":"Research Fellow and Specialist Registrar, Centre for Kidney Research and Innovation, Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9065-212X","authenticated-orcid":false,"given":"Maarten W","family":"Taal","sequence":"additional","affiliation":[{"name":"Professor of Medicine and Honorary Consultant Nephrologist, Centre for Kidney Research and Innovation, Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby and Department of Renal Medicine, Royal Derby Hospital, Derby DE22 3NE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60739-3"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2017020148"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.861"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2016020154"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdt117"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2010.531"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1159\/000481363"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32152-9"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61682-2"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39001.657755.BE"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1177\/1747493017701148"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0158765"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.114.05105"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.6.659"},{"issue":"1","key":"B15","first-page":"11","volume":"3","author":"Kidney Disease Improving Global Outcomes (KDIGO)","year":"2012","journal-title":"Kidney Int Suppl"},{"key":"B16","author":"Kim LG","year":"2017","journal-title":"Nephrol Dial Transplant"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2015.230"},{"issue":"3","key":"B19","first-page":"179","volume":"54","author":"Schwarz A","year":"2000","journal-title":"Clin Nephrol"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002128"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002400"},{"issue":"10","key":"B22","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1161\/CIRCULATIONAHA.108.838169","volume":"120","author":"Szummer K","year":"2009","journal-title":"Circulation"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.451"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.18202"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2010.536"}],"container-title":["British Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/hmed.2018.79.8.438","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:04:30Z","timestamp":1770372270000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/79\/8\/10.12968\/hmed.2018.79.8.438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,2]]},"references-count":24,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8,2]]}},"alternative-id":["10.12968\/hmed.2018.79.8.438"],"URL":"https:\/\/doi.org\/10.12968\/hmed.2018.79.8.438","relation":{},"ISSN":["1750-8460","1759-7390"],"issn-type":[{"value":"1750-8460","type":"print"},{"value":"1759-7390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,2]]}}}