What is the primary aim in managing patients with chronic kidney disease?

The primary aim in managing patients with chronic kidney disease (CKD) is to delay disease progression. This focus is crucial because CKD is a progressive disorder where kidney function deteriorates over time, potentially leading to end-stage renal disease (ESRD) and the need for dialysis or transplantation.

Delaying progression involves implementing various interventions such as controlling blood pressure and blood sugar levels, managing dietary intake (particularly protein and phosphorus), and monitoring for complications associated with CKD. These strategies help preserve kidney function for as long as possible, improving the overall quality of life for patients and reducing the risk of adverse cardiovascular events, which are common in this population.

While increasing physical activity, reducing fluid intake, and monitoring weight can be parts of a comprehensive care plan for CKD, none of these actions directly address the critical need to slow the decline in kidney function, which is the primary concern in CKD management. Thus, focusing on delaying disease progression is the cornerstone of effective CKD management.