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Re: Stages to ESRF?

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Hi Amy,

Yes, that is the chart on www.igan.ca. It uses GFR, but Creatinine clearance is

a close approximation and that is what my Neph uses.

In a message dated 8/27/2004 12:04:45 PM Eastern Daylight Time, " Amy Griswold "

writes:

>My doctor never mentioned stages to ESRF....but is this the chart that is on

the www.igan.ca site?  Just wondering where I'm falling since my biopsy states

stage 5, but hey I'm not on dialysis yet.  

>

>Amy

>

>

>

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There are stages for IgAN, which is different than stages of renal failure.

I never really paid much attention to stages. It's just a shorthand some

doctors use. Serum creatinine and creatinine clearance tell me a lot more

than " stages " .

Pierre

Re: Stages to ESRF?

> Amy,,,,,aprils dr said there are 4 stages,,,is all i have heard and i

didnt

> know about that till she went to the dr last week,,,,,,crystal

>

>

>

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Hi Amy,

This is lifted directly from the NIDDK web site. It's a pretty thumbnail

view of the world. I think the WHO uses approximately similar criteria.

Cy

The new guidelines identify five stages of CKD and recommend actions to take

at each stage.

a.. Stage 1 includes 5.9 million patients who have kidney damage but a

normal GFR (90 or higher). The recommended actions are to diagnose and treat

the cause of the kidney damage, treat comorbid conditions, slow the

progression of CKD, and reduce cardiovascular risk factors.

b.. Stage 2 includes 5.3 million patients with mild GFR reduction (60-89).

The recommended action is to estimate disease progression.

c.. Stage 3 includes 7.6 million patients with moderate GFR reduction

(30-59). The recommended actions are to evaluate and treat complications

such as anemia and bone disease.

d.. Stage 4 (400,000 patients) is severe GFR reduction (15-29). The

recommended action is to prepare the patient for kidney replacement therapy.

e.. Stage 5 (300,000 patients) is kidney failure, marked by a GFR below

15. The recommended action is to initiate kidney replacement therapy--either

dialysis or transplantation--if uremia is present.

Stages to ESRF?

> My doctor never mentioned stages to ESRF....but is this the chart that is

on the www.igan.ca site? Just wondering where I'm falling since my biopsy

states stage 5, but hey I'm not on dialysis yet.

>

> Amy

>

>

>

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Thanks Cy! It's neat to see the breakdown of the number of people in each

category. That puts me at a stage 3 if you go by my labs and a stage 5 if you

go by my biopsy....perhaps I'm an average stage 4...... Yes I even confuse my

doctors as they didn't expect my labs to show so well after seeing my biopsy

report. ;o) Ah well as I always say " I'm not dead yet " so I guess it doesn't

really matter too much where I'm sitting on the fence.

Amy

Stages to ESRF?

> My doctor never mentioned stages to ESRF....but is this the chart that is

on the www.igan.ca site? Just wondering where I'm falling since my biopsy

states stage 5, but hey I'm not on dialysis yet.

>

> Amy

>

>

>

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