AbstractThe number of patients who suffer chronical kidney disease (CKD) in our country and the overwhelming increase reflect what is happening in the world; where this disease has a pandemic appearance. Most of the patients are diagnosed grade 5 of CKD; in this stage the recomended treatment is the renal replacement therapy (RRT) (dialysis or transplant), and due to its operating high costs may destabilize any health system in the world 1. This is why, two non-exclusive schemes emerged in response to this challenge:First one: through nephrology and complementary medical specialties, to modify or delay the history of this entity, by controlling diseases with a high incidence on their etiology, offering an excellent quality of life to the patient and coordinate all previous aspects related to stage 5; which is a very incipient scheme in Colombia
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