Clinical results of a kidney protection program in patients with chronic kidney disease stage 5 at medellín, colombia. Preliminary Report
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Chronic renal disease
renal protection
Cockcroft -Gault

How to Cite

González Sánchez DA, Ayala Ramírez D, Aguirre D, Mercado Juri Álvaro, Rodelo Ceballos J, Ustariz JM. Clinical results of a kidney protection program in patients with chronic kidney disease stage 5 at medellín, colombia. Preliminary Report. Rev. Colomb. Nefrol. [Internet]. 2016 Nov. 18 [cited 2024 May 20];3(2):99-106. Available from:


Introduction: Chronic kidney disease remains a major cause of morbidity and mortality in our environment. A proper medical intervention of risk factors slow disease progression to dialysis. The usefulness of renal protection programs in our country has not been evaluated.

Objective: To describe the clinical and medical results obtained in patients with chronic kidney disease stage 5 belonging to renal protection program.

Materials and Methods: A total of 4727 patients belong to renal protection program at the Medellin General Hospital-Savia Salud started in November 2013 and followed up until December 31, 2015. Those patients with GFRe < 15 cc/min by Cockcroft-Gault were included taking into account the guidelines and policies of high cost in Colombia. We excluded patients with a history of renal transplantation.

Results: A total of 112 patients were included in the analysis, with an average age of 71.8 years and an average follow-up of 343.2 days. Diabetic nephropathy was the leading cause of chronic kidney disease with 36.6 %. The mortality rate was 6.25% (7 deaths), median dialysis-free days was 694 days IQR (199 -> 694) and average reduction in GFRe by MDRD was -2.88 ml/min/year.

Conclusions: Renal protection programs are a useful tool in the management of patients with advanced chronic kidney disease and help slow the progression to dialysis.
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