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How can regular kidney function tests save your life?

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Chronic kidney disease (CKD) is a silent threat that affects millions worldwide, often progressing unnoticed until significant damage has occurred. Regular kidney function tests are crucial for early detection and management of kidney problems, especially for high-risk individuals.

Essential Kidney Function Tests:
Several tests are used to assess kidney health and function:
1. Serum Creatinine: This blood test measures the level of creatinine, a waste product normally filtered by the kidneys. Elevated levels may indicate impaired kidney function.
2. Estimated Glomerular Filtration Rate (eGFR): Calculated using serum creatinine, age, sex, and other factors, eGFR provides an estimate of how well the kidneys are filtering waste. An eGFR below 60 mL/min/1.73m2 may suggest kidney disease.

3. Spot Urine Albumin-to-Creatinine Ratio (UACR): This test measures the amount of albumin (a protein) in the urine relative to creatinine. A ratio above 30 mg/g could indicate kidney damage.
4. Complete Urine Examination: Also known as urinalysis, this test checks for various substances in the urine, including protein, blood, and signs of infection.


High-Risk Individuals:
Certain groups are at higher risk for developing kidney disease and should undergo more frequent testing: - People with diabetes - Individuals with hypertension - Those with a family history of kidney failure - Adults over 50 years old - People with cardiovascular disease

Importance of Regular Testing: Early detection of kidney disease through regular testing offers several benefits:
1. Timely Intervention: Identifying kidney problems early allows for prompt treatment, potentially slowing or halting disease progression.
2. Prevention of Complications: Regular monitoring helps prevent or manage complications associated with kidney disease, such as anemia and bone disorders.
3. Lifestyle Modifications: Early detection enables individuals to make necessary lifestyle changes to protect their kidney health.
4. Cost-Effective Management: Detecting and treating kidney disease in its early stages is more cost-effective than managing advanced kidney failure.
5. Improved Quality of Life: Early intervention can help maintain kidney function and overall health, preserving quality of life.
Regular kidney function tests are simple yet powerful tools in the fight against chronic kidney disease. For high-risk individuals, these tests should be performed at least annually, while others may benefit from testing every few years. By prioritizing these screenings, we can significantly reduce the burden of kidney disease and improve overall public health outcomes.

(Author: Dr PS Vali, Head & Senior Consultant Nephrologist, AINU, Dilsukhnagar, Hyderabad)
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