Individualizing Care for People with Progressive Kidney Disease

1. According to the National Kidney Foundation, CKD is reduced kidney function and/or kidney damage regardless of etiology as evidenced by an eGFR of <60 mL/min/1.73m2 > 3months and/or kidney disease > 3 months as evidenced by pathology or proteinuria (UACR-30mg/g).

a) True
b) False

2. Which of the following are risk factors for CKD?

a) Diabetes
b) Hypertension
c) Family history of kidney disease
d) Cardiovascular disease
e) Acute kidney injury
f) All of the above

3. Diabetes is the leading cause of ESRD, followed by hypertension.

a) True
b) False

4. Blood pressure is often poorly controlled in people with CKD.

a) True
b) False

5. According to Cardiovascular Disease and Risk Management: Standards of Medical Care in Diabetes-2018 hypertension control recommendations for treatment goals for most people with diabetes and hypertension are a systolic BP goal of <140 mmHg and a diastolic BP goal of <90 mmHg.

a) True
b) False

6. According to the ADA Standards of Medical Care in 2019, an A1c goal should be individualized, but an A1C of <7% is desirable for most adults and an A1C of <8% may be appropriate for people with advanced CKD.

a) True
b) False

7. According to the Coalition for Supportive Care of Kidney Patients, dialysis is a powerful default, and patients can face an uphill battle to receive patient centered, multidisciplinary, whole person Medical Management of their kidney disease if they opt not to do dialysis.

a) True
b) False

8. In regards to Population Health: the system is the intervention. Which of the following are applicable:

a) Chronic kidney disease is best addressed through population health management
b) Improvement in care results from changes implemented by the community and in the clinic by all health professionals (Chronic Care Model)
c) Implemented through diabetes care delivery system; not specialty clinic based
d) Surveillance and prevention are part of multisystem chronic disease control
e) Emphasis on ensuring that the patient received care from competent and interested individual, not just referral
f) All of the above