Although a variety of conditions and syndromes may affect the kidneys over either chronic or acute time frames, the term “chronic kidney disease” (CKD) is used to describe a decrease in the filtration ability of the glomerular capillaries in the kidney. The most prevalent forms of CKD in health care systems are typically the asymptomatic stages conventionally termed CKD stage 4 or below.1,2 Should these asymptomatic stages be called “disease”?
Bibliographical noteThe authors thank the Stakeholder Group and Steering Committee of our NIHR
Programme Grant for discussions that inspired this paper. We are grateful to Dr Tim Holt and to the reviewers for suggestions that have improved the text.
This commentary arises from independent research funded by the National Institute for Health Research (NIHR)’s School for Primary Care Research (Project Reference Number: NSPCR ID FR4.120) and the Programme Grant for Applied Research Programme (Ref: RP-PG-1210-12003). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. The work of some authors was partially supported by the NIHR Biomedical Research Centre, Oxford.
- family medicine
- general practice
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