RISk FACTORS FOR PROGRESSION OF

Chronic kidney disease is associated with increased mortality and morbidity especially due to cardiovascular disease and imposes a huge economic burden to the family and health care delivery system. In both developing and developed countries, diabetes mellitus and hypertension are the leading causes of CKD. While dialysis and transplantation are excellent options for end stage kidney disease, they are costly. Renal transplant is again limited by organ shortage. The better strategy to tackle CKD will be early identification of the disease and adopt measures to slow its progression to ESRD. A comprehensive approach to the prevention of CKD and retarding its progression is outlined. © on the prevention of CKD. Early diagnosis of CKD and its prevention involves measures to 1) screen for CKD 2) evaluate and estimate the progression of CKD and 3) measures to prevent the progression of CKD. This involves early identification of patients at risk for CKD. Patients with diabetes, hypertension, subjects above the age of 60 years, close relatives of patients with nephropathy caused by diabetes, hypertension and glomerulonephritis should be primary targets for screening to detect clinically silent kidney disease