Advanced Chronic Kidney Disease (CKD) Specialty Clinic

Advanced chronic kidney disease (CKD) corresponds to stages 4 and 5 of chronic kidney disease, when kidney function is severely reduced. At this stage, acting early is key to slowing progression, managing complications, and planning the best treatment option if needed, such as dialysis or transplant.

At the clinic, we provide a comprehensive assessment of kidney function and overall health. We review blood pressure, electrolyte and mineral balance, and associated problems such as anemia and mineral and bone disorder (calcium, phosphorus, and vitamin D). With this information, we adjust medical treatment and set concrete, realistic goals.

We dedicate ample time to education and shared decision-making. We clearly explain what hemodialysis, peritoneal dialysis, and kidney transplant involve, their advantages and limitations, and which option best fits each person’s clinical situation, lifestyle, and preferences. This early planning helps patients feel prepared and reduces uncertainty.

Our approach is multidisciplinary and focused on preserving quality of life. We offer CKD-specific nutritional counseling, address symptom control (fatigue, itching, cramps, fluid retention, insomnia), and provide psychological support when needed. We also consider social and work-related factors so the care plan is truly comprehensive.

Regular follow-up helps us detect new complications early, optimize conservative management, and prevent decompensations or emergencies. If the time comes to start renal replacement therapy, patients do so as prepared as possible, in safer conditions, and with an easier adjustment.

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