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chronic renal failure stage 4

Management: - ACE inhibitor or ARB delays progression to ESRD relative to calcium channel blocker (35% vs 39%) [2] - ACE inhibitor or ARB delays progression to ESRD but not mortality [3]

Related

end-stage renal disease (ESRD)

General

chronic renal failure (CRF)

References

  1. Centers for Disease Control and Prevention (CDC) Chronic Kidney Disease (CKD) Surveillance Project https://nccd.cdc.gov/ckd/Help.aspx?section=F#3
  2. Fu EL et al. Comparative effectiveness of renin-angiotensin system inhibitors and calcium channel blockers in individuals with advanced CKD: A nationwide observational cohort study. Am J Kidney Dis 2021 May; 77:719. PMID: 33246024 Free article https://www.ajkd.org/article/S0272-6386(20)31121-5/fulltext
  3. Ku E, Inker LA, Tighiouart H et al. Angiotensin-Converting Enzyme Inhibitors or Angiotensin-Receptor Blockers for Advanced Chronic Kidney Disease : A Systematic Review and Retrospective Individual Participant-Level Meta-analysis of Clinical Trials. Ann Intern Med. 2024. July 2 PMID: 38950402 Review. https://www.acpjournals.org/doi/10.7326/M23-3236