Brian Wolfe

Chronic kidney disease (pre-dialysis) I. Problem/Condition. Pre-dialysis chronic kidney disease (CKD) is a common medical problem affecting more than 26 million Americans. Defined by a decrease in glomerular filtration rate (GFR) or by chronic functional and or structural kidney abnormalities, CKD is under recognized, poorly quantitated and is usually not the primary cause for hospitalization.…