PT - JOURNAL ARTICLE AU - Sakhuja, Ankit AU - Hyland, Jennifer AU - Simon, James F. TI - Managing advanced chronic kidney disease: A primary care guide AID - 10.3949/ccjm.81a.13046 DP - 2014 May 01 TA - Cleveland Clinic Journal of Medicine PG - 289--299 VI - 81 IP - 5 4099 - http://www.ccjm.org/content/81/5/289.short 4100 - http://www.ccjm.org/content/81/5/289.full SO - Cleve Clin J Med2014 May 01; 81 AB - Chronic kidney disease (CKD) is a common disorder that requires close collaboration between the primary care physician and nephrologist. Most aspects of early CKD can be managed in the primary care setting with nephrology input. As the disease progresses, many aspects of care should be transitioned to the nephrologist, especially as the patient nears end-stage renal disease, when dialysis and transplantation must be addressed.