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Stage 3 chronic kidney disease

MedGen UID:
389222
Concept ID:
C2316787
Disease or Syndrome
Synonyms: Chronic kidney disease stage 3; Chronic Kidney Disease, Stage 3; CKD stage 3; Moderate Kidney Disease; Moderate Renal Disease
SNOMED CT: Chronic kidney disease stage 3 (433144002); CKD stage 3 (433144002)
 
HPO: HP:0012625

Definition

A type of chronic kidney disease with moderately reduced glomerular filtration rate (GFR 30-59 mL/min/1.73 m2). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVStage 3 chronic kidney disease

Conditions with this feature

Psychomotor regression-oculomotor apraxia-movement disorder-nephropathy syndrome
MedGen UID:
1621949
Concept ID:
C4539828
Disease or Syndrome
Birk-Landau-Perez syndrome (BILAPES) is an autosomal recessive syndromic developmental disorder characterized by global developmental delay apparent from infancy or early childhood. Some patients have developmental regression with loss of speech and motor skills, whereas other patients never achieve these milestones. More variable features may include hypotonia, poor overall growth, ataxia, dystonia, abnormal eye movements, and renal insufficiency (Perez et al., 2017; Kleyner et al., 2022).
Familial juvenile hyperuricemic nephropathy type 1
MedGen UID:
1645893
Concept ID:
C4551496
Disease or Syndrome
Autosomal dominant tubulointerstitial kidney disease – UMOD (ADTKD-UMOD) is characterized by normal urinalysis and slowly progressive chronic kidney disease (CKD), usually first noted in the teen years and progressing to end-stage renal disease (ESRD) between the third and seventh decades. Hyperuricemia is often present from an early age, and gout (resulting from reduced kidney excretion of uric acid) occurs in the teenage years in about 8% of affected individuals and develops in 55% of affected individuals over time.
Nephrotic syndrome, type 19
MedGen UID:
1648305
Concept ID:
C4748552
Disease or Syndrome
Nephrotic syndrome type 19 (NPHS19), a disease of the renal glomerular filter, is characterized by proteinuria, edema, and hypoalbuminemia. It does not respond to drug treatment and inevitably progresses to end-stage renal disease, thus requiring dialysis or renal transplantation for survival. Renal histology shows focal segmental glomerulosclerosis (summary by Braun et al., 2018).
Combined oxidative phosphorylation deficiency 55
MedGen UID:
1806598
Concept ID:
C5676915
Disease or Syndrome
Combined oxidative phosphorylation deficiency-55 (COXPD55) is characterized by global developmental delay, hypotonia, short stature, and impaired intellectual development with speech disabilities in childhood. Indolent progressive external ophthalmoplegia phenotype has been described in 1 patient (summary by Olahova et al., 2021). For a discussion of genetic heterogeneity of combined oxidative phosphorylation deficiency, see COXPD1 (609060).
Osteopetrosis, autosomal recessive 9
MedGen UID:
1841123
Concept ID:
C5830487
Disease or Syndrome
Autosomal recessive osteopetrosis-9 (OPTB9) is characterized by increased bone density and bone fragility, as well as renal failure. Vision may be compromised due to compression of the optic nerve secondary to osteopetrotic stenosis of the optic nerve canal (Xue et al., 2022). For a general phenotypic description and discussion of genetic heterogeneity of autosomal recessive osteopetrosis, see OPTB1 (259700).

Professional guidelines

PubMed

Tiku A, Johnson DW, Badve SV
Curr Opin Nephrol Hypertens 2021 May 1;30(3):346-352. doi: 10.1097/MNH.0000000000000699. PMID: 33767063
Vargas-Santos AB, Peloquin CE, Zhang Y, Neogi T
JAMA Intern Med 2018 Nov 1;178(11):1526-1533. doi: 10.1001/jamainternmed.2018.4463. PMID: 30304329Free PMC Article
Kawai K, Ichioka D, Inai H, Miyazaki J, Nishiyama H
Jpn J Clin Oncol 2013 Nov;43(11):1055-63. Epub 2013 Sep 12 doi: 10.1093/jjco/hyt132. PMID: 24031085

Curated

UK NICE Guideline NG203, Chronic kidney disease: assessment and management, 2021

Recent clinical studies

Etiology

Tangri N, Moriyama T, Schneider MP, Virgitti JB, De Nicola L, Arnold M, Barone S, Peach E, Wittbrodt E, Chen H, Järbrink K, Kushner P
BMJ Open 2023 May 22;13(5):e067386. doi: 10.1136/bmjopen-2022-067386. PMID: 37217263Free PMC Article
Tangri N, Peach EJ, Franzén S, Barone S, Kushner PR
Adv Ther 2023 Jun;40(6):2869-2885. Epub 2023 May 3 doi: 10.1007/s12325-023-02482-5. PMID: 37133647Free PMC Article
Cherney DZI, Ferrannini E, Umpierrez GE, Peters AL, Rosenstock J, Powell DR, Davies MJ, Banks P, Agarwal R
Diabetes Obes Metab 2023 Jun;25(6):1646-1657. Epub 2023 Feb 28 doi: 10.1111/dom.15019. PMID: 36782093
Bain SC, Mosenzon O, Arechavaleta R, Bogdański P, Comlekci A, Consoli A, Deerochanawong C, Dungan K, Faingold MC, Farkouh ME, Franco DR, Gram J, Guja C, Joshi P, Malek R, Merino-Torres JF, Nauck MA, Pedersen SD, Sheu WH, Silver RJ, Tack CJ, Tandon N, Jeppesen OK, Strange M, Thomsen M, Husain M
Diabetes Obes Metab 2019 Mar;21(3):499-508. Epub 2018 Nov 11 doi: 10.1111/dom.13553. PMID: 30284349Free PMC Article
Hohenstein B
Clin Res Cardiol Suppl 2017 Mar;12(Suppl 1):27-30. doi: 10.1007/s11789-017-0086-z. PMID: 28181057Free PMC Article

Diagnosis

Tangri N, Moriyama T, Schneider MP, Virgitti JB, De Nicola L, Arnold M, Barone S, Peach E, Wittbrodt E, Chen H, Järbrink K, Kushner P
BMJ Open 2023 May 22;13(5):e067386. doi: 10.1136/bmjopen-2022-067386. PMID: 37217263Free PMC Article
Tangri N, Peach EJ, Franzén S, Barone S, Kushner PR
Adv Ther 2023 Jun;40(6):2869-2885. Epub 2023 May 3 doi: 10.1007/s12325-023-02482-5. PMID: 37133647Free PMC Article
Golmohammadi S, Almasi A, Manouchehri M, Omrani HR, Zandkarimi MR
Iran J Kidney Dis 2017 Jul;11(4):286-293. PMID: 28794291
Hohenstein B
Clin Res Cardiol Suppl 2017 Mar;12(Suppl 1):27-30. doi: 10.1007/s11789-017-0086-z. PMID: 28181057Free PMC Article
Ma J, Yang Q, Hwang SJ, Fox CS, Chu AY
BMC Nephrol 2017 Jan 19;18(1):32. doi: 10.1186/s12882-017-0439-3. PMID: 28103844Free PMC Article

Therapy

Tangri N, Peach EJ, Franzén S, Barone S, Kushner PR
Adv Ther 2023 Jun;40(6):2869-2885. Epub 2023 May 3 doi: 10.1007/s12325-023-02482-5. PMID: 37133647Free PMC Article
Cherney DZI, Ferrannini E, Umpierrez GE, Peters AL, Rosenstock J, Powell DR, Davies MJ, Banks P, Agarwal R
Diabetes Obes Metab 2023 Jun;25(6):1646-1657. Epub 2023 Feb 28 doi: 10.1111/dom.15019. PMID: 36782093
Bain SC, Mosenzon O, Arechavaleta R, Bogdański P, Comlekci A, Consoli A, Deerochanawong C, Dungan K, Faingold MC, Farkouh ME, Franco DR, Gram J, Guja C, Joshi P, Malek R, Merino-Torres JF, Nauck MA, Pedersen SD, Sheu WH, Silver RJ, Tack CJ, Tandon N, Jeppesen OK, Strange M, Thomsen M, Husain M
Diabetes Obes Metab 2019 Mar;21(3):499-508. Epub 2018 Nov 11 doi: 10.1111/dom.13553. PMID: 30284349Free PMC Article
Golmohammadi S, Almasi A, Manouchehri M, Omrani HR, Zandkarimi MR
Iran J Kidney Dis 2017 Jul;11(4):286-293. PMID: 28794291
Anabtawi A, Miles JM
Endocr Pract 2016 Aug;22(8):999-1007. doi: 10.4158/EP151145.RA. PMID: 27579542

Prognosis

Hohenstein B
Clin Res Cardiol Suppl 2017 Mar;12(Suppl 1):27-30. doi: 10.1007/s11789-017-0086-z. PMID: 28181057Free PMC Article
Ma J, Yang Q, Hwang SJ, Fox CS, Chu AY
BMC Nephrol 2017 Jan 19;18(1):32. doi: 10.1186/s12882-017-0439-3. PMID: 28103844Free PMC Article
Zachor H, Machekano R, Estrella MM, Veldkamp PJ, Zeier MD, Uthman OA, Taljaard JJ, Moosa MR, Nachega JB
AIDS 2016 May 15;30(8):1221-8. doi: 10.1097/QAD.0000000000001041. PMID: 26836786Free PMC Article
Toledo C, Thomas G, Schold JD, Arrigain S, Gornik HL, Nally JV, Navaneethan SD
Hypertension 2015 Aug;66(2):382-8. Epub 2015 Jun 15 doi: 10.1161/HYPERTENSIONAHA.115.05536. PMID: 26077569Free PMC Article
Kawai K, Ichioka D, Inai H, Miyazaki J, Nishiyama H
Jpn J Clin Oncol 2013 Nov;43(11):1055-63. Epub 2013 Sep 12 doi: 10.1093/jjco/hyt132. PMID: 24031085

Clinical prediction guides

Tangri N, Moriyama T, Schneider MP, Virgitti JB, De Nicola L, Arnold M, Barone S, Peach E, Wittbrodt E, Chen H, Järbrink K, Kushner P
BMJ Open 2023 May 22;13(5):e067386. doi: 10.1136/bmjopen-2022-067386. PMID: 37217263Free PMC Article
Tangri N, Peach EJ, Franzén S, Barone S, Kushner PR
Adv Ther 2023 Jun;40(6):2869-2885. Epub 2023 May 3 doi: 10.1007/s12325-023-02482-5. PMID: 37133647Free PMC Article
Cherney DZI, Ferrannini E, Umpierrez GE, Peters AL, Rosenstock J, Powell DR, Davies MJ, Banks P, Agarwal R
Diabetes Obes Metab 2023 Jun;25(6):1646-1657. Epub 2023 Feb 28 doi: 10.1111/dom.15019. PMID: 36782093
Golmohammadi S, Almasi A, Manouchehri M, Omrani HR, Zandkarimi MR
Iran J Kidney Dis 2017 Jul;11(4):286-293. PMID: 28794291
Hohenstein B
Clin Res Cardiol Suppl 2017 Mar;12(Suppl 1):27-30. doi: 10.1007/s11789-017-0086-z. PMID: 28181057Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NICE, 2021
      UK NICE Guideline NG203, Chronic kidney disease: assessment and management, 2021

    Consumer resources

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