Why the study?
Regular nephrology follow-up is recommended by guidelines to slow CKD progression and prevent complications, but adherence to scheduled visits varies widely.
Does regular nephrology follow-up improve clinical outcomes in adults with chronic kidney disease (stages 3-5)?
Population
Patients with chronic kidney disease
Comparison
Regular vs irregular nephrology follow-up
Design
Narrative review
Key result
Regular nephrology follow-up reduced all-cause mortality by 35–45% (HR 0.55–0.65) compared to irregular follow-up in adults with CKD stages 3-5.
Authors
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May warrant regular nephrology follow-up in CKD stages 3-5; reinforces observational data but leaves causality open pending RCTs.
Does regular nephrology follow-up improve clinical outcomes in adults with chronic kidney disease (stages 3-5)?
Effect estimate: HR 0.55–0.65
Absolute Event Rate: 6% vs 12%
Regular nephrology follow-up in patients with CKD stages 3-5 is associated with significantly lower mortality, slower disease progression, and fewer cardiovascular complications compared to irregular follow-up.
Duranti Ennio (2026) conducted a review in Adults with chronic kidney disease stages 3-5 undergoing regular versus irregular nephrology follow-up. Regular nephrology follow-up vs. Irregular or absent nephrology follow-up was evaluated on All-cause mortality (HR 0.55–0.65). Regular nephrology follow-up reduced all-cause mortality by 35–45% (HR 0.55–0.65) compared to irregular follow-up in adults with CKD stages 3-5.