Chronic Kidney Disease Stage 4—Late Stage CKD

CKD Stage 4

Severe loss of kidney function, eGFR of 15–29


Possible stage 4 kidney disease symptoms and signs:

  • Anemia
  • Decreased appetite
  • Bone disease
  • Abnormal blood levels of phosphorus, calcium or vitamin D

Treatment goals:


Stage 4 kidney disease life expectancy:

While there's no cure for kidney disease, there are things you can do to help preserve kidney function and slow the progression of CKD. There are also treatments at stage 5, which is kidney failure, that can help people live well for decades.


What you can do:

  • Talk with your dietitian about a kidney-friendly diet to help keep your kidneys working longer.
  • Talk with your doctor about which treatment option best fits your lifestyle. Ask if a kidney transplant is an option.
  • Choose an access type and take steps toward getting your access placed.
  • If you've chosen home dialysis: prepare your home and treatment space, schedule an at-home nurse visit and prepare for training.
  • If you've chosen in-center dialysis: tour a local dialysis center and get answers to your questions.
  • Start building your support network. Reach out to people who care about you and can encourage you.

What to discuss with your doctor:

  • Talk to your doctor about all of your dialysis options, including home dialysis treatments. Also ask your doctor for convenient dialysis center recommendations and schedule a tour. Getting information and answers now will give you some time to get comfortable with your choices.
  • Talk to your nephrologist to see if a kidney transplant is a good treatment option for you.
  • Discuss supportive care if it's a consideration. Involve your family in the discussion as well.
  • Talk to your doctor about the placement of your access if you're choosing to go on dialysis. Making this decision prior to kidney failure will give you more placement options. Your access site is the location on your body where dialysis equipment can be connected to access your bloodstream for hemodialysis or access your abdomen for peritoneal dialysis.
  • Ask about which foods and drinks are healthiest for you now, and talk about meal and snack ideas.

Learn more about kidney disease stages

GET DETAILS ON CKD STAGE 5 (ESRD)

TAKE A FREE CLASS ON KIDNEY HEALTH

Learn how to take care of yourself and live well with kidney disease—from eating well, to getting support, to finding the right resources.

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PLANNING YOUR ACCESS SURGERY

Once you and your doctor have decided on an access type, you'll want to schedule your surgery. Azura Vascular Care, an affiliate of Fresenius Kidney Care, offers minimally invasive, outpatient dialysis access surgery.

Find a location near you

CONSIDER HOME DIALYSIS

At-home dialysis can offer greater scheduling flexibility, fewer restrictions and better outcomes.
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