CKD: Prediction of Future Diagnosis, Early Diagnosis, Staging, & Management Strategies

This session will feature how the power of artificial intelligence and machine learning allow the clinician to use the tool called RenalTechTM to predict a future diagnosis of CKD using commonly collected laboratory data parameters. This prediction is accurate up to 2 years into the future as to which cats will and which cats will not have a diagnosis of CKD during that time. An early diagnosis of CKD can occur long before a cat exhibits obvious clinical signs, but this requires astute observation and integration of findings from blood chemistry and complete urinalysis. We will review how the current level or trend for increase in BUN,serum creatinine, SDMA, and urinary protein as well as decreases in USG can be used to establish an earlier diagnosis of CKD. We will compare and contrast SDMA and serum creatinine so that they can both be used to optimize the diagnosis of CKD and then for assignment of an IRIS CKD stage. Treatment will emphasize new findings on the role of dietary phosphate in the development and progression of CKD in cats.

Speaker Bio

Dennis Chew, DVM, DACVIM

Dr. Chew is a 1972 graduate of the College of Veterinary Medicine at Michigan State University. He did a one-year internship at South Weymouth Veterinary Associates and a two-year residency in internal medicine and nephrology at the Animal Medical Center in New York City. He became a Diplomate of the American College of Veterinary Internal Medicine in 1977. Dr. Chew was an attending veterinarian at The Ohio State University College of Veterinary Medicine Teaching Hospital for 36 years and is now Professor Emeritus. Most of his work in clinics, research, and publications involves urology/nephrology in small animals. He has special interest in disorders of calcium metabolism, chronic kidney disease and vitamin D metabolite dynamics, idiopathic/interstitial cystitis of cats, and diagnostic urinary endoscopy. He has been the author of over 100 peer-reviewed publications and 2 editions of the Manual of Nephrology and Urology in Small Animals.

RACE Credits 

Sponsored by:

This program 249-44275 is approved by the AAVSB RACE to offer a total of 1.00 CE Credits (1.00 max) being available to any one veterinarian: and/or 1.00 Veterinary Technician CE Credits (1.00 max). This RACE approval is for the subject matter categorie(s) of: Medical using the delivery method(s) of: Non-Interactive Distance. This approval is valid in jurisdictions which recognize AAVSB RACE; however, participants are responsible for ascertaining each board's CE requirements.