Chronic Kidney Disease Treatment in Voorhees, NJ

What is chronic kidney disease?

Chronic kidney disease (CKD) is the gradual loss of kidney function over months or years, defined by either a reduced glomerular filtration rate (GFR) or markers of kidney damage such as albuminuria. CKD is staged from 1 to 5 based on GFR and is one of the strongest predictors of cardiovascular events.

Early CKD often has no symptoms. Most patients are identified through routine bloodwork — an elevated creatinine, a reduced eGFR, or a positive urine albumin-to-creatinine ratio. The earlier CKD is recognized and managed, the more options the patient has.

How Dr. Kottarathara approaches CKD

Each new CKD patient receives a structured first-visit workup: cause attribution (diabetic, hypertensive, glomerular, structural, or mixed), staging, cardiovascular risk profiling, and a written progression plan. Where appropriate, evidence-based therapies — RAAS blockade, SGLT2 inhibitors, finerenone, lifestyle and metabolic optimization — are layered to slow GFR decline.

• Stage-specific surveillance schedules with quarterly labs and annual imaging
• Vascular access planning starts early at Stage 4 to avoid emergent catheter placement
• Transplant referral workup initiated when indicated, in coordination with regional transplant centers
• Coordinated care with primary care, cardiology, endocrinology, and dietetics

Hospital affiliations

Inpatient CKD escalations are managed at:

• Virtua Voorhees Hospital
• Virtua Marlton Hospital
• Jefferson Kennedy Hospital, Washington Township