Population
104 patients with early chronic kidney disease (mean GFR 60+/-21 ml/min/1.73 m2)
Design
Cross-sectional
Authors
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Should not yet change volume management in early CKD; leaves open whether ECFe drives remodeling independent of GFR, needing prospective trials.
Extracellular fluid excess occurs in early CKD and is independently associated with cardiac and vascular remodelling, suggesting early volume control may be a target to reduce cardiovascular risk.
Essig et al. (2007) studied this question.
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