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Duke nephrologists specialize in caring for people with kidney disease, including diabetic kidney disease, glomerulonephritis, HIV-related kidney disease, hereditary kidney disease, and electrolyte disorders. Our nephrologists are also experts in difficult-to-control hypertension.

Our goal is to slow the progression of chronic kidney disease. However, if your kidneys no longer function adequately, we offer the full spectrum of kidney replacement therapies. If you are considering kidney transplantation, we maintain one of the busiest transplant programs in the region with consistently excellent results.

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Duke Health offers locations throughout the Triangle. Find one near you.

Why Choose Duke

We Do What We Can to Slow Disease Progression
Although there is no cure yet for chronic kidney disease, our experts use the latest treatments to slow its progression, combat the underlying causes of disease -- including high blood pressure, immune system disorders and diabetes -- and treat complications associated with chronic kidney disease such as bone and mineral disorder. We work with you to ensure your kidneys remain healthy longer.

A Team Approach to Your Care
Our nephrologists work closely with our nurse coordinators, dietitians, transplant surgeons, dialysis specialists, and other experts to provide comprehensive care for all aspects of kidney disease. If you suffer from other medical conditions such as heart disease or diabetes, we coordinate your care with specialists throughout Duke Health.

If You Need Dialysis
Our dialysis program provides a full spectrum of options, including home hemodialysis, nocturnal dialysis, and peritoneal dialysis. We also offer acute dialysis services for inpatients, including continuous renal placement therapy -- a gradual method of removing fluid and wastes from the blood of patients too ill to be treated with dialysis. We use advanced access procedures to make dialysis more convenient and efficient.

In addition, our nephrologists see all in-center hemodialysis patients once a week. We believe this leads to better patient care and helps to ensure our patients experience the best possible outcomes.

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Experts in Kidney Transplantation
Our dedicated transplant nephrologists and transplant surgeons are nationally recognized leaders in treating end-stage kidney disease. Our transplant center prepares you for a kidney transplant while you are on the waitlist. If you have a compatible living donor, you can schedule your surgery when you and your donor are ready. If you and your donor are not compatible, we have several options including paired exchange which matches you and your donor to a compatible pair elsewhere.

You May Have Access to Our Clinical Trials
As a Duke patient, you may be eligible to participate in clinical trials that test new therapies before they become widely available.

Our Researchers are Nationally Renowned
For more than 50 years, Duke nephrologists have been leaders in research that has contributed to major advances in the treatment of chronic kidney disease and better patient outcomes. Currently, we are studying links between chronic kidney disease, high blood pressure, and heart disease, as well as ways to optimize dialysis treatment. We are also investigating the genetic components of kidney disease that may lead to new treatments in the future.

Palliative Care May Help You Find Relief
The debilitating effects of serious illness are often magnified by physical, mental, and spiritual pain and suffering. Our palliative care experts partner with you, your family, and your medical team to help you find relief.

Consistently Ranked Among the Nation’s Best Hospitals

Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are once again recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2023–2024.

This page was medically reviewed on 03/14/2022 by