Specialized nephrological care across the spectrum of kidney conditions.
We offer specialized clinics for a variety of kidney disorders, with care informed by the most up-to-date clinical and scientific research.
Expertise You Can Trust
Our nephrology specialist provide the highest standard of kidney care and transplant outcomes that far exceed the national average.
Leading Through Innovation
Our patients receive the latest treatments for common and complex kidney conditions and can benefit from novel therapies through clinical studies.
Meet the provider: Matthew Rivara, M.D.
Dr. Rivara is a board-certified nephrologist, assistant professor and investigator at the UW Kidney Research Institute. He works tirelessly to personalize care for each of his patients. View full bio.
Some of our common services:
Many autoimmune diseases can affect the kidneys. Common examples include lupus and vasculitis which can result in kidney damage and sometimes kidney failure if left untreated. Our nephrologists can effectively treat these autoimmune diseases using targeted medications.
Hypertension is a chronic medical condition in which high blood pressure can lead to increased long-term risk for heart disease, kidney disease and stroke. At the UW Medicine Hypertension Clinic, we offer a comprehensive and team-based approach to diagnosing and managing severe or difficult-to-control high blood pressure, including evaluating for inherited and reversible forms of hypertension. We work closely with interventional radiologists and cardiologists to pursue advanced diagnostic procedures when necessary. Our care team also includes clinical pharmacists who carefully monitor response to treatment to help implement an individually tailored hypertension management plan.
Kidney vascular disease refers to a number of vascular conditions that block or reduce blood flow into and out of the kidneys, sometimes causing kidney damage, kidney failure and high blood pressure. Our nephrologists can accurately diagnose kidney vascular disease using advanced imaging techniques and develop an individualized treatment plan.
This condition is characterized by a gradual loss of kidney function over time, often as the result of other disorders that can damage the kidneys. If chronic kidney disease progresses, it can lead to kidney failure needing dialysis or kidney transplantation. Our specialists can expertly diagnose this condition, help to manage its symptoms and slow its progression.
This kidney disease is due to diabetes, both type 1 and type 2, and is the most common cause of kidney failure in the U.S. Our providers are highly trained at diagnosing this condition and developing an individualized treatment plan to help slow its progression and keep you healthy.
When a kidney fails, treatment is needed to replace the diseased kidney with one that works. There are two types of treatment for kidney failure — dialysis or transplantation. Many people prefer kidney transplantation as a long-term treatment because it offers more freedom and a better quality of life than dialysis. People with type 1 diabetes may qualify for a pancreas transplant along with a kidney transplant.
If you or a loved one has end-stage renal disease, the UW Medicine Kidney Care and Transplant Program offers state-of-the-art, compassionate care with a special emphasis on living donor kidney transplantation. We offer expert care to our donors, including careful and respectful evaluation to ensure that it is safe for them to donate.
Our Onco-Nephrology Clinic focuses on the kidney disorders that can arise in patients with cancer as a side effect of treatment or related to the cancer directly. We work closely with our colleagues at the Seattle Cancer Care Alliance to provide a patient-centered approach to care for conditions such as chemotherapy and immunotherapy-related toxicities and electrolyte imbalances. We also evaluate kidney function before and after stem cell transplant.
At UW Medicine, our extensive kidney research programs help to identify new and optimal ways to treat and prevent kidney diseases. As a UW Medicine patient, you have the opportunity to receive novel therapies by participating in clinical trials.
If you have heart disease, your chance of developing kidney disease is much greater. At the Kidney Cardiac Clinic, we offer comprehensive testing and screening for kidney disease, and education on how to keep your kidneys as healthy as possible.
Inform yourself to make the best choices for your health and care with UW Medicine patient education resources.
Kidney failure, also called end-stage renal disease, occurs due to kidney damage. Chronic kidney failure progresses slowly and may result in kidney failure over months to years. It can be treated with dialysis, which removes waste substances from the blood that are normally removed by the kidneys. Treatment may take place in a center or at home.
Patients who have liver disease or cirrhosis often develop complications affecting their kidneys. Our specialists in the kidney-liver program offer the most advanced treatments available for this condition, including specialized transfusions and medications as well as kidney transplant.
Certain inherited diseases can affect the kidneys along with other organs and body systems, and several rare genetic diseases primarily affect the kidneys. The UW Medicine Kidney Genetics Clinic specializes in caring for patients who have a known or suspected genetic kidney disease, providing advanced diagnosis and treatment, as well as access to clinical trials when possible.
This is a genetic disorder characterized by the growth of numerous cysts filled with fluid in the kidneys. The cysts can reduce kidney function and lead to kidney failure. While there's no cure for this condition, our specialists offer a variety of advanced treatments that can improve symptoms, delay disease progression and slow further kidney damage.
Kidney palliative care, also known as renal supportive care, is specialized kidney care to help people with advanced kidney disease live as well as possible for as long as possible. Our expert clinicians address physical symptoms, and guide people with advanced kidney disease to tailor treatment decisions to what is most important to them. Our experts also lead an initiative at Northwest Kidney Centers to meet the palliative care needs of people on kidney dialysis.
Our skilled nephrologists can accurately diagnose a wide range of kidney diseases using comprehensive tests that include a specialized physical exam, blood and urine panels, advanced imaging, and biopsies. After diagnosis, we work closely with you to educate you on your condition and develop an individualized treatment plan.
Glomerular disease occurs when the kidneys' filters (glomeruli) are damaged and scarred, causing the kidneys to slowly lose their ability to work properly. This condition can result from toxins, medicines, infections or autoimmune diseases like lupus. Our nephrologists at the Glomerular Disease Clinic at UW Medical Center work closely with our renal pathologists to diagnose and treat this condition using the most up-to-date approaches available.
A kidney stone is a hard, pebble-like deposit that forms in the kidney, sometimes getting stuck in a ureter, the bladder or the urethra. Kidney stones often cause extreme, sharp pain. Our nephrologists at the Kidney Stone Center at Northwest Hospital are experts at diagnosing this condition, treating painful symptoms, removing the stone when possible and helping to prevent recurrence.
Patients with type 1 diabetes — an autoimmune disease in which the pancreas stops producing the hormone insulin — may qualify for a pancreas transplant as well as a kidney transplant, if it's determined that it's needed. A successful pancreas transplant can allow the patient to control blood sugar without needing to use insulin because the new pancreas will create it for them. Patients no longer have problems with very low blood sugars (hypoglycemia), or diabetic ketoacidosis (DKA) or coma from very high sugars (hyperglycemia), all of which can be life-threatening. Normal blood sugars can prevent or sometimes reverse long-term complications of diabetes.
Convenient care, in your neighborhood.
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Acute Kidney Injury Clinic at Seattle Children’s Hospital
4800 Sand Point Way NE, Seattle, WA 98105 / 206.987.2524
Glomerular Disease Kidney Clinic at UWMC
1959 NE Pacific Street, 3rd Floor, Seattle, WA 98195 / 206.598.6267
Hypertension Clinic at Harborview
410 9th Ave., 7th Floor Norm Maleng Building, Seattle, WA 98104 / 206.520.5000
Kidney Care & Transplantation Services at UWMC
1959 NE Pacific St., Seattle, WA 98195 / 206.598.3882
Kidney Clinic at Harborview
410 9th Ave., 7th Floor, Seattle, WA 98104 / 206.744.8998
Kidney Genetics Clinic at Harborview
410 9th Ave., 7th Floor, Seattle, WA 98104 / 206.744.3622
Kidney Stone Center at Northwest
McMurray Medical Building, 1536 N. 115th St., Suite. 300, Seattle, WA 98133 / 206.668.5215
Nephrology Clinic at Valley
24920 104th Ave SE, Kent, WA 98030 / 253.395.1944
Transplant Services at UW Medical Center
1959 NE Pacific St., Seattle, WA 98195 / 877.520.5000
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If you experience significant changes in your physical or mental functions and fear you have a serious, life-threatening illness or injury that could require emergency medical, surgical or psychiatric attention, call 911 or go to the nearest emergency room.
You can also go to urgent care for non-life-threatening illnesses and conditions.
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Kidney infection is a type of urinary tract infection that begins in your bladder and moves to one or both of your kidneys. In rare cases, kidney infections can lead to serious health problems. But if you seek treatment quickly, you can prevent most complications.
Kidney infection symptoms can vary depending on your age, but may include chills, fever and painful urination caused by bacteria or viruses that infect your bladder and then infect one or both of your kidneys.
Risk factors and causes
Risk factors include being diabetic, being female and having kidney stones. Other risk factors include having an obstruction of the urinary tract, having damaged nerves around the bladder, using a catheter for a prolonged period and having a condition with irregular urine flow.
Healthcare professionals use your medical history and a physical exam to diagnose kidney infection. Urine and blood samples may be taken along with imaging tests that may include a CT scan, ultrasound and X-ray that visualizes dye within the kidneys.
Doctors may prescribe antibiotics to treat your kidney infection. You must take all of this medicine, even if you start to feel better in order to ensure that you rid your body completely of the infection.
An untreated or recurrent kidney infection can lead to chronic pyelonephritis, kidney scarring and permanent kidney damage. See your healthcare provider if you fear you may have a kidney infection.