It's true that CKD and kidney cancer are somehow connected. Researchers don't know everything yet. What they do know is toxins including analgesic and aristolochic acid nephropathies, is a risk factor for both CKD and kidney cancer. And dialysis, kidney transplant are risk factors for kidney cancer. So the suggestion is: 1. manage the CKD, delay the progression of disease and delay the occurence of dialysis or kidney transplant 2. stay away from the toxins 3. take annual cancer screening