OBJECTIVES: Aimed at determining the time period for the progression to ESRD and also to find out the major risk factors for early progression to ESRD. METHODS: A retrospective cohort study was conducted in a tertiary care teaching hospital. The data was collected from medical record dept. for the last two years (2012 and 2013) in hospital. Demographic details and clinical parameters of ESRD patients with major risk factors for early progression to ESRD were collected using the descriptive statistics feature of SPSS v20.0. RESULTS: A total of 240 patients were included in the study. The mean age of the population was found to be 54.6±14.2 years. Majority of the population were males (74.83%).Hypertension 67.1%, Diabetes 47.1%   and anemia 40.83% were the most prominent risk factors present in the study population. More than half of the population (72.5%) took more than a year to progress to ESRD. CONCLUSIONS: The study revealed that males are at a higher risk of ESRD with half of the study cohort consisted of elderly patients (above 50 years of age). The study results concluded that hypertension is the most common risk factor for ESRD followed by diabetes and anemia. Most of the CKD patients took more than one year to progress to ESRD  (72.5%). This information help physicians and patients inform decisions regarding preparation for renal replacement therapy in patients with advanced CKD.