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Early Identification and Management of Chronic Kidney Disease in Adults

At-a-glance summary of NICE guidance for CKD diagnosis and treatment. Adapted from NICE Clinical Guideline 73 (September 2009) - Chronic kidney disease: early identification and management of chronic kidney disease in adults in primary and secondary care.

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TABLE 1: Stages of CKD and frequency of eGFR monitoring
STAGEeGFR (ml/min/1.73m2)DescriptionMonitoring
1≥90Normal or increased GRF, with other evidence of kidney damage12-monthly
260–89Slight decrease in GFR, with other evidence of kidney damage12-monthly
3A
3B
45–59
30–44
Moderate decrease in GFR, with or without other evidence of kidney damage6-monthly
415–29Severe decrease in GFR, with or without other evidence of kidney damage3-monthly
5<15Established renal failure6-weekly

Full NICE guideline


KEYWORDS: diabetic nephropathy | proteinuria | renal impairment | chronic renal failure | glomerular filtration rate

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