Early Identification and Management of Chronic Kidney Disease in Adults (NICE Guideline)

Summary of NICE guidance on CKD diagnosis and treatment.

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TABLE 1: Stages of CKD and frequency of eGFR monitoring
STAGEeGFR (ml/min/1.73m2)DescriptionMonitoring
1 ≥90 Normal or increased GRF, with other evidence of kidney damage 12-monthly
2 60–89 Slight decrease in GFR, with other evidence of kidney damage 12-monthly
Moderate decrease in GFR, with or without other evidence of kidney damage 6-monthly
4 15–29 Severe decrease in GFR, with or without other evidence of kidney damage 3-monthly
5 <15 Established renal failure 6-weekly

Adapted from: NICE Clinical Guideline 73 (September 2008) - Chronic kidney disease: early identification and management of chronic kidney disease in adults in primary and secondary care.

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

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