Consensus Recommendation: Real World Insights on Attitudes and Treatment of Hyperkalemia.

In order to understand barriers related to GDMT treatment of hyperkalemia, the RPA convened a nephrology expert panel to review and discuss hyperkalemia across a continuum of care providers and settings. The panel focused on the real-world solutions and identifying opportunities for more education. The panel discussion started with a review of goals, a presentation on the epidemiology of hyperkalemia, and a review of the latest KDIGO Guidelines for Diabetes Management in Chronic Kidney Disease. Following presentations by leading experts in the field, the panelists engaged in a facilitated discussion of incidence and patient management pathways, K+ binders, current KDIGO Guidelines and the ISN Optimization of RAASi Therapy Toolkit, barriers to optimal care, and possible solutions to overcome barriers. Consensus emerged that prescriptive protocols, potassium-restrictive diets and RAASi discontinuation are not appropriate treatments.