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June 3, 2026Cleveland Clinic Journal of Medicine0 citationsOpen Access

Managing chronic kidney disease according to KDIGO risk categories: A primer for primary care

RGR GalindoDSDiana SolimanJNJoshua J. Neumiller

Key Result

The updated KDIGO heat map provides a practical framework for stratifying patient risk using eGFR and albuminuria to facilitate early detection and evidence-based management in primary care.

Key Points

  • This review aims to discuss the KDIGO heat map and its application for managing chronic kidney disease (CKD).
  • Review of KDIGO guidelines and heat map framework.
  • Discussion on the importance of integrating eGFR and albuminuria in patient stratification.
  • Recommendations for primary care implementation strategies.
  • Emphasizes the limited real-world adoption of the KDIGO heat map in primary care.
  • Suggests potential benefits of early detection in individualizing chronic kidney disease management.
  • Highlights the need for increased awareness and training among primary care providers.

PICO

P
Population
Chronic kidney disease and type 2 diabetes
E
Exposure / Comparator
KDIGO heat map

Abstract

The increasing prevalence of type 2 diabetes is contributing substantially to chronic kidney and cardiovascular disease. The updated Kidney Disease: Improving Global Outcomes (KDIGO) heat map provides a practical framework for stratifying patient risk, using estimated glomerular filtration rate (eGFR) and albuminuria to facilitate early detection and evidence-based management. However, real-world adoption of the heat map remains limited. Integrating this tool into primary care and other subspecialities beyond nephrology can enhance individualized care. This review highlights the KDIGO guideline updates and provides an approach to implementing the heat map in primary care.

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Cite This Study

Galindo et al. (2026) conducted a review in Chronic kidney disease and type 2 diabetes. KDIGO heat map was evaluated. The updated KDIGO heat map provides a practical framework for stratifying patient risk using eGFR and albuminuria to facilitate early detection and evidence-based management in primary care.

synapsesocial.com/papers/6a1fc6f7dee9eb8c0dce7d46https://doi.org/10.3949/ccjm.93a.25072
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