This concise guideline summarizes the 2014 NICE recommendations for the assessment and management of CKD in adults, emphasizing early detection to prevent progression and reduce cardiovascular risk.
ABSTRACT Chronic kidney disease (CKD) is a common condition associated with significant amenable morbidity and mortality, primarily related to the substantially increased risk of cardiovascular disease (CVD) in this population. Early detection of people with CKD is important so that treatment can be initiated to prevent or delay kidney disease progression, reduce or prevent the development of complications, and reduce the risk of CVD. Classification of CKD by the estimated glomerular filtration rate and urine albumin to creatinine ratio identifies those at greatest risk of adverse outcomes. This concise guideline highlights the key recommendations of the National Institute for Health and Care Excellence guideline Chronic kidney disease in adults: assessment and management: Clinical guideline CG182, published in July 2014. It focuses on recommendations most relevant to secondary care physicians.
Forbes et al. (Sun,) studied this question.