Guidelines for Diagnosis, Evaluation, and Classification of CKD

Guideline Organization

Sub-topic

CARI-Australia

Evaluation of Renal Function
2005

Urine Protein as Diagnostic Test
2004

Evaluation of Renal Function:

• Use of serum creatinine concentration to assess level of kidney function
• Use of estimated glomerular filtration rate to assess level of kidney function
• Use of cystatin C measurement in evaluating kidney function
• Direct measurement of glomerular filtration rate
• Classification of chronic kidney disease based on evaluation of kidney function

Urine Protein as Diagnostic Test:

• Testing for proteinuria
• Performance characteristics of tests used in the initial evaluation
• Evaluation of proteinuria in children
• Monitoring proteinuria in patients with suspected or known renal disease

CSN-Canada

1999 Position Statement

Elevated levels of creatinine – Management and Referral

• Earlier Referral
• Investigation of renal insufficiency
• Follow up by Nephrologist
• Preparation for Dialysis and Transplantation

EBPG-Europe

Haemodialysis (Part 1)
2002

Measurement of renal function, when to refer and when to start dialysis

• Measurement of renal function
• When to refer to a nephrology clinic

KDOQI-US

CKD: Evaluation, Classification, & Stratification
2006

Chronic kidney disease as a public health problem
Definition and classification of stages of chronic kidney disease

• Definition and Stages of Chronic Kidney Disease
• Evaluation and Treatment
• Individuals at Increased Risk of Chronic Kidney Disease

Evaluation of laboratory measurements for clinical assessment of kidney disease

• Estimation of GFR
• Assessment of Proteinuria
• Markers of Chronic Kidney Disease Other Than Proteinuria

Association of level of GFR with complications in adults

• Association of Level of GFR With Hypertension
• Association of Level of GFR With Anemia
• Association of Level of GFR With Nutritional Status
• Association of Level of GFR With Bone Disease and Disorders of Calcium and Phosphorus Metabolism
• Association of Level of GFR With Neuropathy
• Association of Level of GFR With Indices of Functioning and Well-Being

Stratification of risk for progression of kidney disease and development of cardiovascular disease

• Factors Associated With Loss of Kidney Function in Chronic Kidney Disease
• Association of Chronic Kidney Disease With Diabetic Complications
• Association of Chronic Kidney Disease With Cardiovascular Disease

Recommendations for clinical performance measures
Approach to chronic kidney disease using these guidelines

UK-Renal Association

Module 1: CKD
2007

• Detection and Monitoring of CKD
• Preparation for dialysis