Kidney Disease: Improving Global Outcomes (KDIGO)

United Kingdom - Renal Association (RA) Guidelines

Website: www.renal.org/Standards/standards.html

Chair of the Renal Association “Standards” Committee: Robert Mactier

Evidence Review Process:
Medline search by chapter authors

Implementation Activities:

Currently in use for preparation of National Service
Framework for Renal Services in the UK
Already used to develop clinical standards for Adult Renal Services in
Scotland under the NHS Quality Improvement
Scotland initiative
Distributed to all renal units within the UK
Available on the Renal Association website
Presentation at national and international meetings

Title/Publication	Topics Covered	Publication Date	Coordinator
Clinical Practice Guideline: Blood Borne Virus Infection	Prevention of spread of BBV infection in the renal unit Dialysis equipment and BBV infection BBV surveillance in dialysis patients Segregation of patients infected with BBV or at high risk for new BBV infection Immunisation of patients against hepatitis B Immunisation of staff against hepatitis B Haemodialysis patients with new BBV infection	Feb., 2009 DRAFT	Authors: Dr. Colin Geddes and Dr. Neill Duncan
Clinical Practice Guideline: Peritoneal Access	The Access Team Timing and co-ordination of referral and surgery Implantation Protocol The Implantation Technique The Facilities for PD Catheter Insertion Training for PD Catheter Insertion Audit of PD Catheter Insertion	Feb., 2009 DRAFT	Authors: Dr, Martin Wilkie, Dr. Sarah Jenkins & Mr. Badri Shrestha.
Clinical Practice Guidelines – Fourth Edition Module 4: Assessment for Renal Transplantation Published: Online	Access to Renal Transplantation Evaluation Selection and Preparation of the Potential Transplant Recipient	August, 2008	Chairs: Chris Dudley & Paul Harden
Clinical Practice Guidelines – Fourth Edition Module 5: Acute Renal Failure	Definition and epidemiology Assessment, prevention and pharmacological treatment Treatment facilities and referral to renal services Choice of renal replacement modality Choice of dialyser/haemofilter membrane and buffer Vascular access for RRT Anticoagulation for extracorporeal therapies Renal replacement therapy prescription Timing of initiation of renal replacement treatment Nutritional support	August, 2008	Chairs: Paul Stevens & Andrew Davenport
Clinical Practice Guidelines – Fourth Edition Module 1: Chronic Kidney Disease Published: Online	Detection and monitoring of CKD Treatment of patients with CKD Preparation for dialysis	Oct., 2007	Chairs: Charlie Tomson & Maarten Taal
Clinical Practice Guidelines – Fourth Edition Module 2: Complications Published: Online	Cardiovascular disease Mineral bone disease Anaemia Nutrition Summary of Audit measures	Nov. 2007	Chairs: Mike Cassidy, Donald Richardson & Colin Jones
Clinical Practice Guidelines – Fourth Edition Module 3a: Haemodialysis Published: Online	Haemodialysis facilities Haemodialysis equipment and disposables Concentrates and water for haemodialysis Haemodialysis membranes Haemodialysis dose, frequency and duration Laboratory and clinical indices of dialysis adequacy other than dialysis dose Vascular access Access to and withdrawal from dialysis	Mar., 2007	Chair: Robert Mactier
Clinical Practice Guidelines – Fourth Edition Module 3b: Peritoneal Dialysis Published: Online	Equipment and Resources Preparation for Peritoneal Dialysis Solute Clearance Ultrafiltration and Fluid Management Infectious Complications Metabolic Factors	May, 2007	Chair: Simon Davies
Standards and Audit Measures – Third Edition Renal Association. Treatment of adults and children with renal failure: standards and audit measures. 3rd Edition. London: Royal College of Physicians of London and the Renal Association, 2002 Published: Online	Methods of guideline development Epidemiology of chronic renal failure & renal replacement therapy Haemodialysis - clinical standards and targets Peritoneal dialysis Haemodialysis and peritoneal dialysis - nutritional and biochemical standards Cardiovascular risk factors in patients on dialysis Anaemia in patients with chronic renal failure Transplantation Blood-borne viruses and microbiology in the renal unit Management of patients approaching end stage renal disease Acute renal failure.	Feb, 2003	Coordinator: David Wheeler

(Each chapter contains a section on pediatrics)