Kidney Disease: Improving Global Outcomes (KDIGO)

United Kingdom - Renal Association (RA) Guidelines

Website: www.renal.org/Clinical/GuidelinesSection/Guidelines.aspx

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	July,2009	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	Sept., 2009	Authors: Dr, Martin Wilkie, Dr. Sarah Jenkins & Mr. Badri Shrestha.
Clinical Practice Guidelines – Fourth Edition Assessment for Renal Transplantation Published: Online	Access to Renal Transplantation Evaluation Selection and Preparation of the Potential Transplant Recipient	April, 2008	Chairs: Chris Dudley & Paul Harden
Clinical Practice Guidelines – Fourth Edition Acute Renal Failure Published: Online	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	April, 2008	Chairs: Paul Stevens & Andrew Davenport
Clinical Practice Guidelines – Fourth Edition Chronic Kidney Disease Published: Online	Detection and monitoring of CKD Treatment of patients with CKD Preparation for dialysis	April, 2007	Chairs: Charlie Tomson & Maarten Taal
Clinical Practice Guidelines – Fourth Edition Complications Published: Online	Cardiovascular disease Mineral bone disease Anaemia Nutrition	December, 2007	Chairs: Mike Cassidy, Donald Richardson & Colin Jones
Clinical Practice Guidelines – Fourth Edition 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	December, 2007	Chair: Robert Mactier
Clinical Practice Guidelines – Fourth Edition Planning, initiation & withdrawal of RRT Published: Online	Timely nephrology referral Nephrology follow-up Preparing for renal replacement therapy Educating patients and carers for renal replacement therapy Initiating renal replacement therapy End of life care: Conservative kidney management and withdrawal of dialysis	September, 2009	Chairs: Ken Farrington and Graham Warwick
Clinical Practice Guidelines – Fourth Edition 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

(Each chapter contains a section on pediatrics)