There are a number of up-to-date guidelines on the management of patients with CKD. These provide information on best practice along with a comprehensive review of the published literature which formed the basis for their recommendations.
- The Renal Association is the professional body for UK nephrologists and first published guidelines for the detection, monitoring and care of patients with CKD in 2007 (revised in 2010). www.renal.org/Clinical/GuidelinesSection/Detection-Monitoring-and-Care-of-Patients-with-CKD.aspx
- NICE. National Clinical guideline for early identification and management of chronic kidney disease in adults in primary and secondary care. 2008. Pages 20-21 of this guideline provide easy to follow algorithms for the identification, diagnosis and referral of patients with CKD. www.nice.org.uk/CG73
- Specific guidance on anaemia management in CKD patients www.nice.org.uk/CG39
- Other NICE guidelines to refer to include:
- Type-1 diabetes - www.nice.org.uk/CG15
- Type-2 diabetes - www.nice.org.uk/CG87
- Hypertension - www.nice.org.uk/CG34
- Based on the Oxford Textbook of Clinical Nephrology, there is the more concise Oxford Handbook of Nephrology and Hypertension. Steddon S, Ashman N, Chesser A, et al. Oxford University Press, Oxford, 2006.
This provides clear information and practical advice on the day-to-day management of patients with CKD and other aspects of renal disease.
- The Renal Association www.renal.org/home.aspx
Information on the latest advances in renal disease and clinical guidelines for all aspects of renal care.
- SIGN: CKD guidance was also produced for Scotland. www.sign.ac.uk/guidelines/fulltext/103/index.html
Contributed by Dr Victoria Ingham, specialist registrar, and Dr Marlies Ostermann, consultant in nephrology and critical care, Guy's & St Thomas' NHS Foundation Trust, London, and Dr Neil Iosson, GP in Sussex