NICE guidance backs statins for all CKD patients

All CKD patients should be offered statins to reduce their elevated risk of heart attacks or stroke, NICE has said in updated guidance.

Atorvastatin (Photo: iStock)
Atorvastatin (Photo: iStock)

NICE’s updated CKD quality standard, updated from the previous 2011 edition, newly recommends that all CKD patients should be offered statins to help prevent CVD events.

Atorvastatin 20mg is recommended as the ‘preferred initial high-intensity statin because it is both clinically and cost-effective’, although it advises GPs and others to up the dose if the patient does not respond to treatment.

The guidance contains two further recommendations, amended from the 2011 guidance, which state CKD and high-risk patients should receive periodic eGFRcreatinine and albumin:creatinine testing and that patients should have their BP maintained within the recommended range.

Around 2.6m people live with CKD in England, and 60,000 people die prematurely each year due to the disease.

Statins

Professor Gillian Leng, deputy chief executive at NICE, said: ‘We know that a high number of people with long-term kidney problems will develop cardiovascular disease. This means they have an increased risk of suffering a fatal heart attack or stroke.

‘It is important for healthcare professionals to speak to patients about their treatment options. The effectiveness of statins is now well proven, as is their long term safety. They may appeal to a lot of people who are at risk.’

GPC clinical and prescribing lead Dr Andrew Green said: ‘I welcome the revision of this document which concentrates on the key aspects of care that make a difference to renal patients.

'Whether renal patients take statins long-term will depend on many factors, including patient preferences, their life expectancy, and their co-morbidities, but it is certainly an intervention which should be considered.

‘What I find most interesting is recognition of the flexibility that we require to deliver personalised care to our patients. This understanding is always a feature of conversations with senior NICE members which sometimes doesn’t come across in their communications, and it is good to see.’

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Revamped appraisal could combat GP burnout, says former RCGP chair

Revamped appraisal could combat GP burnout, says former RCGP chair

GP appraisal should help doctors avoid burnout by focusing more on wellbeing alongside...

Budget must deliver long-term solution to NHS pension tax crisis, doctors warn

Budget must deliver long-term solution to NHS pension tax crisis, doctors warn

Next month's budget must deliver a long-term solution to the pension tax crisis that...

Indemnity and primary care networks explained

Indemnity and primary care networks explained

It is still early days in the life of PCNs so it’s not surprising that many GPs are...

PCN spending rules relaxed in bid to boost ARRS recruitment

PCN spending rules relaxed in bid to boost ARRS recruitment

Primary care networks (PCNs) that have struggled to recruit in 2019/20 can now use...

RCGP rejects change in stance on assisted dying

RCGP rejects change in stance on assisted dying

The RCGP is set to remain opposed to a change in the law on assisted dying despite...

Surgical mask advice for GPs as coronavirus forces practice closures

Surgical mask advice for GPs as coronavirus forces practice closures

GPs have been advised to wear surgical masks and other protective equipment if contact...