NDT Advance Access originally published online on June 8, 2007
Nephrology Dialysis Transplantation 2007 22(9):2455-2457; doi:10.1093/ndt/gfm268
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©Royal College of Physicians of Edinburgh, 2007.
UK Consensus Conference on Early Chronic Kidney Disease—6 and 7 February 2007
Head of Communications and Publishing, Royal College of Physicians of Edinburgh, Edinburgh, EH21JQ, UK
Correspondence and offprint requests to: Prof. Bryan Williams, Prof. of Medicine, Department of Cardiovascular Sciences, Clinical Sciences Building, Leicester Royal Infirmary, PO Box 65, Leicester LE2 7LX. Email: bw17@le.ac.uk
| The first 10% of the full text of this article appears below. |
Detection of adults with early chronic kidney disease (CKD) is important because some will progress to end-stage kidney disease and most are at higher risk of premature cardiovascular disease. Early identification provides the greatest opportunity to modify the course of disease and the associated cardiovascular risk.
| What is early CKD? |
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An international classification of CKD has identified five stages. Early CKD is described as stages 1–3. Stages 1 and 2 are characterized by structural abnormalities, presence of persistent proteinuria or albuminuria or haematuria. Stage 3 is characterized by impaired kidney function, as defined by estimated glomerular filtration rate (eGFR) of between 30 and 59 ml/min/1.73 m2 on at least two occasions at a minimal interval of 3 months.
Using this definition, it is estimated
| Improving detection of early CKD |
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Estimating GFR
| Improving classification of early CKD |
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| Improving organization of care |
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| Clinical recommendations |
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Lifestyle
Blood pressure
Cardiovascular risk management
Bone mineral disorders
Anaemia
Medicines management
Research
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