Home
NICE Guidance
Conditions and diseases
Kidney conditions
Chronic kidney disease
Chronic kidney disease in adults: assessment and management
Clinical guideline [CG182]
Published date:
July 2014
Last updated:
January 2015
Uptake of this guidance
Guidance
Tools and resources
Information for the public
Evidence
History
Filter
Type
Cost Saving Guidance
Do not do
Key Therapeutic Topic
Public Health ROI tool
QP Case Study
Cochrane Topic
Published
2017
2016
2015
2014
2013
2012
Impact Level
Very Low
Low
High
Very High
Unclassified
Exclude
Varies locally
Do not diagnose CKD in people with: an eGFRcreatinine of 45 59 ml/min/1.73 m2 and an eGFRcystatinC of more than 60 ml/min/1.73 m2 and no other marker of kidney disease.
Do not do
July 2014
Unclassified
Do not use reagent strips to identify proteinuria unless they are capable of specifically measuring albumin at low concentrations and expressing the result as an ACR.
Do not do
July 2014
Unclassified
Do not use urine microscopy to confirm a reagent strip positive result when testing for the presence of haematuria.
Do not do
July 2014
Unclassified
Do not use age, gender or ethnicity as risk markers to test people for CKD.
Do not do
July 2014
Unclassified
In the absence of metabolic syndrome, diabetes or Hypertension, do not use obesity alone as a risk marker to test people for CKD.
Do not do
July 2014
Unclassified
Do not determine management of CKD solely by age.
Do not do
July 2014
Unclassified
Do not offer low-protein diets (dietary protein intake less than 0.6 0.8 g/kg/day) to people with CKD.
Do not do
July 2014
Unclassified
Do not offer a combination of renin angiotensin system antagonists to people with CKD.
Do not do
July 2014
Unclassified
Do not routinely offer a renin angiotensin system antagonist to people with CKD if their pretreatment serum potassium concentration is greater than 5.0 mmol/litre.
Do not do
July 2014
Unclassified
Do not routinely measure calcium, Phosphate, parathyroid hormone (PTH) and vitamin D levels in people with a GFR of 30 ml/min/1.73 m2 or more (GFR category G1, G2 or G3).
Do not do
July 2014
Unclassified
Previous
1
2
Next
Show
10
25
50
All