Chronic Kidney Disease (CKD)


Chronic kidney disease (CKD) describes abnormal kidney function and/or structure that is present for more than 3 months. It is common, frequently unrecognised and often exists together with other conditions (such as cardiovascular disease and diabetes). Moderate to severe CKD is also associated with an increased risk of other significant adverse outcomes such as acute kidney injury, falls, frailty and mortality. The risk of developing CKD increases with age. As kidney dysfunction progresses, some coexisting conditions become more common and increase in severity. CKD can progress to end-stage kidney disease in a small but significant percentage of people.  CKD is classified according to estimated GFR (eGFR) and albumin: creatinine ratio (ACR) categories.  Clinically significant ACR levels are defined as > 30 mg/mmol for CKD (without diabetes).  The algorithm below provides information for the assessment and management in primary care of people with suspected chronic kidney disease, as well as details for when to refer

Click here for the EKHUFT CKD management and referral document, in line with the 2014 NICE CKD guidelines


Useful resources

  1. Click here to access The Renal Association eCKD guide
  2. Think Kidneys runs an NHS programme on transforming participation in chronic kidney disease to improve experiences and outcomes

Advice and Guidance is being made available for all specialties, and is being provided by consultant specialists at East Kent Hospitals.  To make a request or to check to if a query has been answered, you will need to log in via the electronic Referral System (eRS)

Click here for the "how to access" e-Referral Advice and Guidance Manual for instructions on how to make a request and check responses

Have a question or query?

Get in touch