KDOQI US commentary on the 2012 KDIGO clinical practice guideline for the evaluation and management of CKD

Lesley A. Inker*, Brad C. Astor, Chester H. Fox, Tamara Isakova, James P. Lash, Carmen A. Peralta, Manjula Kurella Tamura, Harold I. Feldman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

638 Scopus citations

Abstract

The National Kidney Foundation-Kidney Disease Outcomes Quality Initiative (NKF-KDOQI) guideline for evaluation, classification, and stratification of chronic kidney disease (CKD) was published in 2002. The KDOQI guideline was well accepted by the medical and public health communities, but concerns and criticisms arose as new evidence became available since the publication of the original guidelines. KDIGO (Kidney Disease: Improving Global Outcomes) recently published an updated guideline to clarify the definition and classification of CKD and to update recommendations for the evaluation and management of individuals with CKD based on new evidence published since 2002. The primary recommendations were to retain the current definition of CKD based on decreased glomerular filtration rate or markers of kidney damage for 3 months or more and to include the cause of kidney disease and level of albuminuria, as well as level of glomerular filtration rate, for CKD classification. NKF-KDOQI convened a work group to write a commentary on the KDIGO guideline in order to assist US practitioners in interpreting the KDIGO guideline and determining its applicability within their own practices. Overall, the commentary work group agreed with most of the recommendations contained in the KDIGO guidelines, particularly the recommendations regarding the definition and classification of CKD. However, there were some concerns about incorporating the cause of disease into CKD classification, in addition to certain recommendations for evaluation and management.

Original languageEnglish (US)
Pages (from-to)713-735
Number of pages23
JournalAmerican Journal of Kidney Diseases
Volume63
Issue number5
DOIs
StatePublished - May 2014

Keywords

  • Estimated glomerular filtration rate (eGFR)
  • Index Words
  • Kidney Disease Quality Outcomes Quality Initiative (KDOQI)
  • Kidney Disease: Improving Global Outcomes (KDIGO)
  • albuminuria
  • chronic kidney diseases (CKD) staging
  • clinical practice guideline
  • kidney disease progression

ASJC Scopus subject areas

  • Nephrology

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