Sections View Full Chapter Figures Tables Videos Full Chapter Figures Tables Videos Supplementary Content ++ KIDNEY DISEASE, CHRONIC (CKD) ++ Population ++ –Adults. ++ Recommendations ++ USPSTF 2012 ++ –Insufficient evidence to recommend for or against routine screening. ++ Source ++ –USPSTF. Chronic Kidney Disease (CKD): Screening. 2012. ++ ACP 2013, AAFP 2014 ++ –Do not screen adults unless they have symptoms or risk factors. –Adults taking an ACE inhibitor or ARB should not be tested for proteinuria, regardless of diabetes status. ++ Sources ++ –AAFP. Clinical Recommendations: Chronic Kidney Disease. 2014. –Ann Intern Med. 2013;159(12):835. ++ NICE 2014 ++ –Monitor glomerular filtration rate (GFR) at least annually in people who are prescribed drugs known to be nephrotoxic.a –Screen renal function in people at risk for CKD.b ++ Source ++ –NICE. Early Identification and Management of Chronic Kidney Disease in Adults in Primary and Secondary Care. London (UK): NICE; 2014. ++ Comments ++ Diagnose CKD if either of the following present for >3 months: Markers of kidney damage such as albuminuria >30 mg/g, urinary sediment abnormalities, electrolyte abnormalities due to tubular disorders, histologic abnormalities, structural abnormalities by imaging, or kidney transplantation. GFR <60 mL/min/1.73 m2. ++ Source ++ –Kidney Disease Improving Global Outcomes (KDIGO). KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease 2013;3(1). + ++ aExamples: calcineurin inhibitors, lithium, or nonsteroidal anti-inflammatory drugs (NSAIDs). ++ bDM, HTN, CVD, structural renal disease, nephrolithiasis, benign prostatic hyperplasia (BPH), multisystem diseases with potential kidney involvement (eg, systemic lupus erythematosus [SLE]), FH of stage 5 CKD or hereditary kidney disease, or personal history of hematuria or proteinuria. GET ACCESS TO THIS RESOURCE Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth Get Free Access Through Your Institution Contact your institution's library to ask if they subscribe to McGraw-Hill Medical Products. Access My Subscription GET ACCESS TO THIS RESOURCE Subscription Options Pay Per View Timed Access to all of AccessMedicine 24 Hour $34.95 (USD) Buy Now 48 Hour $54.95 (USD) Buy Now Best Value AccessMedicine Full Site: One-Year Individual Subscription $995 USD Buy Now View All Subscription Options