Created at 3:13 p.m. Nov, 27, 2025
Author:
arthur.sousa.sp
Type of change:
Updated content
Rationale for change
According to Kidney Disease Outcomes Quality Initiative (KDOQI) and Kidney Disease: Improving Global Outcomes (KDIGO), CKD is a heterogeneous group of disorders characterized by alterations in kidney structure and function, which manifest in various ways depending upon the underlying cause or causes and the severity of disease. Therefore, CKD is defined by the presence of kidney damage OR decreased kidney function for three or more months, irrespective of the cause.
Source: Society Guidelines - https://www.uptodate.com/contents/definition-and-staging-of-chronic-kidney-disease-in-adults?search=chronic%20kidney%20disease&topicRef=102837&source=see_link
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- Individuals with a urine albumin:creatinine ratio > 30 mg/g (or equivalent) have a significantly increased risk for CKD progression compared with those who have a lower ACR
- Treatment goals: BP control < 130/80 + tight glucose control + diet with low Na+/K+ + Hb between 11-12 + monitoring Ca2+ and phosphate to avoid secondary hyperparathyroidism

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