CKD - Chronic Kidney Disease

CCT Documents	On-Line Cases	CKD Jeopardy
Reference Articles	Patient Education	Chart Self-Audit

Reference Articles

KDOQI Guidelines and Clinician Tools	Kidney School - Comprehensive Online Pt Education
KDOQI GFR Calculator & Patient Action Plan	AFP - CP Guidelines for CKD Part I, 2004
Annals - In the Clinic: CKD, 2009 - email to request	AFP - CP Guidelines for CKD Part II, 2004
NEJM - Vitamin D Deficiency, 2007	NEJM - Nondiabetic Kidney Disease, 2002
AFP - CKD: Treatment of Complications, 2004	NEJM - Assessing GFR in CKD, 2006
AFP - Detection and Evaluation of CKD, 2005	NEJM - Editorial - Use of ACE-I in CKD, 2006

CKD Handout - Tables from references above

Please consider the following questions as you review a patient of your own with CKD.

1. What stage of CKD is it and does the problem listed in your problem list reflect the stage?

2. What is the cause of their CKD?

3. If diabetes, do they have other DM complications that corroborate the severity of the disease?

4. If they don't have diabetes what work-up has been done to consider other causes of CKD?

(There is a great NEJM article about this differential diagnosis.).

5. Have you looked at urine microalbumin and urine micro in the last year?

6. Are they on an ACE-I?

7. How well controlled are their DM, HTN, lipids and smoking?

8. How well educated is the patient about their CKD? Do they even know they have it?

9. If they are CKD 3 or worse, have you screened them for anemia, hyperphosphatemia or Vit D deficiency within the last year?

10. Review their medication list and be sure that none should be renally dosed or are contraindicated at their GFR.