The authors of this "fast reading" present the data they have considered as more relevant in the KDIGO 2012 as concerned to evaluation and management of chronic kidney disease. The text does not correspond to their opinion, it is a brief presentation of guidelines that could be useful in clinical practice.
anemia; creatinine; glomerular filtration rate; kidney failure, chronic
| Cause | Category | eGFR* * eGFR: Estimated glomerular filtration rate in mL/min/1.73 m2; | Albuminuria (proteinuria)** ** mg/g of creatinine. Risk for CKD: (-): Low risk (no CKD if there are no other markers of kidney injury); (+): Moderately increased risk; (++): High risk; (+++): Very high risk. | ||
|---|---|---|---|---|---|
| * * eGFR: Estimated glomerular filtration rate in mL/min/1.73 m2; Glomerular disease | 1 | ≥ 90 | A1 (< 30) | A2 (30-300) | A3 (> 300) |
| * * eGFR: Estimated glomerular filtration rate in mL/min/1.73 m2; Tubular-interstitial disease | 2 | 60-89 | - | + | ++ |
| * * eGFR: Estimated glomerular filtration rate in mL/min/1.73 m2; Vascular disease | 3a | 45-59 | + | ++ | +++ |
| 3b | 30-45 | + + | +++ | +++ | |
| * * eGFR: Estimated glomerular filtration rate in mL/min/1.73 m2; Congenital disease | 4 | 15-29 | +++ | +++ | +++ |
| * * eGFR: Estimated glomerular filtration rate in mL/min/1.73 m2; Cystic disease | 5 | < 15 | +++ | +++ | +++ |
| Kidney injury markers (one or more): |
| Albuminuria (> 30 mg/24h; creatinine/albumin ratio 30 mg/g) |
| Abnormalities in urinary sediment |
| Electrolyte and other unbalances caused by tubular lesions |
| Abnormalities detected by histological exam |
| Structural abnormalities detected by image exam |
| Kidney transplant |
| Reduced GFR: |
| < 60 ml/min/1.73 m2 (GFR categories G3a-G5) |
