CKD

Question 1

Screening for CKD

Answer 1

At risk of CKD (screen 1-2 yearly)
- Diabetes
- Hypertension
- Established CVD
- Family hx kidney failure
- Obesity
- Smoking
- ATSI > 30 years

Kidney Health Check
1. Blood test - eGFR
2. Urine test - Urine ACR (early morning)
3. BP check

Question 2

CKD Definition

Answer 2

1. An eGFR <60mL/min/1.73m2 that is present > 3 months with or without evidence of kidney damage
2. Evidence of kidney damage with or without decreased eGFR present for > 3 months as evidenced by
   - albuminuria
   - haematuria - after exclusion of urological causes
   - structural abnormalities - imaging
   - pathological abnormalities (renal biopsy)

Question 3

CKD screening results

Answer 3

1. EGFR < 60
   - repeat eGFR in 7 days
   - if still reduced than repeat eGFR twice within 3 months
2. Elevated Urine ACR
   - male >2.5
   - female >3.5
   - repeat urine ACR twice within 3 months - first morning void
   - min 2 out of 3 elevated urine ACRs present for > 3 months