Identify individuals at risk of CKD
Offer CKD screening using eGFR and urine Albumin:Creatinine ratio (uACR) annually to adults with any of the following CKD risk factors: (NICE NG 203)
| Key clinical risk factors | Moderate Risk factors | Non-clinical Risk Factors |
|---|---|---|
| Diabetes – screen at least annually | Family history of ESRD or hereditary kidney disease | Long term use of nephrotoxins e.g. Lithium, NSAIDs etc |
| Hypertension – screen annually as part of hypertension review | Structural renal tract disease | Obesity |
| Cardiovascular disease (IHD, Heart Failure, peripheral vascular disease, cerebro-vascular disease) | Multisystem disease with renal involvement (e.g. SLE) | Individuals from areas with a high deprivation index |
| History of acute kidney injury (AKI) – screen for 3 years (Screen even if function back to baseline) | Prostatic hypertrophy | Prematurity at birth, small gestational size |
| Recurrent Calculi | Older age | |
| Incidental haematuria or proteinuria | ||
| Gout |
- Early detection of any chronic disease, including CKD, provides greater opportunities to reduce morbidity as treatments can be initiated earlier in the disease course.
- Because treatments for CKD provide benefits in reducing risk for both CVD and CKD progression, strategies that promote early detection of CKD should improve kidney and non–kidney related outcomes.
- Even if medical treatments are not available or indicated for an individual, there are recommended lifestyle changes that could be implemented after the diagnosis of CKD.
There are several Primary Care Patient searches and dashboards built within both SystmOne and EMIS to enable identifying, diagnosing and risk stratifying people living with CKD