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Algorithm for management of CKD

eGFR reported

eGFR > 30 eGFR 15 – 29 eGFR < 15


CKD 4 CKD 5

No dipstick proteinuria Dipstick proteinuria

Urgent
PCR* 45 -100 PCR* ≥ 100 nephrology
PCR* < 45
referral

Discuss with or
No dipstick Macro or Dipstick refer to
haematuria dipstick haematuria nephrologist
haematuria, in pt < 50 yrs
in pt > 50yrs

No dipstick Dipstick
haematuria haematuria
Refer to
urology

eGFR > 60 eGFR 30 - 60

eGFR > 60 eGFR 30 - 60

CKD
management
No further in primary
action care

* PCR = Protein:creatinine ratio (mg/mmol) – spot urine 10ml in plain container


Sheffield Kidney Institute 2006

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