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Nephrol Dial Transplant. 2017 Jan 1;32(1):9-16. doi: 10.1093/ndt/gfw411.

Clinical Practice Guideline on management of older patients with chronic kidney disease stage 3b or higher (eGFR<45 mL/min/1.73 m2): a summary document from the European Renal Best Practice Group.

Author information

1
Renal Unit, Lister Hospital, Stevenage, Hertfordshire, UK.
2
Clinic of Nephrology, C. I. Parhon University Hospital, Gr T. Popa, University of Medicine and Pharmacy, Iasi, Romania.
3
Nephrology and Dialysis Unit at the Research Hospital 'Casa Sollievo della Sofferenza', San Giovanni Rotondo, Italy.
4
Skåne University Hospital, Lund, Sweden.
5
Department of Nephrology, Ghent University Hospital, Ghent Belgium.
6
Division of Nephrology, Université de Lyon, UCBL, INSERM, Centre Hospitalier Lyon Sud, Pierre Benite, France.
7
Department of Internal Medicine and Geriatrics, University Hospital of Krakow, Poland.
8
Renal Unit, Leicester Royal Infirmary, Leicester, UK.
9
Department of Medical Informatics, Amsterdam Medical Center, Amsterdam, The Netherlands.
10
Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands.
11
Faculty of Medicine, University of Salamanca, Salamanca, Spain.
12
Renal Unit, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
13
London School of Hygiene & Tropical Medicine, London, United Kingdom UCL Centre for Nephrology, Royal Free Hospital, University College London Medical School, London, UK.
14
Department of Renal Medicine, Royal Derby Hospital, Derby, UK Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Nottingham, UK.
15
Department of Geriatric Medicine of the Radboud University Medical Center, Nijmegen, The Netherlands.
16
Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.
17
Centre for Health Informatics, University of Manchester, Manchester, UK.

Abstract

The population of patients with moderate and severe CKD is growing. Frail and older patients comprise an increasing proportion. Many studies still exclude this group, so the evidence base is limited. In 2013 the advisory board of ERBP initiated, in collaboration with European Union of Geriatric Medicine Societies (EUGMS), the development of a guideline on the management of older patients with CKD stage 3b or higher (eGFR >45 mL/min/1.73 m2). The full guideline has recently been published and is freely available online and on the website of ERBP (www.european-renal-best-practice.org). This paper summarises main recommendations of the guideline and their underlying rationales.

KEYWORDS:

CKD; ESKD; elderly; guidelines; survival analysis

PMID:
28391313
DOI:
10.1093/ndt/gfw411
[Indexed for MEDLINE]

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