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TIPS AND TOOLS

NKF eGFR and Risk of Progression Calculator

             This tool allows for calculation of the creatinine, cystatin-creatinine and cystatin eGFRs as well as correction for BSA.  Additonally, the risk of progression of CKD is estimated and guidance given on referral to nephrology.  See below as well.

 

​KDIGO recommendations for referral based on eGFR and albuminuria

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CONDITIONS THAT GENERALLY DO NOT REQUIRE NEPHROLOGY CONSULTATION

  • Simple Renal Cysts

  • Controlled Hypertension in absence of CKD

WHEN TO REFER

  • estimated GFR less than 60 ml/min on more than one occasion

  • Urine Protein/Creatinine ratio > 500 mg/g on more than one occasion

  • Urine Albumin/Creatinine ratio >300 mg/g on more than one occasion.  Can be considered for >30 mg/g.

  • Combination of proteinuria and hematuria

  • Polycystic Kidney Disease

  • KIdney Transplant

  • Sudden worsening of hypertension in a previously stable patient

  • Severe or uncontrolled hypertension

    • on 3 or more medications

    • Under age 35

  • Unexplained hematuria

  • Recurrent kidney stones

  • History of a solitary kidney

  • Medullary sponge kidney

  • Electrolyte abnormalities

    • Hyponatremia

    • Hypercalcemia

    • Hyperkalemia or unexplained Hypokalemia

  • Acid-Base disturbances

  • ​Refractory edema

  • Pregnant women with proteinuria, decreased kidney function, or hypertension

  • This list is not inclusive of all possible reasons for referral.  If you have a question please call our office and ask to speak to one of the providers.

KDIGO
KDIGO Suggestions FOR REFFERAL TO NEPHROLOGY
Referral.jpg
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