When should I refer to nephrology?

Nephrology consultation is indicated for patients with an estimated glomerular filtration rate less than 30 mL per minute per 1.73 m2, persistent urine albumin/creatinine ratio greater than 300 mg per g or urine protein/creatinine ratio greater than 500 mg per g, or if there is evidence of a rapid loss of kidney …

At what GFR should you refer to nephrology?

Referral to nephrology should be considered when the GFR is <60 ml/min and is mandatory when the GFR is <30 ml/min.

When do you refer to nephrology Kdigo?

The indications for referral include acute kidney injury, progressive or advanced CKD, albuminuria, urinary red cell casts, refractory hypertension, potassium abnormalities, recurrent nephrolithiasis, and hereditary kidney disease. The prevalence of CKD is over 10% [9] and the nephrology workforce is limited.

When should a CKD patient be asked to a nephrologist?

Based in part on practice guidelines,2,3,6,7 referral to a nephrologist or clinician with expertise in CKD should be considered for patients with CKD who meet 1 or more of the following criteria: Urine albumin-to-creatinine ratio > 300 mg/g (34 mg/mmoL), including nephrotic syndrome.

What causes a late referral to a nephrologist?

Late referral to nephrology has been consequent to numerous factors, including the health care system, provider issues, and patient related factors. In addition to timely referral to nephrologists, the optimal modality to provide care for CKD patients has also been evaluated.

When to refer a patient with CKD to a nephrologist?

CKD is a common condition with well-documented associated morbidity and mortality. Given the substantial disease burden of CKD and the cost of ESRD, interventions to delay progression and decrease comorbidity remain an important part of CKD care. Early referral to nephrologists has been shown to delay progression of CKD.

Where is the American nephrology nurses association located?

Contact ANNA. American Nephrology Nurses Association. East Holly Ave., Box 56. Pitman, NJ 08071. 888-600-2662. [email protected]. Privacy Policy. Refund Policy / Terms of Sale.

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