Chronic renal failure classification: Difference between revisions
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==Overview== | ==Overview== | ||
The aim of chronic kidney disease (CKD) staging is to guide management, stratifying the risk of progression and complications of CKD. Risk stratification is used as a guide to inform appropriate treatments and the intensity for monitoring and patient education. In patients who are diagnosed with CKD, staging is done according to [[glomerular filtration rate]] (GFR) and [[albuminuria]]. | |||
==Classification== | ==Classification== | ||
* The aim of chronic kidney disease (CKD) staging is to guide management, stratifying the risk of progression and complications of CKD.<ref name="pmid2948868">{{cite journal |vauthors=Tsibul'skaia MM, Andreeva AP, Levina AA, Shirinova EA, Tokarev IuN |title=[Combined sickle-cell anemia and alpha-thalassemia] |language=Russian |journal=Gematol Transfuziol |volume=31 |issue=11 |pages=3–7 |date=November 1986 |pmid=2948868 |doi= |url=}}</ref> | |||
* [[Risk stratification tools|Risk stratification]] is used as a guide to inform appropriate treatments and the intensity for monitoring and patient education. | |||
* In patients who are diagnosed with CKD, staging is done according to [[glomerular filtration rate]] (GFR) and [[albuminuria]].<ref name="pmid23727165">{{cite journal |vauthors=Eckardt KU, Coresh J, Devuyst O, Johnson RJ, Köttgen A, Levey AS, Levin A |title=Evolving importance of kidney disease: from subspecialty to global health burden |journal=Lancet |volume=382 |issue=9887 |pages=158–69 |date=July 2013 |pmid=23727165 |doi=10.1016/S0140-6736(13)60439-0 |url=}}</ref> | |||
=== 1.Chronic kidney disease classification based upon glomerular filtration rate and albuminuria: === | |||
=== Chronic kidney disease classification based upon glomerular filtration rate and albuminuria: === | |||
{| class="wikitable" | {| class="wikitable" | ||
|'''GFR stages''' | |'''[[GFR]] stages''' | ||
|'''GFR'''(mL/min/1.73 m2) | |'''GFR'''(mL/min/1.73 m2) | ||
|Terms | |Terms | ||
| Line 66: | Line 41: | ||
|Kidney failure (add D if treated by dialysis) | |Kidney failure (add D if treated by dialysis) | ||
|- | |- | ||
|'''Albuminuria stages''' | |'''[[Albuminuria]] stages''' | ||
|'''AER'''(mg/day) | |'''AER'''(mg/day) | ||
|Terms | |Terms | ||
| Line 83: | Line 58: | ||
|} | |} | ||
*Based on the duration of symptoms, | === Acute and Chronic CKD: === | ||
*Based on the duration of symptoms, CKD may be classified as either acute or chronic. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 15:37, 26 July 2018
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Chronic renal failure Microchapters |
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Chronic renal failure classification On the Web |
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American Roentgen Ray Society Images of Chronic renal failure classification |
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Risk calculators and risk factors for Chronic renal failure classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Feham Tariq, MD [2]
Overview
The aim of chronic kidney disease (CKD) staging is to guide management, stratifying the risk of progression and complications of CKD. Risk stratification is used as a guide to inform appropriate treatments and the intensity for monitoring and patient education. In patients who are diagnosed with CKD, staging is done according to glomerular filtration rate (GFR) and albuminuria.
Classification
- The aim of chronic kidney disease (CKD) staging is to guide management, stratifying the risk of progression and complications of CKD.[1]
- Risk stratification is used as a guide to inform appropriate treatments and the intensity for monitoring and patient education.
- In patients who are diagnosed with CKD, staging is done according to glomerular filtration rate (GFR) and albuminuria.[2]
1.Chronic kidney disease classification based upon glomerular filtration rate and albuminuria:
| GFR stages | GFR(mL/min/1.73 m2) | Terms |
| G1 | ≥90 | Normal or high |
| G2 | 60 to 89 | Mildly decreased |
| G3a | 45 to 59 | Mildly to moderately decreased |
| G3b | 30 to 44 | Moderately to severely decreased |
| G4 | 15 to 29 | Severely decreased |
| G5 | <15 | Kidney failure (add D if treated by dialysis) |
| Albuminuria stages | AER(mg/day) | Terms |
| A1 | <30 | Normal to mildly increased (may be subdivided for risk prediction) |
| A2 | 30 to 300 | Moderately increased |
| A3 | >300 | Severely increased (may be subdivided into nephrotic and non-nephrotic for differential diagnosis, management, and risk prediction) |
Acute and Chronic CKD:
- Based on the duration of symptoms, CKD may be classified as either acute or chronic.
References
- ↑ Tsibul'skaia MM, Andreeva AP, Levina AA, Shirinova EA, Tokarev I (November 1986). "[Combined sickle-cell anemia and alpha-thalassemia]". Gematol Transfuziol (in Russian). 31 (11): 3–7. PMID 2948868. Vancouver style error: initials (help)
- ↑ Eckardt KU, Coresh J, Devuyst O, Johnson RJ, Köttgen A, Levey AS, Levin A (July 2013). "Evolving importance of kidney disease: from subspecialty to global health burden". Lancet. 382 (9887): 158–69. doi:10.1016/S0140-6736(13)60439-0. PMID 23727165.