Chapter 8 Kidney and Urological disorders NATIONAL DEPARTMENT

Chapter 8: Kidney and Urological disorders NATIONAL DEPARTMENT OF HEALTH AFFORDABLE MEDICINES ESSENTIAL MEDICINES PROGRAMME PRIMARY HEALTHCARE GUIDELINES 2018 1

EVIDENCE Please access the National Essential Medicines List Committee (NEMLC) report for detailed evidence (including rationale, references and costings) informing decision-making on medicine addition, amendments and deletions: http: //www. health. gov. za/index. php/standard-treatment-guidelines-andessential-medicines-list/category/285 -phc DISCLAIMER This slide set is an implementation tool and should be used alongside the most recently published STG available on the EML Clinical Guide Application. This information does not supersede or replace the STG itself. 2

Chronic Kidney Disease The KDIGO chronic kidney disease prognosis table has been added. This categorises the severity of Chronic Kidney Disease (CKD) based on both e. GFR and albumin creatinine ratio. • Rationale: Highlights the importance of considering albuminuria in assessment of CKD prognosis, in addition to e. GFR. This ensures that CKD patients with albuminuria are appropriately referred. KDIGO: Kidney Disease: Improving Global Outcomes Guidelines, 2014, as amended 3

Chronic Kidney Disease Prognosis of CKD by GFR and albuminuria categories: KDIGO 2012 4

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