Inclusion of methods for early detection of chronic kidney disease in the guidelines of the national Non-Communicable disease survey: A necessity!

Abstract

Background: The burden and magnitude of chronic kidney disease (CKD) are enormous. The incidence and prevalence of chronic kidney disease are rising all over the world. Thus, there is the urgent and pressing need for methods of early detection of CKD, to be included in guidelines for management of noncommunicable diseases, to help stem the tide. Method: This paper reviewed various articles on guidelines for management of CKD including KDOQI and UK guidelines. Result: There is consensus in literature about the increasing incidence of CKD worldwide and the emergence of CKD as a disease of public health concern. Most guidelines advocate inclusion of estimation glomerular filtration rate (eGFR) in laboratory requests for serum creatinine using the Modification of Diet in Renal Disease or the Cockroft and Gault formulae. Conclusion: We therefore conclude that inclusion of methods of early detection of CKD in the national guidelines for non-communicable disease is a necessity. Equally necessary is the inclusion of eGFR in laboratory requests for serum creatinine.

Keywords

• ckd: chronic kidney disease
• gfr: glomerular filtration rate
• albuminuria
• specific gravity of urine
• urinary osmolality