Indications for referral to a nephrologist

Kidney cartoon 3

 

Referral to aspecialist renal service or nephrologist is recommended in the following situations:

  • eGFR<30ml/min/1.73m2
  • Persistent significant albuminuria (urine ACR ≥30 mg/mmol)
  • A sustained decreased in eGFR of 25% or more, or a sustained decrease in eGFR of 15 ml/min/1.73m2 within 12 months
  • Chronic kidney disease with hypertension that is hard to get to target despite at least three anti-hypertensive agents
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