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Review ArticlePractice

Approach to the detection and management of chronic kidney disease

What primary care providers need to know

Allan K. Grill and Scott Brimble
Canadian Family Physician October 2018, 64 (10) 728-735;
Allan K. Grill
Assistant Professor in the Department of Family and Community Medicine at the University of Toronto, Lead Physician at the Markham Family Health Team, Provincial Medical Lead (Primary Care) at the Ontario Renal Network, and part-time Physician Advisor at the College of Family Physicians of Canada in Ontario.
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  • For correspondence: allan.grill@utoronto.ca
Scott Brimble
Associate Professor in the Department of Medicine at McMaster University in Hamilton, Ont, a staff nephrologist and Nephrology Division Director at St Joseph’s Healthcare Hamilton, and Provincial Medical Lead (Chronic Kidney Disease Care) at the Ontario Renal Network.
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    Figure 1.

    Algorithm for identifying, detecting, and managing chronic kidney disease

    Reproduced from the Ontario Renal Network.8

  • Figure 2.
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    Figure 2.

    Current CKD nomenclature used by KDIGO: Classification of CKD is based on cause, GFR category, and albuminuria category.

    CKD—chronic kidney disease, GFR—glomerular filtration rate, KDIGO—Kidney Disease: Improving Global Outcomes.

    Reproduced with permission from the KDIGO Work Group.1

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    Figure 3.

    The KDIGO CKD lipid guidelines for management of hyperlipidemia

    CAD—coronary artery disease, CKD—chronic kidney disease, DM—diabetes mellitus, KDIGO—Kidney Disease: Improving Global Outcomes.

    *Contraindications include acute liver disease, high alcohol consumption, or pregnancy. Women with child-bearing potential should only use a statin if there is reliable contraception.

    Data from KDIGO Lipid Work Group20 and Anderson et al.21

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Canadian Family Physician: 64 (10)
Canadian Family Physician
Vol. 64, Issue 10
1 Oct 2018
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Approach to the detection and management of chronic kidney disease
Allan K. Grill, Scott Brimble
Canadian Family Physician Oct 2018, 64 (10) 728-735;

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Allan K. Grill, Scott Brimble
Canadian Family Physician Oct 2018, 64 (10) 728-735;
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