Herziening richtlijnen ‘Chronische nierschade’

Age has no effect on the diagnosis of u0027chronic kidney damageu0027. Estimated glomerular filtration rate (eGFR) u003c 60 ml/min per 1.73 m2 is to be considered u0027abnormalu0027 for patients of all ages. Albuminuria is classified as u0027not abnormalu0027, u0027moderately elevatedu0027 and u0027severely elevatedu0027. Decreased eGFR and elevated albuminuria are independent risk factors for and predictors of cardiovascular and total mortality, progression of chronic kidney damage and end-stage kidney failure. Blood pressure target value is ≤ 130/80 mmHg. In case of an indication for blood pressure-lowering treatment for patients with chronic kidney damage and elevated albuminuria, an ACE inhibitor or angiotensin II receptor blocker is preferred. The general practitioner refers patients with chronic kidney damage and a highly elevated risk of mortality, cardiovascular disease, progression of kidney damage and end-stage kidney failure to the internist-nephrologist. Inform patients about drugs that can cause kidney damage and about the importance of dosage adjustments. When prescribing drugs to patients with eGFR u003c 50 ml/min per 1.73 m2, the pharmacist should, with the patientu0027s approval, be informed of the eGFR.