Are you a GP or health professional? Our Chronic Kidney Disease (CKD) Management in General Practice booklet is formally endorsed by RACGP, ANZSN and Kidney Health Australia. It provides a comprehensive summary of current guidelines and clinical tips to help identify, manage and refer CKD in general practice in Australia. Quick links Chronic Kidney Disease (CKD) Management in General Practice (book) Summary card - CKD Management in General Practice (e-copy only) CKD Management booklet - publication reference list (e-copy only) eGFR Calculator and online tools (webpage this site) Note: overseas orders are not available - download CKD Management booklet via links above. Order at 1800 4 KIDNEY - 1800 4 543639 - or health@kidney.org.au

Other references to note supporting this booklet are:

• How to treat proteinuria Authors DJ Johnson & TM Mathew - Australian Doctor February 08
  
• eGFR estimated Glomerular Filtration Rate (It is important to know your number)  
  
• Type 2 Diabetes from the GPs perspective 
  *Published by Kidney Health Australia 2007 in association with NEFRON - Thomas MC, Weekes AJ
  A collaborative effort of Baker Institute, Kidney Health Australia and Servier  

Supporting references to this booklet are:
Management of diabetes in Indigenous Australians from primary care  
The burden of Chronic Kidney Disease in Australian patients with type 2 diabetes (NEFRON study) 
The assessment of Chronic Kidney Disease in Australian patients with type 2 diabetes (NEFRON-2) 

How to treat Chronic Kidney Disease

How to treat Chronic Kidney Disease - Australian Doctor March 2010
A/Prof Tim Mathew (SA) - KHA Medical Director (SA) & Prof David Johnson (QLD) - Chair, Kidney Check Australia Taskforce

CKD is a major public health problem in Australia and throughout the world. Based on data from the AusDiab Study it is estimated that about six million individuals have one or more of the major CKD risk factors and that about two million Australian adults have CKD.

GPs play a crucial role in CKD early detection and management. This article focuses on when and how to screen for, and treat CKD. The condition is often not associated with significant symptoms, is unrecognised in 80-90% of cases,and is becoming increasingly common due to an ageing population and a rising incidence of type 2 diabetes. CKD progresses at a rate that requires about 2400 individuals each year in Australia to start either dialysis or kidney transplantation.

The presence of CKD is one of the most potent known risk factors for cardiovascular disease - that individuals with CKD have a 2 to 3 fold greater risk of cardiac death than age and sexmatched controls without CKD. According to death certificate data, CKD directly or indirectly contributes to the deaths of about 10% of Australians and is one of the few diseases in which mortality rates worsen over time. Timely identification and treatment of CKD can reduce the risks of cardiovascular disease and CKD progression by up to 50%.

Supporting publications of interest are:
Screening for chronic kidney disease in Australia: a pilot study in the community and workplace 
Review article: Early detection of chronic kidney disease in Australia: Which way to go?     
Pfizer Health Report #29 - Blood Pressure September 2006  
Clinical effectiveness of different approaches to peritoneal dialysis catheter exit-site care  

Publications produced in collaboration with KHA and Australian Doctor are
-    How to treat proteinuria  1 Feb 2009
-    Resistant Hypertension  20 April 2007
-    Kidney complications of commonly used drugs Pt 1  7 April 2006

The KHA - CARI Guidelines (Caring for Australasians with Renal Impairment) www.cari.org.au  
Evidence-based clinical practice guidelines for the management of adult and paediatric patients with CKD.