Priority | Nephrology conditions | Wait time target (weeks) |
---|---|---|
1. Immediately threatening renal disease – Requires rapid access | Acute kidney injury, suspected vasculitis/glomerulonephritis or Nephrotic Syndrome, eFGR < 15 ml/min | <3 |
2. High risk renal disease – Requires expedited access to prevent adverse outcomes | Diabetic nephropathy eGFR < 45 (ACr > 30 or dipstick positive) | 3-6 |
New onset dipstick positive proteinuria (or repeat ACRs > 30) | 3-6 | |
CKD, eGFR < 30* | 3-6 | |
Uncontrolled hypertension | 3-6 | |
3. Stable renal disease – Requires timely access | Recurrent nephrolithiasis | 6-12 |
Isolated microscopic hematuria | 6-12 | |
CKD, eGFR 30-45 | 6-12 | |
New Diagnosis PCKD, normal eGFR | 6-12 | |
Overt Diabetic nephropathy eGFR > 45 | 6-12 | |
4. At risk kidneys – Limited empirical evidence that nephrology assessment mproves outcomes | CKD, eGFR 46-60 | 12-24 |
Microalbuminuria, non DM, normal eGFR | 12-24 |