Table 11 Recommendations for future guidelines on CKD

1

Recommendations should specify how to consider age, multimorbidity, risk of progression, life expectancy, health goals and quality of life.

2

Recommendations on referral should distinguish between interdisciplinary or co-treatment and one-time consultations for specific problems or to rule out specific kidney diseases.

3

Guidelines should be comprehensive and include management recommendations for common CKD-related problems usually solved in primary care.

4

All relevant options including the option of abstaining from diagnosis or therapy should be incorporated in the guideline.

5

Increase involvement of stakeholders and target users, particularly non-nephrologists in the development process.

6

Implications for cost and resources in the healthcare system should be considered when formulating recommendations.

7

Facilitators and barriers to implementation and adoption of the guideline in clinical practice should be identified and analyzed and the results should be incorporated during the guideline development process.

8

A procedure and timeframe for updating the guideline should be specified.