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Table 4 Recommendation summary – Prevention and screening

From: Diagnosis and management of non-dialysis chronic kidney disease in ambulatory care: a systematic review of clinical practice guidelines

 

CEBAM

USPTF

ACP

HAS

KHA-CARI

BCMA

UMHS

VA-DoD

NICE

2012

2012

2013

2013

2013

2014

2014

2014

2015

Prevention and Screening

Prevention

 weight management

    

    

 sodium restriction

    

    

 protein restriction

    

    

 smoking abstinence

    

    

 reducing excessive alcohol intake

    

    

 physical exercise

    

    

Screening

 asymptomatic

 

     

 diabetes

  

 hypertension

   

 

 cardiovascular disease

  

 acute kidney injury

   

   

+

 structural renal tract disease, renal calculi, prostate hypertrophia

   

    

 systemic illness (e.g. SLE, HIV)

   

    

 positive family history

    

 

 hematuria

       

 nephrotoxic drugs

   

    

▪*

 smoking

    

    

 age

      

> 55

 

 gender

        

 ethnicity

    

 

 obesity

   

   

 occupational hazards

   

   

 

 socioeconomic disadvantage

    

    
  1. ▪ recommendation, − negative recommendation, * including NSAID
  2. American College of Physicians (ACP), Belgisch Centrum voor Evidence Based Medicine (CEBAM), British Columbia Medical Association (BCMA), Department of Veteran’s Affairs (VA-DoD), Haute Autorité de Santé (HAS), Kidney Disease Improving Global Outcomes (KDIGO), Kidney Health Australia - Caring for Australasians with Renal Impairment (KHA-CARI), National Institute of Health and Care Excellence (NICE), University of Michigan Health System (UMHS)