Table 7 Recommendation summary - referral criteria

general

consider individual preferences

▪

▪

consider individual comorbidities

▪

▪

cooperation or multidisciplinary care

▪

i

▪

▪

▪

routine follow-up after referral by patient’s GP

▪

▪

nephrologist

GFR < 60 ml/min/1,73m²

GFR < 45 ml/min/1,73m²

i

▪

GFR < 30 ml/min/1,73m²

▪

▪

▪

▪

▪

▪

▪

ACR > 30 mg/mmol

▪*

▪

▪

+ hematuria

ACR ≥70 mg/mmol

▪

i#

proteinuria > 3500 mg/day

▪

hematuria

i

▪*

urinary cell casts

▪

constitutional symptoms

▪

CKD progression

▪

▪

▪

▪

▪

▪

▪

poorly controlled hypertension

▪

▪

▪

▪

electrolyte disturbance

i

▪

▪

▪

anemia

i

▪

▪

metabolic complications

i

▪

complications

i

i

nephrolythiasis

▪

▪

suspected renal artery stenosis

▪

▪

genetic etiology of CKD

▪

▪

▪

rare etiology of CKD

▪

etiology requiring specialist care

▪

unclear etiology

i

i

▪

1-year ESRD-risk of ≥10%

▪

indication for dialysis or transplant

▪

▪

▪

urologist

renal outflow obstruction

▪

▪

diabetologist

diabetic nephropathy

▪

▪

dietician

eGFR< 60 ml/min/1,73m²

▪

i

i

inpatient treatment

complications

▪

hypertensive crisis

▪

unknown etiology

▪