CKD and CVD Tool Kit


Chronic Kidney Disease and Cardiovascular Risk: A Perfect Storm

Selected Tools and Resources

We are pleased to present you with the following tools and resources. Several agencies and associations, including the National Kidney Foundation (NKF), the National Kidney Disease Education Program (NKDEP), and the Centers for Disease Control (CDC)'s Chronic Kidney Disease Initiative offer a wide range of resources for both clinicians and patients related to the identification and management of chronic kidney disease  (CKD) and its common comorbidities. Following is a selection of materials that are particularly relevant to this educational activity. (Please note that some NKF materials are restricted to members only or are available for a fee.)

Click here to access the CME/CE-accredited monograph Chronic Kidney Disease and Cardiovascular Risk: A Perfect Storm.

We gratefully acknowledge Merck for providing an educational grant to support this program.




GENERAL MANAGEMENT


KDOQI Clinical Practice Guidelines The NKF'S Kidney Disease Outcomes Quality Initiative (KDOQI) provides highly detailed, evidence-based clinical practice guidelines for all stages of chronic kidney disease and related complications, from diagnosis to monitoring and management. (Updated KDOQI guidelines are anticipated to be published in 2012.)

Patient-Centered Medical Home A joint statement describing the principles of the patient-centered medical home from the American Osteopathic Association, American Academy of Family Physicians, American Academy of Pediatrics, and American College of Physicians.

Vaccinations in Patients with CKD Patients with CKD are particularly vulnerable to infection with a variety of pathogens, particularly pneumococcus and hepatitis B. However, antibody responses may be altered in this population. This reference provides recommendations from the CDC's Advisory Committee on Vaccine Practices for optimal immunization practice for vaccine-preventable disease in patients with CKD.

Nephrology Referral Form Available as a PDF for printing, the tool is designed to help referring primary care providers (PCPs) share important patient data with the consulting nephrologist. Also available as an interactive online form at http://nkdep.nih.gov/professionals/nephrologyreferralform/.

Continuing Medical Education A web link to NKDEP's free online webinars on various CKD topics; eligible for continuing medical education credits through the American Academy of Family Physicians.


LABORATORY ASSESSMENTS


CKD and Drug Dosing: Information for Providers This document describes NKDEP suggestions and rationales for assessment of kidney function for drug-dosing purposes.

KEEP Reference Ranges Link to an online providing standard laboratory reference ranges for key parameters in patients with CKD, including blood pressure, estimated glomerular filtration rate (GFR), hemoglobin, glucose, lipids, urine albumin to creatinine ratio, calcium, phosphorus, intact PTH, and hemoglobin A1c.

GFR Calculator Link to an online GFR calculator using the NKF- recommended Modification of Diet in Renal Disease (MDRD) Study equation to estimate GFR according to age, sex, race, and plasma creatinine. (Other useful calculators related to kidney disease are also available at this web link).

UACR and GFR Quick Reference Fact sheet with key information on assessing urinary albumin-to-creatinine ratio and GFR.

Frequently Asked Question about GFR Estimates A comprehensive review of measurement of kidney function and interpretation of GFR estimates.

Screening for Microalbuminuria in Patients with Diabetes This useful algorithm helps clinicians distinguish patients with diabetic kidney disease from those with diabetes and CKD from other causes, which may require further investigation and possibly different clinical management.

Proteinuria Algorithm This algorithm provides guidance for the evaluation of proteinuria in patients not known to have CKD.

Home Blood Pressure Monitoring A feature article from The Clinical Advisor describing how to make sure patients follow the proper protocol for home blood pressure monitoring.

Smart Phone Apps Online link to two applications, adapted from KDOQI evidence-based clinical practice guidelines and recommendations from the NKF. Free downloads for Android and iPhones include:

  • Screening for Albuminuria Quick pocket tool to help medical professionals assess and treat albuminuria in people with diabetes and other high risk patients.
  • Manage CVD Risk in Reduced GFR Tool to help medical professionals reduce risks associated with major traditional and non-traditional risk factors for cardiovascular disease (CVD), including an interactive algorithm to quickly identify high-risk patients and apply evidence-based management strategies.


THERAPEUTIC LIFESTYLE CHANGES


The Dietary Guidelines Tool Kit  Online link to a variety of consumer-friendly materials such as brochures and web sites to assist professionals and the general public in understanding the key points of the latest evidence-based nutrition and physical activity recommendations.

CKD and Diet: Assessment, Management, and Treatment An overview of dietary assessment, management and treatment of patients with CKD who are not on dialysis.

DASH Diet Modified for Patients with CKD Summary table of recommendations for patients with CKD.


HYPERTENSION AND DYSLIPIDEMIA IN CKD


Hypertension and Antihypertensive Agents in CKD Quick Reference Guide This brochure includes an algorithm for the evaluation and management of hypertension in patients with CKD, as well as summary treatment plans based on the KDOQI recommendations.

Managing Dyslipidemia in Patients with CKD Assessment and management strategies, including a treatment algorithm for dyslipidemias in adults with CKD.

Free Kidney Health Screening Online link to schedule of free kidney health screenings through the NKF's Kidney Early Evaluation Program (KEEP), a program designed to raise awareness about kidney disease among high risk individuals.

Multidisciplinary Patient Care Plans An online, interactive activity to develop multidisciplinary patient care plans for the evaluation and treatment of patients with CKD.


PATIENT EDUCATION RESOURCES


The National Kidney Disease Education Program has made the following resources and tools available for clinicians:

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