The video version of this podcast can be found here: · https://youtu.be/iJKpE3H_LbkThis episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode I go through the guideline on CKD, NG203, by the National Institute for Health and Care Excellence (NICE), last updated in November 2021, focusing on what is relevant to Primary Care only. Given how extensive the guidance is, in this episode I will just focus on diagnosis, and classification of CKD. In the next two episodes, I will cover investigations, monitoring, referral recommendation and CKD management in Primary care. I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The Full NICE guideline chronic kidney disease: assessment and management [NG203] can be found here:· https://www.nice.org.uk/guidance/ng203The links to other relevant guidance covered in this episode can be found here: The link to the non-visible haematuria video is: · https://youtu.be/SaizjWg7Fng?si=McvEYQO9O3chElkj TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I am Fernando, a GP in the UK. Today, we are doing a review of the NICE guideline on CKD, or NG203, focusing what is relevant to Primary Care only. Given how extensive the guidance is, in this episode I will just focus on diagnosis, and classification of CKD. In the next two episodes, I will cover investigations, monitoring, referral recommendation and CKD management in Primary care, so stay tuned for those.Right, let’s jump into it.For this review, I have excluded recommendations related to children and young people with CKD. While their management is often similar to that of adults, most children with CKD are managed by secondary care and this is why I am focusing on adultsLet’s review the investigations recommended in CKD. CKD can be classified depending on the levels of renal function and the presence and degree of proteinuria. So, let’s have a look at renal function first.To assess kidney function, path labs should report a creatinine-based estimate of glomerular filtration rate, or eGFRcreatinine, alongside the serum creatinine result. For simplicity, from now on, I’ll refer to eGFRcreatinine simply as eGFR. Because of how eGFR is calculated, eGFR results may be less ...
