The video version of this podcast can be found here: · https://youtu.be/6WtRlgjCt34The previous episode on diagnosis, and classification of CKD 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 investigations, monitoring, referral recommendation and BP management in CKDI recommend checking out the previous episode on diagnosis, and classification of CKD. In the next episode, I will cover referral the rest CKD management in Primary care, including renal anaemia and mineral bone disease in CKD. 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 table showing the minimum number of monitoring checks per year is: · https://www.nice.org.uk/guidance/ng203/chapter/Recommendations#frequency-of-monitoringThe 4-variable Kidney Failure Risk Equation can be found here: · https://www.nice.org.uk/guidance/ng203/chapter/recommendations#variable-kidney-failure-risk-equation A Kidney Failure Risk Equation calculator can be found here: · https://ukidney.com/calculators/kidney-failure-risk-equation-kfre The NICE technology appraisal guidance on SGLT2 inhibitors for adults with CKD, can be found here:Empagliflozin (TA942, 2023): https://www.nice.org.uk/guidance/ta942/chapter/1-RecommendationsDapagliflozin (TA775, 2022): https://www.nice.org.uk/guidance/ta775/chapter/1-RecommendationsThe recommendations on hyperkalaemia treatment in adults with categories G3b to G5 chronic kidney disease can be found here:· Zirconium: https://www.nice.org.uk/guidance/ta599· Patiromer: https://www.nice.org.uk/guidance/ta623 The link to the hypertension video can be found here: · https://youtu.be/wjIbwy9SdAQ?si=dsPA_Wc6uvxhNANd The links to the videos on cardiovascular disease risk reduction and lipid modification can be found here: ·...
