Why is early referral of your patients important?
By consulting with a Nephrologist, earlier rather than later, you can benefit from their specific strategies to improve the overall care of YOUR patients. Your nephrologist partner can provide specific recommendations that YOU can implement to more effectively delay the progression of kidney disease in your patients.
A referral should be made to a nephrologist if any of the following conditions exist in your patient:
NOTE: THE FORMULA USED TO CALCULATE EGFRS IN ALL CALCULATORS IS ONLY VALID FOR AMBULATORY PATIENTS BETWEEN THE AGES OF 18 – 70 YEARS OF AGE
GFR is considered by medical professionals to be the best measure of kidney function
Early diagnosis and intervention are critical to patient well-being and longevity when living with Chronic Kidney Disease. The National Kidney Foundation and the American Diabetes Association have determined that GFR is the best overall index of the level of kidney function and allows a physician to properly stage a patient with Chronic Kidney Disease.
|Stage 1||Kidney damage with normal or elevated GFR. Kidneys are minimally damaged and still clean the blood normally.||More than 90 mL/min||Usually none||Diagnosis and treatment of CKD. Treatment of accompanying conditions. Reducing risk of CKD/slowing its progression.|
|Stage 2||Kidney damage with some decrease in GFR. Kidneys are not functioning normally.||60 to 89 mL/min||Usually none||Estimating and slowing progression.|
|Stage 3 (moderate)||Moderate decrease in GFR. Kidneys are damaged and are half way to failure.||30 to 59 mL/min||Usually none||Evaluating and treating complications and slowing progression.|
|Stage 4 (severe)||Severe decrease in GFR. Kidneys are near failure.||15 to 29 mL/min||There may be swelling and nausea.||Preparation for dialysis and/or transplant.|
|Stage 5||Kidney failure – dialysis required.||Less than 15 mL/min||There may be swelling, nausea or shortness of breath.||Dialysis is necessary. Kidney transplant possible.|