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TABLE 10.

CKD Stages and Corresponding Focus of Kidney-Related Care

CKD StageFocus of Kidney-Related Care
StageeGFR (ml/min/1.73 m2)Evidence of Kidney Damage*Diagnose Cause of Kidney InjuryEvaluate and Treat Risk Factors for CKD Progression**Evaluate and Treat CKD Complications***Prepare for Renal Replacement Therapy
No clinical evidence of CKD ≥60 —     
≥90 ✓ ✓   
60–89 ✓ ✓   
30–59 +/– ✓ ✓ ✓  
15–29 +/–  ✓ ✓ ✓ 
<15 +/–   ✓ ✓ 
CKD StageFocus of Kidney-Related Care
StageeGFR (ml/min/1.73 m2)Evidence of Kidney Damage*Diagnose Cause of Kidney InjuryEvaluate and Treat Risk Factors for CKD Progression**Evaluate and Treat CKD Complications***Prepare for Renal Replacement Therapy
No clinical evidence of CKD ≥60 —     
≥90 ✓ ✓   
60–89 ✓ ✓   
30–59 +/– ✓ ✓ ✓  
15–29 +/–  ✓ ✓ ✓ 
<15 +/–   ✓ ✓ 

CKD stages 1 and 2 are defined by evidence of kidney damage (+), while CKD stages 3–5 are defined by reduced eGFR with or without evidence of kidney damage (+/–).

*

Kidney damage is most often manifest as albuminuria (UACR30 mg/g Cr) but can also include glomerular hematuria, other abnormalities of the urinary sediment, radiographic abnormalities, and other presentations.

**

Risk factors for CKD progression include elevated blood pressure, glycemia, and albuminuria.

***See Table 10.2 in the full 2018 Standards of Care.

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