When to Refer to a Nephrologist
Abnormal renal imaging e.g. cystic kidney disease, at any GFR Persistent proteinuria and/or haematuria eGFR <60 ml/min (recommended) eGFR <30 ml/min (mandatory) Note 1: At GFR <60 ml/min interventions to retard or prevent the progression of CKD should be instituted. Note 2: At GFR <30 ml/min, options for renal replacement need to be considered. Consider preparing vascular access and w
- Abnormal renal imaging e.g. cystic kidney disease, at any GFR
- Persistent proteinuria and/or haematuria
- eGFR <60 ml/min (recommended)
- eGFR <30 ml/min (mandatory)
Note 1:
At GFR <60 ml/min interventions to retard or prevent the progression of CKD should be instituted.
Note 2:
At GFR <30 ml/min, options for renal replacement need to be considered. Consider preparing vascular access and working up for transplantation.
Note 3:
At GFR <15 ml/min, be vigilant for complications such as hypertension, fluid overload, electrolyte disturbances and malnutrition.
Paget G, Naicker S, et al. Guideline for the optimal care of patients on chronic dialysis in South Africa. South African Renal Society; 2015.