Question

A patient with advanced CKD is being considered for renal replacement therapy. According to NICE guidelines, what is the best timing to start dialysis?

Accepted Answer

Based on clinical symptoms and biochemical parameters rather than eGFR alone

Answer

Immediately when eGFR <30

Answer

After an episode of hyperkalaemia

Answer

Based on eGFR alone (e.g., <15)

Answer

Never start dialysis until eGFR <5

Practice question

A patient with advanced CKD is being considered for renal replacement therapy. According to NICE guidelines, what is the best timing to start dialysis?