Question

A 59-year-old man with chronic kidney disease stage 4 (eGFR 22 mL/min/1.73 m²) is reviewed in clinic. His albumin:creatinine ratio is persistently elevated and blood pressure is controlled. Which of the following best describes an appropriate referral threshold to nephrology?

Accepted Answer

Refer when eGFR is <30 mL/min/1.73 m² or there is rapidly progressive CKD or heavy albuminuria

Answer

Refer only when eGFR falls below 15 mL/min/1.73 m²

Answer

Refer at any stage of CKD regardless of eGFR

Answer

Do not refer if blood pressure is controlled

Answer

Refer only if the patient develops nephrotic syndrome

Practice question

A 59-year-old man with chronic kidney disease stage 4 (eGFR 22 mL/min/1.73 m²) is reviewed in clinic. His albumin:creatinine ratio is persistently elevated and blood pressure is controlled. Which of the following best describes an appropriate referral threshold to nephrology?