Question

A 72-year-old man with known CKD stage 3b (eGFR 35 mL/min/1.73 m²) and ACR 90 mg/mmol is reviewed in primary care. What is the most appropriate next step regarding specialist referral?

Accepted Answer

Routine nephrology referral

Answer

No referral; repeat eGFR in 5 years

Answer

Urgent nephrology referral

Answer

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

Answer

Refer only if haematuria develops

Practice question

A 72-year-old man with known CKD stage 3b (eGFR 35 mL/min/1.73 m²) and ACR 90 mg/mmol is reviewed in primary care. What is the most appropriate next step regarding specialist referral?