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Use of GFR estimates in the detection and monitoring of chronic kidney disease - experience since January 2004 from the

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Use of GFR estimates in the detection and monitoring of chronic kidney disease - experience since January 2004 from the

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    1. Use of GFR estimates in the detection and monitoring of chronic kidney disease - experience since January 2004 from the Heart of England Dr Hugh C Rayner (Consultant Nephrologist) Dr Bill Bartlett (Consultant Clinical Chemist) Dr Steve Smith (Consultant Nephrologist)

    2. Key elements GFR estimated for serum [creatinine] above reference range for assay (males 106?mol/l, females 80?mol/l) Simple flow chart for CKD management Triage of referrals against flow chart Systematic discharge from clinic to shared care according to flow chart

    6. Promoting self care Clinic letter sent to patient with copy to GP Include graph of GFR v time picture tells 1000 words Patients encouraged to measure own BP Lifestyle change to reduce CHD risk

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