title: Clinical Practice Guideline on management of older patients with chronic kidney disease stage 3b or higher (eGFR<45 mL/min/1.73 m2): a summary document from the European Renal Best Practice Group.
abstract: The population of patients with moderate and severe CKD is growing. Frail and older patients comprise an increasing proportion. Many studies still exclude this group, so the evidence base is limited. In 2013 the advisory board of ERBP initiated, in collaboration with European Union of Geriatric Medicine Societies (EUGMS), the development of a guideline on the management of older patients with CKD stage 3b or higher (eGFR >45 mL/min/1.73 m2). The full guideline has recently been published and is freely available online and on the website of ERBP (www.european-renal-best-practice.org). This paper summarises main recommendations of the guideline and their underlying rationales.
authors.affiliation: Renal Unit, Lister Hospital, Stevenage, Hertfordshire, UK.
authors.forename: Ken
authors.initials: K
authors.lastname: Farrington
authors.affiliation: Clinic of Nephrology, C. I. Parhon University Hospital, Gr T. Popa, University of Medicine and Pharmacy, Iasi, Romania.
authors.forename: Adrian
authors.initials: A
authors.lastname: Covic
authors.affiliation: Clinic of Nephrology, C. I. Parhon University Hospital, Gr T. Popa, University of Medicine and Pharmacy, Iasi, Romania.
authors.forename: Ionut
authors.initials: I
authors.lastname: Nistor
authors.affiliation: Nephrology and Dialysis Unit at the Research Hospital 'Casa Sollievo della Sofferenza', San Giovanni Rotondo, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Aucella
authors.affiliation: Skåne University Hospital, Lund, Sweden.
authors.forename: Naomi
authors.initials: N
authors.lastname: Clyne
authors.affiliation: Department of Nephrology, Ghent University Hospital, Ghent Belgium.
authors.forename: Leen
authors.initials: L
authors.lastname: De Vos
authors.affiliation: Renal Unit, Lister Hospital, Stevenage, Hertfordshire, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Findlay
authors.affiliation: Division of Nephrology, Université de Lyon, UCBL, INSERM, Centre Hospitalier Lyon Sud, Pierre Benite, France.
authors.forename: Denis
authors.initials: D
authors.lastname: Fouque
authors.affiliation: Department of Internal Medicine and Geriatrics, University Hospital of Krakow, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Grodzicki
authors.affiliation: Renal Unit, Leicester Royal Infirmary, Leicester, UK.
authors.forename: Osasuyi
authors.initials: O
authors.lastname: Iyasere
authors.affiliation: Department of Medical Informatics, Amsterdam Medical Center, Amsterdam, The Netherlands.
authors.forename: Kitty J
authors.initials: KJ
authors.lastname: Jager
authors.affiliation: Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands.
authors.forename: Hanneke
authors.initials: H
authors.lastname: Joosten
authors.affiliation: Faculty of Medicine, University of Salamanca, Salamanca, Spain.
authors.forename: Juan Florencio
authors.initials: JF
authors.lastname: Macias
authors.affiliation: Renal Unit, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Mooney
authors.affiliation: Department of Nephrology, Ghent University Hospital, Ghent Belgium.
authors.forename: Evi
authors.initials: E
authors.lastname: Nagler
authors.affiliation: London School of Hygiene & Tropical Medicine, London, United Kingdom UCL Centre for Nephrology, Royal Free Hospital, University College London Medical School, London, UK.
authors.forename: Dorothea
authors.initials: D
authors.lastname: Nitsch
authors.affiliation: Department of Renal Medicine, Royal Derby Hospital, Derby, UK Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Nottingham, UK.
authors.forename: Maarten
authors.initials: M
authors.lastname: Taal
authors.affiliation: Renal Unit, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
authors.forename: James
authors.initials: J
authors.lastname: Tattersall
authors.affiliation: Department of Nephrology, Ghent University Hospital, Ghent Belgium.
authors.forename: Marijke
authors.initials: M
authors.lastname: Stryckers
authors.affiliation: Department of Geriatric Medicine of the Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Dieneke
authors.initials: D
authors.lastname: van Asselt
authors.affiliation: Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.
authors.forename: Nele
authors.initials: N
authors.lastname: Van den Noortgate
authors.affiliation: Centre for Health Informatics, University of Manchester, Manchester, UK.
authors.forename: Sabine
authors.initials: S
authors.lastname: van der Veer
authors.affiliation: Department of Nephrology, Ghent University Hospital, Ghent Belgium.
authors.forename: Wim
authors.initials: W
authors.lastname: van Biesen
mesh_terms: D000368:Aged; D005060:Europe; D005919:Glomerular Filtration Rate; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards*; D051436:Renal Insufficiency, Chronic / Q000628:therapy*; D058028:Research Report; D012955:Societies, Medical
keywords: CKD; ESKD; elderly; guidelines; survival analysis