Fast Five Quiz: Chronic Kidney Disease (CKD) Management

According to guidelines issued by the KDIGO workgroup, wider statin use among patients with CKD is recommended. Specific recommendations include:

• Patients with an eGFR <60 mL/min/1.73 m² who are not being treated with long-term dialysis or kidney transplantation should be treated with a statin or a statin plus ezetimibe

• Treatment with statins or statin/ezetimibe should not be initiated in adults with dialysis-dependent CKD

• Patients already being treated with a statin at the time of dialysis should continue their statin

• Statin treatment is recommended for adult kidney transplant patients because of an increased risk for coronary events

• Adults aged 18-49 years with an eGFR <60 mL/min/1.73 m² who are not being treated with dialysis or kidney transplantation should be treated with statins if they have coronary disease, diabetes, prior ischemic stroke, or an estimated 10-year risk of coronary death or nonfatal myocardial infarction exceeding 10%

• Adults ≥ 0 years of age with CKD and an eGFR ≥60 mL/min/1.73 m² should be treated with a statin

In addition, lipid profile testing is recommended for all patients newly diagnosed with CKD. However, clinicians should note that low-density lipoprotein cholesterol alone is insufficient for assessing cardiovascular risk in individuals with CKD.

Learn more details about the management of CKD.

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Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: A. Brent Alper, Patrick Rossignol. Fast Five Quiz: Chronic Kidney Disease (CKD) Management - Medscape - Feb 03, 2023.