Guidelines

The Clinical Practice Guidelines Committee prepares guidelines for the renal community in the UK. The committee comprises the leaders of each of the fourteen modules, chaired by Dr Robert Mactier, robert.mactier2@ggc.scot.nhs.uk

The guidelines provide a template for the management of patients with kidney disease in the UK and define the data collected by the Renal Registry.

About the fourth and fifth edition of the guidelines

In commissioning the fourth and fifth edition the Clinical Affairs Board considered the term Clinical Practice Guidelines more appropriate than the previous term 'Standards'.

Module Date Review due
Chronic kidney disease - Charlie Tomson & Maarten Taal 10/4/07 2010
Complications (cardiovascular disease, bone disease, anaemia, nutrition) - Mike Cassidy, Donald Richardson & Colin Jones 11/12/07 2010
Blood-borne viruses - Colin Geddes, Elizabeth Lindley & Neill Duncan 14/7/09 2012

Haemodialysis - Robert Mactier, Nic Hoenich & Cormac Breen

 1/12/09 2012
Vascular Access For Haemodialysis (FIRST DRAFT) - Dr Richard Fluck & Dr Mick Kumwenda 4/5/10  
Peritoneal dialysis - Dr Graham Woodrow & Prof Simon Davies 30/7/10 2013
Peritoneal access - Martin Wilkie, Sarah Jenkins & Badi Shrestha 22/9/09 2012
Planning, initiation & withdrawal of RRT - Ken Farrington & Graham Warwick 17/9/09 2012
Assessment for transplantation - Chris Dudley & Paul Harden 8/4/08
 2010
Acute Renal Failure (Acute Kidney Injury) - Paul Stevens, Andrew Davenport, Andrew Lewington & Suren Kanagasundaram 8/4/08 2010
Nutrition in CKD - Dr Mark Wright and Dr Colin Jones 25/6/10 2013
Anaemia in CKD (FINAL DRAFT) - Dr Ashraf Mikhail, Dr Rajesh Shrivastava, Dr Donald Richardson 2/7/10  
Cardiovascular disease in CKD - Dr Stephen Holt & Dr David Goldsmith 6/8/10 2013
CKD-Mineral and Bone Disorders (CKD-MBD) (FIRST DRAFT) - Dr Simon Steddon and Dr Edward Sharples 24/5/10  
Clinical Practice Guidelines for the Detection, Monitoring and Care of Patients with Chronic Kidney Disease (FIRST DRAFT) - Dr Mark S. MacGregor and Dr Maarten W. Taal 6/8/10  
Post-operative Care of the Kidney Transplant Recipient (FIRST DRAFT) - Professor A Jardine & Dr R Baker 10/8/10  

The fourth edition was prepared as five modules and completed in 2009. Each of the modules was drafted by a small group of individuals selected on the basis of their expertise and freedom from potential bias. The modules covered a wider range of topics than the previous 'Standards' document with the addition of a section on Chronic Kidney Disease and extended coverage of the medical aspects of kidney transplantation, particularly recipient work-up. Previous guidelines can be seen here

The number of guideline modules was expanded to fourteen for the fifth edition commencing in 2009. Recommendations in these modules will be graded using the modified GRADE system. Blood borne virus, peritoneal access and planning, initiation and withdrawal of RRT modules have been added. The HD module has been updated. 'Complications' will be divided into several freestanding modules. Module numbering (1, 2, 3a etc) was dropped. You can read plans for future modules.

Each module comprises a series of guideline statements with accompanying text to explain how these are derived. The supporting evidence is referenced and audit measures defined. As the modules are completed they are internally reviewed by the Clinical Practice Guidelines Committee before being made available for broader consultation via the Renal Association website. Potential stakeholder organisations are informed as the various modules become available and specifically invited to comment. Comments on the first and final drafts are fed back directly to module leads via email, comment at the foot of guideline pages or Discussion Forums.

Once feedback on the final draft has been received, the edited final version of each module is locked. Whenever significant changes are made, a copy of the previous version is stored and made available as a downloadable pdf file at the foot of the relevant guideline page.

Because of this constant updating process no printed copies are distributed, but guidelines should print satisfactorily from the web version, and pdf versions can be downloaded.

The current UK guidelines can be compared with those produced by other organisations across the world on the Kidney Disease: Improving Global Outcomes (KDIGO) website www.kdigo.org.

Downloads

  1. Guideline Development Process Policy Manual - 15 June 2010
    .pdf file (218.47 KB)
    Download
  2. Minutes of the Clinical Practice Guidelines Committee meeting - 19 May 2010
    .pdf file (86.58 KB)
    Download
  3. CPG Committee Minutes April 2009
    .pdf file (82.35 KB)
    Download
  4. CPG Committee Minutes 15 May 2008
    .doc file (46.00 KB)
    Download
  5. Minutes from Brighton meeting May 2007 (amended July)
    .pdf file (76.59 KB)
    Download