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Clinical Practice Guidelines

Cholesterol Clinical Practice Guidelines

The Quick Desk Reference is a tool designed to help clinicians implement the National Cholesterol Education Program's new clinical practice guidelines for cholesterol testing and management. Based on the Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel or ATP III), the Quick Desk Reference outlines cholesterol management in a sequence of easy-to-follow steps. Find ATP III lipid and lipoprotein classifications, specific steps for determining a patient's risk category, and specific treatment recommendations based on LDL-cholesterol level. Also gives information on treating the metabolic syndrome and elevated triglycerides.

Chronic Kidney Disease Clinical Practice Guidelines

The Renal Physicians Association (RPA) has released a third clinical practice guideline for renal replacement therapy (RRT). The recommendations contained in the guideline are intended to provide clinicians with practical guidance for the care of individuals, 18 years and older, with chronic kidney disease not yet requiring RRT. A complete implementation tools strategy is being developed and will be available at the RPA website.

Management of Chronic Kidney Disease and Pre-ESRD in the Primary Care Setting provides an algorithm and describes critical decision points in the diagnosis and management of chronic kidney disease and prevention and preparation for ESRD. A pocket guide includes the algorithm and information about lab and imaging studies, complications, and prescription and OTC medications. The Veterans Health Administration and Department of Defense based the guide in part on the National Kidney Foundation's K/DOQI guidelines. Other clinical practice guidelines from VHA/DoD include one for hypertension.

Chronic Kidney Disease, from the National Kidney Foundation (NKF) defines the disease and its stages. Other NKF guidelines address vascular access, nutrition, anemia and optimum hemodialysis and peritoneal dialysis.

Nephropathy Screening and Treatment Guidelines

New! The American Diabetes Association's (ADA) Position Statement: Standards of Medical Care – 2006, includes updated kidney-related recommendations. See the Nephropathy Screening and Treatment section on pages 521-522.

Nephropathy in Diabetes, a 2004 ADA Position Statement, comprehensively addresses detection, prevention, and treatment of early nephropathy. Other ADA clinical practice recommendations include those for hypertension and nutrition.

Hypertension Clinical Practice Guidelines

The JNC VII Guide to Prevention and Treatment of Hypertension Recommendations is a quick reference for clinicians to stratify patients by blood pressure stage and cardiovascular risks and determine blood pressure goals and specific treatments. The 8 1/2 x 11, 2-page laminated guide is easily reproduced and is based on the 7th report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.

Nutrition Clinical Practice Guidelines

Clinical Practice Guidelines for Nutrition in Chronic Renal Failure, from the National Kidney Foundation, addresses the nutritional needs of children and adults with chronic kidney disease or end-stage renal disease.

Guidelines for Nutrition Care of Renal Patients, third edition, from the American Dietetic Association, establishes optimum nutritional care in end-stage renal disease, addressing the specific needs of people on dialysis, with a transplant, and during pregnancy.

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Last Reviewed: March 28, 2006

NKDEP is an initiative of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK),
National Institutes of Health (NIH), U.S. Department of Health & Human Services (DHHS).

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