{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:02:41Z","timestamp":1777892561753,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p>Chronic kidney disease (CKD) is common. People with CKD have a wide range of comorbidities and, therefore, the majority of non-nephrologists will care for people with CKD. This paper aims to provide a brief overview of the diagnosis and management of CKD for the non-nephrologist.<\/jats:p>\n                  <jats:p>Identifying those with CKD and optimising treatment is essential as CKD has a direct association with adverse patient outcomes. There are modifiable factors where interventions may delay progression of CKD, including: smoking cessation, dietary advice, hypertension management, renin-angiotensin system blockade, glycaemic control and relieving urinary outflow obstruction. Complications, such as renal anaemia, metabolic acidosis, CKD-related mineral bone disease, hyperkalaemia and gout, are best managed in conjunction with nephrology input.<\/jats:p>\n                  <jats:p>The progression of CKD is often variable and nonlinear, but person-centred intervention can delay progression of CKD, reduce morbidity and mortality, and allow time for preparation for renal replacement therapy, ultimately providing the best possible personalised care.<\/jats:p>","DOI":"10.4997\/jrcpe.2020.119","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T07:08:38Z","timestamp":1591772918000},"page":"67-74","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A Practical Guide to Diagnosis and Assessment of Chronic Kidney Disease for the Non-Nephrologist"],"prefix":"10.1177","volume":"50","author":[{"given":"Victoria A","family":"Weir","sequence":"first","affiliation":[{"name":"Nephrology Registrar, Aberdeen Royal Infirmary, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shona","family":"Methven","sequence":"additional","affiliation":[{"name":"Consultant Nephrologist, Aberdeen Royal Infirmary, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,3,1]]},"reference":[{"key":"bibr1-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-005480"},{"key":"bibr2-jrcpe.2020.119","unstructured":"UK Renal Registry. UK Renal Registry 21st Annual Report \u2013 data to 31\/12\/2017. Bristol; 2019."},{"key":"bibr3-jrcpe.2020.119","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/kisup.2012.73","volume":"3","author":"KDIGO Group","year":"2013","journal-title":"Kidney Int"},{"key":"bibr4-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2010.550"},{"key":"bibr5-jrcpe.2020.119","volume-title":"Chronic Kidney Disease (partial update) Early Identification and management of CKD in adults in promary and secondary care. Clinical Guideline 182","author":"National Clinical Guideline Centre","year":"2014"},{"key":"bibr6-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1258\/0004563054889936"},{"key":"bibr7-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1114248"},{"key":"bibr8-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2010.08.009"},{"key":"bibr9-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq140"},{"key":"bibr10-jrcpe.2020.119","volume-title":"Suspected Cancer: Recognition and Referral","author":"Guideline Development Group","year":"2015"},{"key":"bibr11-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a3021"},{"key":"bibr12-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.3-6-513"},{"key":"bibr13-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1159\/000490959"},{"key":"bibr14-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2017.02.019"},{"key":"bibr15-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-016-0430-4"},{"key":"bibr16-jrcpe.2020.119","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1186\/s12882-017-0522-9","volume":"18","author":"Gallagher H","year":"2017","journal-title":"BMC Nephrol"},{"key":"bibr17-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.451"},{"key":"bibr18-jrcpe.2020.119","unstructured":"KDIGO. Timing of clinical outcomes in CKD with severely decreased GFR. http:\/\/www.kdigo.org\/equation (accessed 02\/05\/19)."},{"key":"bibr19-jrcpe.2020.119","volume-title":"Patients in Control. Why People with Long Term Conditions Must Be Empowered","author":"McDonald C","year":"2014"},{"key":"bibr20-jrcpe.2020.119","volume":"2","author":"KDIGO Blood Pressure Work Group","year":"2012","journal-title":"Kidney Int"},{"key":"bibr21-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1511939"},{"key":"bibr22-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2018.12.025"},{"key":"bibr23-jrcpe.2020.119","unstructured":"Renal Association. eCKD Guide 2017. http:\/\/www.renal.org\/information-resources\/the-UK-eCKD-guide\/hypertension (accessed 02\/05\/19)."},{"key":"bibr24-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61236-2"},{"key":"bibr25-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017241"},{"key":"bibr26-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2018-314158"},{"key":"bibr27-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1111732"},{"key":"bibr28-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.16.2159"},{"key":"bibr29-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1811744"},{"key":"bibr30-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfi022"},{"key":"bibr31-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2012010099"},{"key":"bibr32-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.4930"},{"key":"bibr33-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.01140905"},{"key":"bibr34-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1201\/9780429460418"},{"key":"bibr35-jrcpe.2020.119","volume-title":"Chronic Kidney Disease: Managing Anaemia","author":"NICE Guideline Development Group","year":"2015"},{"key":"bibr36-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2008111205"},{"key":"bibr37-jrcpe.2020.119","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2014010035"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2020.119","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2020.119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:32:36Z","timestamp":1777617156000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4997\/jrcpe.2020.119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.4997\/jrcpe.2020.119"],"URL":"https:\/\/doi.org\/10.4997\/jrcpe.2020.119","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}