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renal general-medicine

CKD Staging (KDIGO 2012)

Stages chronic kidney disease (CKD) by GFR category (G1-G5) and albuminuria category (A1-A3) per KDIGO 2012 guidelines.

Used in: Chronic Kidney Disease Acute Kidney Injury

Score interpretation

Low Risk 1

G1–G2 with A1. If there are no other markers of kidney damage, this is not CKD.

→ If CKD (other markers of kidney damage present): eGFR and ACR at least once a year (KDIGO); manage cardiovascular risk.

Moderately Increased Risk 2

G1–G2 with A2, or G3a with A1.

→ eGFR and ACR at least once a year; blood pressure to target; ACE inhibitor / ARB if albuminuric with diabetes or hypertension; review nephrotoxic drugs.

High Risk 3

G1–G2 with A3, G3a with A2, or G3b with A1.

→ eGFR and ACR about twice a year; RAS blockade and an SGLT2 inhibitor where indicated; ACR ≥ 30 mg/mmol (A3) is a KDIGO criterion for nephrology referral.

Very High Risk 4

G3a with A3, G3b with A2–A3, or G4–G5 with any albuminuria.

→ eGFR and ACR 3–4 or more times a year; nephrology care (eGFR < 30 is a referral criterion); plan for kidney failure (dialysis, transplant or conservative care) as eGFR falls.

Interpretation bands for the CKD Stage (KDIGO). Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.