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renal general-medicine

KDIGO Heat Map for CKD Prognosis

KDIGO (Kidney Disease Improving Global Outcomes) prognosis grid for CKD using GFR and albuminuria categories. Identifies low, moderate, high, and very high risk of CKD progression.

Used in: Chronic Kidney Disease

Score interpretation

Low or Moderate Risk 2–4

KDIGO Low/Moderate risk — G1–G2 with A1–A2, or G3a with A1

→ Annual monitoring; treat modifiable risk factors (HTN, DM, proteinuria); lifestyle modification; ACEi/ARB if proteinuria; avoid nephrotoxins

High Risk 5–7

KDIGO High risk — G3a/A3, G3b/A1-A2, G4/A1

→ Biannual nephrology review; RAS blockade; SGLT-2 inhibitor; consider specialist input for cause; anaemia management; bone disease screening

Very High Risk 8–9

KDIGO Very High risk — G4–G5 with any albuminuria, or any GFR with A3

→ Quarterly nephrology review; prepare for renal replacement therapy (access creation, transplant workup); dietitian referral; phosphate and calcium management; erythropoietin therapy

Interpretation bands for the KDIGO CKD Risk. 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.