Practice Guidelines for Chronic Kidney Disease
Authors: Andrew S. Levey
Journal: Annals of Internal Medicine (2004)

Letters1 June 2004Practice Guidelines for Chronic Kidney DiseaseAndrew S. Levey, MD, for the Kidney Disease Outcomes Quality Initiatives Work Group on Chronic Kidney DiseaseAndrew S. Levey, MDFrom Tufts-New England Medical Center, Boston, MA 02111., for the Kidney Disease Outcomes Quality Initiatives Work Group on Chronic Kidney DiseaseAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-11-200406010-00026 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Many of the points raised by Drs. Mogensen and Korosi are discussed in the full version of the guidelines (1). Page numbers cited below refer to pages in that publication.Dr. Mogensen agrees with the recommendation to test patients at increased risk for chronic kidney disease for "microalbuminuria" in a spot urine sample. However, he suggests measuring the albumin-to-creatinine ratio rather than an albumin-specific dipstick, as depicted in Figure 2 of our article in Annals. We agree that that testing could begin with measurement of albumin-to-creatinine ratio (page S215), as discussed in a more recent consensus conference sponsored ...References1. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002;39:S1-266. [PMID: 11904577] MedlineGoogle Scholar2. Eknoyan G, Hostetter T, Bakris GL, Hebert L, Levey AS, Parving HH, et al . Proteinuria and other markers of chronic kidney disease: a position statement of the national kidney foundation (NKF) and the national institute of diabetes and digestive and kidney diseases (NIDDK). Am J Kidney Dis. 2003;42:617-22. [PMID: 14520612] CrossrefMedlineGoogle Scholar3. Brunzel N. Fundamentals of Urine and Body Fluid Analysis. 2nd ed. Philadelphia: WB Saunders; 2004. Google Scholar4. Comper WD, Osicka TM, Jerums G. High prevalence of immuno-unreactive intact albumin in urine of diabetic patients. Am J Kidney Dis. 2003;41:336-42. [PMID: 12552494] CrossrefMedlineGoogle Scholar5. Levey AS, Madaio MP, Perrone RD. Laboratory assessment of renal disease: clearance, urinalysis and renal biopsy.. In: Brenner BM, Rector FC Jr., eds. The Kidney. 4th ed. Philadelphia: WB Saunders; 1991:919-68. Google Scholar Author, Article, and Disclosure InformationAuthors: Andrew S. Levey, MDAffiliations: From Tufts-New England Medical Center, Boston, MA 02111. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoNational Kidney Foundation Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification Andrew S. Levey , Josef Coresh , Ethan Balk , Annamaria T. Kausz , Adeera Levin , Michael W. Steffes , Ronald J. Hogg , Ronald D. Perrone , Joseph Lau , and Garabed Eknoyan Practice Guidelines for Chronic Kidney Disease Carl Erik Mogensen Practice Guidelines for Chronic Kidney Disease Anthony Korosi Metrics 1 June 2004Volume 140, Issue 11Page: 934-935KeywordsChromatographyChronic kidney diseaseCreatinineImmunoassaysMicroalbuminuriaProteinsRenal diseasesSerum proteinsUreaUrine ePublished: 1 June 2004 Issue Published: 1 June 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...