Timing of referral of chronic kidney disease patients to nephrology services (adult)

Patients with an estimated glomerular filtration rate (eGFR) < 30mL/min per 1.73m(2) should generally be referred to a nephrology service for assessment and multidisciplinary management of chronic kidney disease (CKD). This is to provide 6 months ) for predialysis eduction, creation of permanent dialysis access and planned initition of dialysis/pre-emptive transplantaion or alternatively, supportive management and palliation for those who do not wish to or are not deemed suitable for chronic dialysis (Level III evidence).