Clinical Practice Guideline on management of older patients with chronic kidney disease stage 3b or higher (EGFR<45 mL/min/1.73 m2): A summary document from the European Renal Best Practice Group

Research output: Contribution to journalReview article


The population of patients with moderate and severe CKD is growing. Frail and older patients comprise an increasing proportion. Many studies still exclude this group, so the evidence base is limited. In 2013 the advisory board of ERBP initiated, in collaboration with European Union of Geriatric Medicine Societies (EUGMS), the development of a guideline on the management of older patients with CKD stage 3b or higher (eGFR > 45 mL/min/1.73 m2). The full guideline has recently been published and is freely available online and on the website of ERBP (www.european-renalbest- This paper summarises main recommendations of the guideline and their underlying rationales.


  • Ken Farrington
  • Adrian Covic
  • Ionut Nistor
  • Filippo Aucella
  • Leen De Vos
  • Andrew Findlay
  • Denis Fouque
  • Tomasz Grodzicki
  • Osasuyi Iyasere
  • Kitty J. Jager
  • Hanneke Joosten
  • Juan Florencio Macias
  • Andrew Mooney
  • Evi Nagler
  • Dorothea Nitsch
  • Maarten Taal
  • James Tattersall
  • Marijke Stryckers
  • Dieneke Van Asselt
  • Nele Van den Noortgate
  • Sabine Van Der Veer
  • Wim van Biesen
External organisations
  • Skåne University Hospital
  • Ghent University Hospital
  • Université Claude Bernard
  • Krakow University Hospital
  • Academic Medical Center of University of Amsterdam (AMC)
  • Parhon University Hospital
  • Lister Hospital
  • Casa Sollievo della Sofferenza
  • Leicester Royal Infirmary
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Health Care Service and Management, Health Policy and Services and Health Economy


  • CKD, Elderly, ESKD, Guidelines, Survival analysis
Original languageEnglish
Pages (from-to)9-16
Number of pages8
JournalNephrology Dialysis Transplantation
Issue number1
Publication statusPublished - 2017
Publication categoryResearch
Externally publishedYes