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The page below is a sample from the LabCE course Chronic Kidney Disease. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Clinical Assessment of Risk

Lower GFR and higher urine albumin/creatinine ratio are independent risk factors for CKD progression, but the combination of these two tests provides the best estimate of current status and future progression of disease. In general:
  • Higher ACR + lower eGFR = Increased Risk
The National Kidney Foundation provides a cross-walk of the two risk factors, available at the link below:
Patients with risk factors for developing CKD are recommended to undergo laboratory tests at least annually to determine ongoing risk and monitor progression.