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

Nephrol Dial Transplant. 2017 Jan 1;32(1):9-16. doi: 10.1093/ndt/gfw411.


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 ( This paper summarises main recommendations of the guideline and their underlying rationales.

Keywords: CKD; ESKD; elderly; guidelines; survival analysis.

MeSH terms

  • Aged
  • Europe
  • Glomerular Filtration Rate*
  • Humans
  • Practice Guidelines as Topic / standards*
  • Renal Insufficiency, Chronic / therapy*
  • Research Report
  • Societies, Medical