Abstract

THE DEFINITION and staging of chronic kidney disease (CKD) proposed in the National Kidney Foundation-Kidney Disease Outcomes Quality Initiative (K/DOQI) Guidelines1 have been widely accepted and disseminated2–5; the concepts have been included in the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure6; and a recent report from the National Kidney Disease Education Program.7 However, new ideas are not accepted easily, and there has been active debate on the estimates of prevalence of CKD, recommendations for equations to estimate level of glomerular filtration rate (GFR), and description of the burden of CKD during and after the guideline development process.

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