End-stage renal disease: Following a patient with eGFR <25 ml/min

Tiina Podymow, Canada

Associate Professor
McGill University


At the conclusion of this session, participants will be able to:

  • Identify patients with low risk CKD ​
  • Review KFRE and eGFR with A/Cr in predicting the tempo of renal decline or stability​
  • Interpret the top 6 areas of CKD: anemia, bone metabolism disorders, electrolyte abnormalities, metabolic acidosis, BP, volume status and understand the stages of planning for dialysis ​

Questions Submitted

  • Hi thank you for mentioning the Cockcroft - Gault equation which we used for many years. Please can you tell me why it was replaced? Perhaps it was just that our technical know-how and digital& tech abilities made it obsolete. In the 1980s I was a year one resident in Atlantic Canada for nephrologist Dr Harry Gault -a fellow Montrealer. He developed the equation in Montreal I believe at the Queen Mary Vets Hospital. Anyway Dr Gault was a really nice man and I found for decades his equation very useful in so much of my work -even abroad in the UK. Dr Harry Gault really led the way for us by having a useful GFR calculation for our time as clinicians. I was sad to hear of his death in the early 2000's and wish there was more remembrance of him in medical & renal circles at home here in Canada. Certainly the Americans & British used his equation ++ & would make a big show of his contribution(s). Thank you so much for your presentation -very much appreciated.

If you have any questions, please consult our Help Desk.
© 2023 McGill Family Physician Refresher Course