ABSTRACT
Chronic kidney disease (CKD) is defined as a pathological state of permanent kidney damage or reduction in function. CKD stage 3 has been subdivided into 3a and 3b as longitudinal population studies have shown an increased risk associated with glomerular filtration rate (GFR) 30-44. Its true prevalence has only been recognised since the widespread use of estimated GFR to measure renal function - a far more sensitive indicator than the serum creatinine level. The increasing prevalence means increasing demands of renal services. CKD was added to the Quality and Outcomes Framework in 2006 with indicators CKD 1-4. Traditionally, CKD has been under-diagnosed, mainly as a result of the asymptomatic nature of the disease. Cardiovascular co-morbidities are common in CKD. The register is a prerequisite for the organisation of good primary care to identify the patients with CKD, so that they receive timely appropriate treatment to prevent further progression of the disease.
