Last edited 09/2021 and last reviewed 12/2022

Management of patients with chronic kidney disease (CKD) in primary care involves:

  • regular measurements of kidney function using serum creatinine concentration and estimated GFR, depending on the severity of kidney impairment - see linked item
  • advice on smoking cessation
  • advice on weight loss if obese
  • encouragement to take regular aerobic exercise
  • advice to limit alcohol intake to no more than 3 units/day (men) or 2 units/day (women)
  • oral antiplatelets and anticoagulants
  • meticulous control of hypertension if present - see linked item
  • lipid lowering - see linked item

Indications for nephrology referral are linked.


  1. The Renal Association (May 2006).UK CKD Guidelines
  2. NICE (August 2021). Chronic kidney disease: assessment and management