Evidence mapPaperPMID 39670484Full record

GuidelineDeutsches Arzteblatt international2025

The Management of Chronic Kidney Disease not Requiring Renal Replacement Therapy in General Practice.

Simone Kiel, Martha Negnal, Sylvia Stracke, Susanne Fleig, Martin K Kuhlmann, Jean-François Chenot

Abstract readPractice Guideline
In one paragraph

Guideline in Deutsches Arzteblatt international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Complication-Free Examination Method.Deutsches Arzteblatt international · 2025
    Article
  2. In Reply.Deutsches Arzteblatt international · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Simone KielDepartment of General Practice, Greifswald University Medical Center, Greifswald, Germany; Department of Internal Medicine A, Greifswald University Medical Center, Greifswald, Germany; Department of Renal and Hypertensive Disease, Rheumatologic and Immunologic Diseases, Aachen University Hospital, Aachen, Germany; Department of Internal Medicine - Nephrology, Vivantes Klinikum im Friedrichshain, Berlin, Germany.
Martha Negnal
Sylvia Stracke
Susanne Fleig
Martin K Kuhlmann
Jean-François Chenot

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is common in the German adult population, with a prevalence of 10%. This guideline, updated on the basis of current scientific evidence, contains recommendations for the management of CKD in general practice.

methodsThe updated guideline is based on a review and assessment of source guidelines and systematic reviews concerning individual questions. The recommendations were agreed upon in a moderated two-stage nominal group process by the mandate holders of the participating specialist societies, along with patient representatives.

resultsThe risk of progression to renal failure requiring renal replacement therapy should be assessed with a risk score. Assessing this risk and determining the indication for treatment with SGLT2 inhibitors both require measurement of the urinary albumin-tocreatinine ratio. Pharmacotherapy is not recommended for asymptomatic hyperuricemia. An initial ultras - onographic examination of the kidneys and urogenital system is now recommended for all patients. The vaccination recommendations that differ for people with CKD have been integrated into the guideline.

conclusionThe risk assessment of CKD and the treatment options have been expanded. The updated guideline can improve primary care for patients with CKD and the selection of patients for interdisciplinary care.

Indexed as

General PracticeRenal Insufficiency, ChronicRenal Replacement TherapyGermanyHumans

Identifiers

PMID39670484
PMCPMC12416033

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.