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CKD Monitoring Frequency — ESENeph MCQ

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EasyChronic Kidney DiseaseCKD Monitoring FrequencyESENeph

A 55-year-old man with CKD G3b has been referred to the nephrology clinic. His eGFR is 38 mL/min/1.73m2 and uACR is 85 mg/mmol. According to KDIGO 2024, what is the recommended frequency of eGFR and uACR monitoring?

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Correct answer: E — At least 2-4 times per year given high-risk CKD (G3b + A3)

KDIGO 2024 CKD guideline recommends monitoring frequency based on risk category (using the GFR-ACR heat map). For high-risk categories (G3b + A3 = very high risk), monitoring at least 2-4 times per year is recommended. More frequent monitoring may be needed if there is a change in treatment, an intercurrent illness, or if risk of progression is very high. Lower-risk categories (e.g. G1A1) may need only annual monitoring.

Reference: KDIGO 2024 – CKD Guideline