What are the recommended monitoring parameters for patients with Chronic Kidney Disease (CKD) in primary care?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 14 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

The recommended monitoring parameters for patients with chronic kidney disease in primary care are:

  • Serum estimated glomerular filtration rate (eGFR) to assess kidney function, with the frequency guided by CKD stage and risk factors, typically ranging from 1 to 4 checks per year depending on severity ,,.
  • Urinary albumin:creatinine ratio (ACR) to detect and monitor proteinuria, with testing recommended at least annually, and more frequently if indicated by disease progression or severity ,,.
  • Full blood count (FBC) to exclude renal anaemia, especially in CKD stages G3-G5, with frequency depending on clinical judgment ,,.
  • Serum bicarbonate concentration, particularly in advanced CKD (G4-G5), where a level below 20 mmol/l may indicate metabolic acidosis ,.
  • Blood pressure monitoring, aiming for target levels based on ACR and CKD stage, with more intensive control in higher risk categories ,,.
  • Assessment for other risk factors and comorbidities, including cardiovascular risk, hypertension, and lifestyle factors, with management tailored accordingly ,,.

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