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NNH Clinical Protocol

NNH Interactive CKD-MBD Protocol

Stage-based monitoring and treatment guidance for calcium, phosphorus, PTH, alkaline phosphatase, vitamin D, and bone health in CKD 1–5D.

Developed by Craig G. Hurwitz, MD

📚 KDIGO 2017 CKD-MBD Guideline Update📄 Ketteler et al. Kidney Int 2017;92:26–36⚠️ For NNH clinical staff only
Step 1

[Picker step title — e.g. Select the procedure / Select the indication]

[One sentence guiding the clinician on what they're choosing.]

[OPTION_1_TITLE][short tag][OPTION_2_TITLE][short tag][OPTION_3_TITLE][short tag][OPTION_4_TITLE][short tag][OPTION_5_TITLE][short tag][OPTION_6_TITLE][short tag]
Recommendation

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Choose a different procedure
Clinical decision support, not a substitute for clinical judgment. This is a decision-support tool based on KDIGO CKD-MBD guidance. It supports, not replaces, provider judgment. Individualize decisions based on serial trends in calcium, phosphorus, and PTH, CKD stage, symptoms, medications, dialysis status, and the full clinical picture.

Reference

Ketteler M, Block GA, Evenepoel P, et al. Executive summary of the 2017 KDIGO Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) Guideline Update: what's changed and why it matters. Kidney Int. 2017;92(1):26–36.

Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group. KDIGO 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of CKD-MBD. Kidney Int Suppl. 2017;7(Suppl 1).

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