Chronic kidney disease (CKD) is now classified using a combination of estimated glomerular filtration rate (eGFR) and proteinuria measured by albumin:creatinine ratio (ACR). The aim is to more accurately define each patient’s risk of cardiovascular disease and worsening CKD, and to ensure that patients are monitored appropriately.
As people get older, their use of medications tends to rise and elderly patients often take a variety of medicines for an increasing number of health problems. Four in five people over the age of 75 years take at least one prescribed medication, while 36% are taking four or more, according to the 1998 Health Survey for England. How can we help our older patients to take their medicines, optimising convenience and minimising risks of non-compliance and sideeffects?