KDIGO: Whence and Whereto?


In 1995, the National Kidney Foundation spearheaded the development of the first broadly accepted clinical practice guidelines in nephrology, the Kidney Disease Outcomes Quality Initiative (KDOQI).

First published in 1997, these “guidelines” made a significant impact in the quality of care for kidney patients in the United States and across the world.

In 2002, leaders of NKF and KDOQI asked prominent nephrologists from around the world regarding their opinion on the need for a global organization to bring the world’s nephrology community more closely together in regard to practice guidelines. This interest in promoting guideline development and implementation subsequently expanded globally and internationally with the establishment of the Kidney Disease: Improving Global Outcomes (KDIGO) in 2003.

The hyperlink below gives a more detailed description of how and why KDIGO was created.


The year 2013 marks the 10th anniversary of KDIGO. In this issue, we invited prominent nephrologists who were part of the team that developed these guidelines to give us the highlights of the currently published Clinical Practice Guidelines.

We also asked two nephrologists, both of whom are actively involved in the clinical and private practice aspects of the specialty, about their insights on the development of these guidelines and their practicality. They give us their interesting perspectives from differing geographic locales.


[1] Edgar V. Lerma, MD, FACP, FASN, is Clinical Professor of Medicine, Section of Nephrology, University of Illinois at Chicago College of Medicine, and is affiliated with Associates in Nephrology, SC Chicago, IL. Dr. Lerma is a member of the ASN Kidney News editorial advisory board.

April 2013 (Vol. 5, Number 4)