KDIGO is developing its first Clinical Practice Guideline for the Management of Heart Failure in Chronic Kidney Disease. This guideline will provide evidence-based recommendations for the diagnosis, evaluation, and treatment of people living with both conditions through coordinated, multidisciplinary care. The guideline is co-chaired by Nisha Bansal, MD, MAS (U.S.), and Jozine ter Maaten, MD, PhD, FESC, FHFA (The Netherlands), with an international, multidisciplinary Work Group of nephrologists and cardiologists alongside caretakers of and individuals with lived experience of CKD and heart failure.
Building on findings from the KDIGO 2024 Controversies Conference on Heart Failure in CKD, this guideline responds to the growing recognition of the close relationship between kidney and heart disease and the need for integrated, patient-centered guidance in this field. It will address shared mechanisms, diagnostic and therapeutic challenges, and approaches to optimize outcomes through multidisciplinary collaboration.
Topics will include epidemiology, pathophysiology, case-finding, diagnostic and prognostic strategies, pharmacologic and nonpharmacologic management, acute and advanced care, invasive and device-based therapies, lifestyle interventions, and optimal models of collaborative kidney–heart care. The guideline will also highlight patient-reported outcomes, considerations in special populations, shared decision-making, and barriers to implementation across care settings.
DISCLAIMER: USE OF THE CLINICAL PRACTICE GUIDELINES
This Clinical Practice Guideline is based upon the best information available at the time of publication. The recommendations are designed to provide information and assist decision-making. They are not intended to define a standard of care, and should not be construed as one. Neither should they be interpreted as prescribing an exclusive course of management. Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every health care professional making use of this Guideline is responsible for evaluating the appropriateness of applying them in the setting of any particular clinical situation. The recommendations for research contained within this document are general and do not imply a specific protocol.
