Guidelines are painted with broad strokes and cannot possibly cover complex situations that emerge in the care of people with chronic kidney disease and multiple illnesses. The authors of the recent KDIGO blood pressure guidelines should be congratulated on urging us to individualize therapy especially in situations where the evidence base is thin.
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References
Becker, G. J. & Wheeler, D. C. KDIGO Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease. Kidney Int. Suppl. 2, 337–414 (2012).
National Institutes of Health National Heart, Lung, and Blood Institute. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure [online], (2004).
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The author's work is supported by the National Institutes of Health and the Department of Veterans Affairs.
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The author declares associations with the following companies: Abbott (speakers' bureau), Daiichi Sankyo (consultant, grant/research support), Merck (speakers' bureau), Takeda (consultant).
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Agarwal, R. KDIGO BP guidelines—more individualized, less prescriptive. Nat Rev Nephrol 9, 131–133 (2013). https://doi.org/10.1038/nrneph.2013.16
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DOI: https://doi.org/10.1038/nrneph.2013.16
