When Should Patients Be Referred to a Nephrologist?
Primary care physicians may consider referral to a nephrologist when patients develop abnormalities in kidney function, persistent urinary findings, or complications related to kidney disease.
Referral may be appropriate in situations such as:
- Reduced kidney function (eGFR < 60 ml/min/1.73m²) or progressive decline in eGFR
- Persistent proteinuria or albuminuria
- Hematuria with suspected renal origin
- Difficult-to-control hypertension or suspected secondary hypertension
- Electrolyte abnormalities (e.g., recurrent hyperkalemia, metabolic acidosis)
- Diabetic kidney disease requiring specialist management
- Structural kidney abnormalities identified on imaging
- Rapidly worsening kidney function
Integrated Kidney & Heart Care
Early nephrology involvement can help slow disease progression, optimize blood pressure control, and reduce the risk of cardiovascular complications associated with kidney disease.
Kidney disease is closely linked with cardiovascular health. Our nephrology specialists work collaboratively with our cardiology and vascular teams to ensure coordinated care for patients with complex medical conditions.