Guidelines and Commentaries

* NEW * The KDOQI Clinical Practice Guideline for Hemodialysis Adequacy, 2015 Update has been published in the American Journal of Kidney Diseases, November 2015 issue. Click here for more information on the updated guideline.

The National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI)™ has provided evidence-based clinical practice guidelines for all stages of chronic kidney disease (CKD) and related complications since 1997. Our guidelines are categorized below into CKD care or dialysis care. KDOQI also convenes a small work group of U.S. based experts to review relevant international guidelines and write commentary to help the U.S. audience better understand applicability in their local clinical environment.

Clinical Practice Guidelines are documents that present evidence-based recommendations to aid clinicians in the treatment of particular diseases or groups of patients. They are not intended to be mandates but tools to help physicians, patients, and caregivers make treatment decisions that are right for the individual. With all guidelines, clinicians should be aware that circumstances may appear that require straying from the published recommendations.

Guideline updates are intended to be used alongside their previous version(s), as only new or changed recommendations are published with each iteration.

KDOQI Guidelines for CKD Care:


Bone Metabolism

Chronic Kidney Disease, Classification





KDOQI Guidelines for Dialysis Care:

Cardiovascular Disease

Hemodialysis Adequacy (UPDATED)

Peritoneal Dialysis Adequacy

Vascular Access

KDOQI Commentaries

Controversies in Care Papers