Referral criteria
| Category A Local Expertise | Category B Clinical review, advice and guidance from RFH/UCLH | Category C Care led by RFH |
|---|---|---|
| Single kidney | Lupus nephritis in remission or on treatment | Active lupus nephritis |
| Non-lupus glomerulonephritis/ tubulointerstitial nephritis: • No immunosuppression AND • Stable pre-pregnancy CKD stage 1-2 AND • uPCR <100 or uACR <30 AND • BP <140/90 | Non-lupus glomerulonephritis/ tubulointerstitial nephritis: • On immunosuppression OR • Pre-pregnancy CKD stage 3 OR • uPCR ≥100 or uACR ≥ 30 OR • BP >140/90 | Pre-pregnancy CKD stages 4 and 5 |
| Kidney stones | Kidney transplant | Combined kidney-pancreas transplant |
| Recurrent UTI (no immunosuppression) | Recurrent UTI on immunosuppression | Dialysis |
| Reflux nephropathy with normal kidney function | Reflux nephropathy with abnormal kidney function | New renal vasculitis in pregnancy and vasculitis on immunosuppression |
| Autosomal dominant polycystic kidney disease with normal kidney function. | Autosomal dominant polycystic kidney disease with abnormal kidney function | Scleroderma renal crisis |
| AKI responding to treatment | AKI not responding to treatment or not resolving post-partum | |
| AKI due to pre-eclampsia resolved postpartum | Previous renal vasculitis in remission, no longer on treatment | |
| Previous urinary tract reconstructive surgery | ||
| Kidney disease requiring biologics | ||
| Progressive kidney disease in pregnancy | ||
| Kidney disease on biologic treatment |