We suggest The majority of people in your situation would want the recommended course of action, but many would not. Different choices will be appropriate for different patients. Each patient needs help to arrive at a management decision consistent with her or his values and preferences. The recommendation is likely to require substantial debate and involvement of stakeholders before policy can be determined. *The additional category Not Graded was used, typically, to provide guidance based on common sense or where the topic does not allow adequate application of evidence. The most common examples include recommendations regarding monitoring intervals, counseling, and referral to other clinical specialists. The ungraded recommendations are generally written as simple declarative statements, but are not meant to be interpreted as being stronger recommendations than Level 1 or 2 recommendations. NOMENCLATURE AND DESCRIPTION FOR RATING GUIDELINE RECOMMENDATIONS Within each recommendation, the strength of recommendation is indicated as Level 1, Level 2, or Not Graded, and the quality of the supporting evidence is shown as A, B, C, or D. Reference Keys CKD Stage Description GFR (ml/min per 1.73 m2 ) 1 Kidney damage with normal or increased GFR Z90 2 Kidney damage with mild decreased GFR 60 89 3 Moderate decreased GFR 30 59 4 Severe decreased GFR 15 29 Kidney failure o15 (or dialysis) CKD, chronic kidney disease; GFR, glomerular filtration rate. CKD 1 5T notation applies to kidney transplant recipients. a 5D if dialysis (HD or PD). 