# European CKD and cardiovascular disease management > Live situation record from CLSTR: https://clstr.news/situations/european-ckd-and-cardiovascular-disease-management > Updated: 2026-09-01T23:30:15.000Z. Sources: 6. Developments: 2. The European Society of Cardiology (ESC) and the European Renal Association (ERA) have introduced new clinical guidelines in the ‘European Heart Journal’ regarding the integrated management of cardiovascular diseases and chronic kidney disease (CKD). These guidelines highlight the interdependence of heart and kidney health, noting that CKD can accelerate cardiovascular issues and vice versa. To address the estimated 100 million people living with CKD in Europe, the recommendations advocate for earlier detection through systematic screening. Clinicians are encouraged to use the estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (uACR) to improve risk stratification and enable timely interventions to reduce dialysis needs. Efforts to intensify screening have gained focus, particularly as approximately 50% of heart failure patients also suffer from undetected CKD. In Germany, data from the NAKO study indicated that while 18.4% of adults showed abnormal values, only 5% were aware of their condition. The economic impact of CKD is also significant; in Germany, costs were estimated at over 24 billion euros in 2020, accounting for roughly 5% of total health expenditures. ## Timeline ### 2026-09-01: Europe intensifies screening for chronic kidney disease European medical authorities are calling for mandatory CKD screening for cardiovascular patients to address high undiagnosed rates, affecting an estimated 100 million people in Europe. 3 sources. https://clstr.news/cluster/europe-intensifies-screening-for-chronic-kidney-disease ### 2026-08-28: European Society of Cardiology issues new heart and kidney disease guidelines The European Society of Cardiology has issued new guidelines for the integrated treatment of cardiovascular and chronic kidney diseases, emphasizing early detection and systematic screening. 3 sources. https://clstr.news/cluster/european-society-of-cardiology-issues-new-heart-and-kidney-disease-guidelines --- Cite as: European CKD and cardiovascular disease management. CLSTR, https://clstr.news/situations/european-ckd-and-cardiovascular-disease-management