The kidneys remove waste and water from the blood. In chronic kidney disease (CKD), the kidneys stop working as well over time and dialysis becomes necessary. Caring for CKD involves controlling diet and blood pressure and taking medications to delay heart complications and the need for dialysis. There are 5 stages of CKD; stages 1 to 3 are considered “early” disease, and it is important to manage it in early stages to keep it from getting worse. The ACP wanted to determine whether screening healthy adults for CKD or monitoring for worsening in adults known to have CKD improves patient outcomes, and what treatments improve outcomes in early CKD.