... needed should guidelines beused to mandate specific medical practices with, for example, clinical performance measures.Methods for developing and implementing clinical practice guidelines are still ... meetings in Europe and in NorthAmerica. The meetings included a formal instruction in the state of the art and science of guideline development, and training in the necessary process steps, including ... monitoring serum levels of calcium,phosphorus, PTH, and alkaline phosphatase activitybeginning in CKD stage 3 (1C). In children, we suggestsuch monitoring beginning in CKD stage 2 (2D).3.1.2. In...