Bailie George R, Uhlig Katrin, Levey Andrew S
Department of Pharmacy Practice, Albany College of Pharmacy, Albany, NY 12208, USA.
Pharmacotherapy. 2005 Apr;25(4):491-502. doi: 10.1592/phco.25.4.491.61034.
The National Kidney Foundation developed and oversees the Kidney Disease Outcomes Quality Initiative, a process that develops clinical practice guidelines in nephrology. Recent guidelines address the evaluation, classification, and stratification of chronic kidney disease (CKD). These guidelines provide, for the first time, a standard definition of CKD, classification of its stages, and suggestions for appropriate laboratory measurements for the assessment of kidney function. Also discussed are the association of level of kidney function with systemic complications that develop during CKD, and the risk of loss of kidney function and development of cardiovascular disease in CKD.
美国国家肾脏基金会制定并监督肾脏疾病预后质量倡议,这是一个制定肾脏病临床实践指南的过程。近期的指南涉及慢性肾脏病(CKD)的评估、分类和分层。这些指南首次提供了CKD的标准定义、其分期分类以及评估肾功能的适当实验室检测建议。还讨论了肾功能水平与CKD期间发生的全身并发症之间的关联,以及CKD患者肾功能丧失和发生心血管疾病的风险。