Kidney Int. 2012 Jun;81(12):1159-61. doi: 10.1038/ki.2012.34.
Implementation of clinical practice guidelines (CPGs) leads to better outcomes. The first K/DOQI guideline for chronic kidney disease (CKD) recommended the use of estimated glomerular filtration rate (eGFR) to assess kidney function, minimizing 24-h urine collections for the measurement of creatinine clearance. Kagoma et al. demonstrate that automatic reporting of eGFR with clinical decision support was required for implementation of this recommendation. The second cycle of development, publication, and implementation of CPGs for CKD is under way.
实施临床实践指南（CPGs）可改善治疗结局。首个针对慢性肾脏病（CKD）的 K/DOQI 指南建议使用估算肾小球滤过率（eGFR）评估肾功能，尽量减少 24 小时尿液收集以测量肌酐清除率。Kagoma 等人证实，自动报告 eGFR 并提供临床决策支持，是实施该建议所必需的。目前正在进行 CKD 临床实践指南的第二轮制定、发表和实施。
