Department of Nephrology, Dialysis and Transplantation, Alessandro Manzoni Hospital, Lecco, Italy.
Nephrol Dial Transplant. 2013 Jun;28(6):1346-59. doi: 10.1093/ndt/gft033. Epub 2013 Apr 12.
Recently, the Kidney Disease: Improving Global Outcomes (KDIGO) group has produced comprehensive clinical practice guidelines for the management of anaemia in CKD patients. These guidelines addressed all of the important points related to anaemia management in CKD patients, including therapy with erythropoieis stimulating agents (ESA), iron therapy, ESA resistance and blood transfusion use. Because most guidelines were 'soft' rather than 'strong', and because global guidelines need to be adapted and implemented into the regional context where they are used, on behalf of the European Renal Best Practice Advisory Board some of its members, and other external experts in this field, who were not participants in the KDIGO guidelines group, were invited to participate in this anaemia working group to examine and comment on the KDIGO documents in this position paper. In this article, the group concentrated only on those guidelines which we considered worth amending or adapting. All guidelines not specifically mentioned are fully endorsed.
最近,肾脏病:改善全球预后(KDIGO)组织为慢性肾脏病患者的贫血管理制定了全面的临床实践指南。这些指南涵盖了与慢性肾脏病患者贫血管理相关的所有重要内容,包括红细胞生成刺激剂(ESA)治疗、铁剂治疗、ESA 抵抗和输血使用。由于大多数指南是“软性”的,而不是“硬性”的,而且全球指南需要适应并在使用它们的地区背景下实施,因此,代表欧洲肾脏最佳实践咨询委员会及其一些成员,以及该领域的其他外部专家,他们不是 KDIGO 指南小组的参与者,被邀请参与这个贫血工作组,以审查和评论 KDIGO 文件。在本文中,该小组只关注我们认为值得修改或调整的指南。所有未特别提及的指南均完全认可。