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晚期慢性肾脏病的流行病学及管理挑战

Epidemiology and Challenges to the Management of Advanced CKD.

作者信息

Hazzan Azzour D, Halinski Candice, Agoritsas Sofia, Fishbane Steven, DeVita Maria V

机构信息

SB Division of Nephrology, Department of Medicone, Hofstra Northwell School of Medicine, Great Neck, NY; and Division of Nephrology, Lenox Hill Hospital, New York, NY.

SB Division of Nephrology, Department of Medicone, Hofstra Northwell School of Medicine, Great Neck, NY; and Division of Nephrology, Lenox Hill Hospital, New York, NY.

出版信息

Adv Chronic Kidney Dis. 2016 Jul;23(4):217-21. doi: 10.1053/j.ackd.2016.04.005.

DOI:10.1053/j.ackd.2016.04.005
PMID:27324673
Abstract

Advanced CKD is a period of CKD that differs greatly from earlier stages of CKD in terms of treatment goals. Treatment during this period presents particular challenges as further loss of kidney function heralds the need for renal replacement therapy. Successful management during this period increases the likelihood of improved transitions to ESRD. However, there are substantial barriers to optimal advanced CKD care. In this review, we will discuss advanced CKD definitions and epidemiology and outcomes.

摘要

晚期慢性肾脏病是慢性肾脏病的一个阶段,在治疗目标方面与慢性肾脏病的早期阶段有很大不同。在此期间的治疗面临特殊挑战,因为肾功能的进一步丧失预示着需要进行肾脏替代治疗。在此期间的成功管理增加了向终末期肾病顺利过渡的可能性。然而,晚期慢性肾脏病的最佳治疗存在诸多障碍。在本综述中,我们将讨论晚期慢性肾脏病的定义、流行病学及预后。

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