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慢性肾脏病3b期及以上(估算肾小球滤过率<45 mL/分钟/1.73平方米)老年患者管理临床实践指南:欧洲肾脏最佳实践小组总结文件

Clinical Practice Guideline on management of older patients with chronic kidney disease stage 3b or higher (eGFR<45 mL/min/1.73 m2): a summary document from the European Renal Best Practice Group.

作者信息

Farrington Ken, Covic Adrian, Nistor Ionut, Aucella Filippo, Clyne Naomi, De Vos Leen, Findlay Andrew, Fouque Denis, Grodzicki Tomasz, Iyasere Osasuyi, Jager Kitty J, Joosten Hanneke, Macias Juan Florencio, Mooney Andrew, Nagler Evi, Nitsch Dorothea, Taal Maarten, Tattersall James, Stryckers Marijke, van Asselt Dieneke, Van den Noortgate Nele, van der Veer Sabine, van Biesen Wim

机构信息

Renal Unit, Lister Hospital, Stevenage, Hertfordshire, UK.

Clinic of Nephrology, C. I. Parhon University Hospital, Gr T. Popa, University of Medicine and Pharmacy, Iasi, Romania.

出版信息

Nephrol Dial Transplant. 2017 Jan 1;32(1):9-16. doi: 10.1093/ndt/gfw411.

Abstract

The population of patients with moderate and severe CKD is growing. Frail and older patients comprise an increasing proportion. Many studies still exclude this group, so the evidence base is limited. In 2013 the advisory board of ERBP initiated, in collaboration with European Union of Geriatric Medicine Societies (EUGMS), the development of a guideline on the management of older patients with CKD stage 3b or higher (eGFR >45 mL/min/1.73 m2). The full guideline has recently been published and is freely available online and on the website of ERBP (www.european-renal-best-practice.org). This paper summarises main recommendations of the guideline and their underlying rationales.

摘要

中重度慢性肾脏病患者的数量正在增加。虚弱和老年患者所占比例越来越大。许多研究仍将这一群体排除在外,因此证据基础有限。2013年,欧洲肾脏最佳实践(ERBP)咨询委员会与欧洲老年医学学会联盟(EUGMS)合作,开始制定关于CKD 3b期及以上(估算肾小球滤过率[eGFR]>45 mL/min/1.73 m2)老年患者管理的指南。完整的指南最近已发表,可在网上免费获取,也可在ERBP网站(www.european-renal-best-practice.org)上获取。本文总结了该指南的主要建议及其基本原理。

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