基层医疗中慢性肾脏病的实用诊疗方法。
A practical approach to chronic kidney disease in primary care.
作者信息
Cheo Seng Wee, Low Qin Jian, Lim Tzyy Huei, Mak Woh Wei, Yip Chow Alexander Kok, Wong Koh Wei
机构信息
MRCP (UK), Department of Internal Medicine, Hospital Lahad Datu, Lahad Datu Sabah, Malaysia. Email:
MRCP (UK), Department of Internal Medicine, Hospital Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia.
出版信息
Malays Fam Physician. 2022 Mar 2;17(1):10-19. doi: 10.51866/rv1186. eCollection 2022 Mar 28.
Abstract
Chronic kidney disease (CKD), a common clinical problem in primary care, can be defined as any abnormality of the kidney structure and/or function that has been present for at least 3 months. Over the past 20 years, the incidence and prevalence of CKD have been increasing in Malaysia in line with the rising number of non-communicable diseases. At present, CKD has no cure. The treatment of CKD is very much dependent on early diagnosis and prevention of CKD progression. In this article, we aim to illustrate a practical approach to CKD in primary care, including diagnosis, evaluation, and management of CKD.
摘要
慢性肾脏病（CKD）是基层医疗中常见的临床问题，可定义为肾脏结构和/或功能的任何异常，且这种异常已存在至少3个月。在过去20年里，马来西亚CKD的发病率和患病率随着非传染性疾病数量的增加而上升。目前，CKD无法治愈。CKD的治疗在很大程度上依赖于早期诊断和预防CKD进展。在本文中，我们旨在阐述基层医疗中CKD的实用方法，包括CKD的诊断、评估和管理。
相似文献
1
A practical approach to chronic kidney disease in primary care.
Malays Fam Physician. 2022 Mar 2;17(1):10-19. doi: 10.51866/rv1186. eCollection 2022 Mar 28.
2
Practical Approach to Detection and Management of Chronic Kidney Disease for the Primary Care Clinician.
Am J Med. 2016 Feb;129(2):153-162.e7. doi: 10.1016/j.amjmed.2015.08.025. Epub 2015 Sep 25.
3
Kidney Health for Everyone Everywhere - From prevention to detection and equitable access to care.
Nefrologia (Engl Ed). 2020 Mar-Apr;40(2):133-141. doi: 10.1016/j.nefro.2019.11.001.
4
Primary Care of the Patient with Chronic Kidney Disease.
Med Clin North Am. 2015 Sep;99(5):935-52. doi: 10.1016/j.mcna.2015.05.003.
5
Benefits of screening for Chronic Kidney Disease.
Prilozi. 2010;31(1):249-59.
6
Kidney Health for Everyone Everywhere - From Prevention to Detection and Equitable Access to Care.
Nephron. 2020;144(4):162-169. doi: 10.1159/000506963. Epub 2020 Mar 11.
7
Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis.
Health Technol Assess. 2010 Apr;14(21):1-184. doi: 10.3310/hta14210.
8
Executing change in the management of chronic kidney disease: perspectives on guidelines and practice.
Med Clin North Am. 2005 May;89(3):701-9. doi: 10.1016/j.mcna.2004.11.005.
9
Prevalence of chronic kidney disease and its associated factors in Malaysia; findings from a nationwide population-based cross-sectional study.
BMC Nephrol. 2020 Aug 14;21(1):344. doi: 10.1186/s12882-020-01966-8.
10
Prevalence of diagnosis and staging of chronic kidney disease by primary care providers in a rural state.
J Prim Care Community Health. 2011 Jul 1;2(3):157-62. doi: 10.1177/2150131911402088. Epub 2011 May 17.
引用本文的文献
1
Chronic kidney disease in the primary care setting: A narrative review.
J Gen Fam Med. 2025 Jul 29;26(5):385-393. doi: 10.1002/jgf2.70054. eCollection 2025 Sep.
2
Development and Characterization of a Novel FVB- Mouse Model for Adriamycin-Induced Nephropathy.
Genes (Basel). 2024 Apr 4;15(4):456. doi: 10.3390/genes15040456.
3
Prevalence of diabetic kidney disease and the associated factors among patients with type 2 diabetes in a multi-ethnic Asian country.
Sci Rep. 2024 Mar 25;14(1):7074. doi: 10.1038/s41598-024-57723-6.
4
Mixed messages and the disparity between various levels of care in chronic kidney disease management.
Malays Fam Physician. 2022 Jul 23;17(2):121-122. doi: 10.51866/lte.171. eCollection 2022 Jul 24.
5
Reply letter to: Mixed messages and the disparity between various levels of care in chronic kidney disease management.
Malays Fam Physician. 2022 Jul 23;17(2):123-124. doi: 10.51866/mol.002.51866/lte.171r. eCollection 2022 Jul 24.
6
Erratum: Mathematical symbol errors in the article 'A practical approach to chronic kidney disease in primary care'.
Malays Fam Physician. 2022 Jun 19;17(2):126. doi: 10.51866/er.001. eCollection 2022 Jul 24.
7
The future direction of Malaysian Family Physician.
Malays Fam Physician. 2022 Mar 28;17(1):1. doi: 10.51866/ed0004.
本文引用的文献
1
KDIGO 2020 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease.
Kidney Int. 2020 Oct;98(4S):S1-S115. doi: 10.1016/j.kint.2020.06.019.
2
Dapagliflozin in Patients with Chronic Kidney Disease.
N Engl J Med. 2020 Oct 8;383(15):1436-1446. doi: 10.1056/NEJMoa2024816. Epub 2020 Sep 24.
3
Prevalence of chronic kidney disease and its associated factors in Malaysia; findings from a nationwide population-based cross-sectional study.
BMC Nephrol. 2020 Aug 14;21(1):344. doi: 10.1186/s12882-020-01966-8.
4
A practical guide to diagnosis and assessment of chronic kidney disease for the non-nephrologist.
J R Coll Physicians Edinb. 2020 Mar;50(1):67-74. doi: 10.4997/JRCPE.2020.119.
5
Cost utility analysis of end stage renal disease treatment in Ministry of Health dialysis centres, Malaysia: Hemodialysis versus continuous ambulatory peritoneal dialysis.
PLoS One. 2019 Oct 23;14(10):e0218422. doi: 10.1371/journal.pone.0218422. eCollection 2019.
6
Economic Burden of ESRD to the Malaysian Health Care System.
Kidney Int Rep. 2019 May 29;4(9):1261-1270. doi: 10.1016/j.ekir.2019.05.016. eCollection 2019 Sep.
7
Approach to the detection and management of chronic kidney disease: What primary care providers need to know.
Can Fam Physician. 2018 Oct;64(10):728-735.
8
Contemporary rates and predictors of fast progression of chronic kidney disease in adults with and without diabetes mellitus.
BMC Nephrol. 2018 Jun 22;19(1):146. doi: 10.1186/s12882-018-0942-1.
9
Chronic Kidney Disease: Detection and Evaluation.
Am Fam Physician. 2017 Dec 15;96(12):776-783.
10
Symptom burden in patients with chronic kidney disease not requiring renal replacement therapy.
Clin Kidney J. 2017 Dec;10(6):788-796. doi: 10.1093/ckj/sfx057. Epub 2017 Jul 10.
Zotero 插件