Sparkes Dwight, Lee Loretta, Rutter Blair, Harasemiw Oksana, Thorsteinsdottir Bjoerg, Tangri Navdeep
Patient Council, Can-SOLVE CKD Network, Vancouver, BC, Canada.
Chronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, MB, Canada.
Can J Kidney Health Dis. 2022 Mar 14;9:20543581221084522. doi: 10.1177/20543581221084522. eCollection 2022.
Although Chronic Kidney Disease is common, only a relatively small proportion of individuals will reach kidney failure requiring dialysis or transplantation. Validated risk equations using routine laboratory tests have been developed that can easily be used at the bedside to help clinicians accurately predict the risk of kidney failure in their patient population, in turn informing patient-centered conversations, guiding appropriate nephrology referrals, improving the timing of dialysis treatment planning, and identifying individuals who are most likely to benefit from interventions. In this article, individuals living with kidney disease share why access to individualized prediction of kidney failure risk can help patients manage their disease and why it should be considered an essential component of kidney care.
虽然慢性肾脏病很常见，但只有相对较小比例的个体最终会发展到肾衰竭而需要透析或移植。目前已经开发出利用常规实验室检查的经过验证的风险方程，这些方程可以很容易地在床边使用，以帮助临床医生准确预测其患者群体中肾衰竭的风险，进而为以患者为中心的交流提供依据，指导适当的肾病转诊，改善透析治疗计划的时机，并识别最有可能从干预措施中获益的个体。在本文中，肾病患者分享了为什么获得肾衰竭风险的个性化预测能够帮助患者管理自身疾病，以及为什么它应被视为肾脏护理的一个重要组成部分。
