Division of Nephrology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Division of Nephrology, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Korean J Intern Med. 2022 Jul;37(4):701-718. doi: 10.3904/kjim.2021.543. Epub 2022 Jun 3.
The Korean Society of Nephrology (KSN) has published a clinical practice guideline (CPG) document for maintenance hemodialysis (HD). The document, 2021 Clinical Practice Guideline on Optimal HD Treatment, is based on an extensive evidence-oriented review of the benefits of preparation, initiation, and maintenance therapy for HD, with the participation of representative experts from the KSN under the methodologists' support for guideline development. It was intended to help clinicians participating in HD treatment make safer and more effective clinical decisions by providing user-friendly guidelines. We hope that this CPG will be meaningful as a recommendation in practice, but not on a regulatory rule basis, as different approaches and treatments may be used by health care providers depending on the individual patient's condition. This CPG consists of eight sections and 15 key questions. Each begins with statements that are graded by the strength of recommendations and quality of the evidence. Each statement is followed by a summary of the evidence supporting the recommendations. There are also a link to full-text documents and lists of the most important reports so that the readers can read further (most of this is available online).
韩国肾脏病学会(KSN)发布了维持性血液透析(HD)的临床实践指南(CPG)文件。该文件“2021 年 HD 治疗的最佳 HD 治疗临床实践指南”是基于对 HD 准备、起始和维持治疗的益处进行的广泛的以证据为导向的审查,该指南由 KSN 的代表专家参与,并在方法学家的支持下制定。其目的是通过提供用户友好的指南,帮助参与 HD 治疗的临床医生做出更安全、更有效的临床决策。我们希望本 CPG 作为实践中的推荐具有重要意义,但不作为监管规则的基础,因为医疗保健提供者可能会根据患者的个体情况采用不同的方法和治疗。本 CPG 由八个部分和 15 个关键问题组成。每个部分都以推荐强度和证据质量的陈述开头。每个陈述后面都有支持建议的证据摘要。还有一个链接到全文文档和最重要的报告列表,以便读者可以进一步阅读(其中大部分都可以在线获得)。