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Том 19 №1 2017 год - Нефрология и диализ

Клинические Практические Рекомендации KDIGO 2012 по Диагностике и Лечению Хронической Болезни Почек


Аннотация: Клинические практические рекомендациии KDIGO (Kidney Disease: Improving Global Outcomes - Инициатива по улучшению глобальных исходов заболеваний почек) 2012 по диагностике и лечению хронической болезни почек (ХБП) представляют собой пересмотр Клинических практических рекомендаций KDOQI (Kidney Disease Outcomes Quality Initiative - Инициатива по улучшению качества исходов заболеваний почек) 2002 г. по диагностике, классификации и стратификации ХБП, осуществеленный по истечении 10 лет целенаправленных исследований и клинической практики в этой области. Цель создания этого документа - обеспечить современное руководство по диагностике, ведению и лечению всех пациентов с ХБП. В частности, в рекомендациях сохраняется определение ХБП, но представлены расширенные критерии классификации ХБП, дополнены идентификация и прогноз ХБП, обсуждается лечение прогрессирования и осложнений ХБП, а также расширенный диапазон медицинской помощи при ХБП: сроки направления к специалисту, продолжение лечения пациентов с прогрессированием ХБП, время начала диализной терапии и, наконец, внедрение программ терапии, которые включают комплекс консервативных мероприятий. Разработка Рекомендаций проводилась в соответствии с определенным процессом обзора и оценки доказательств. В каждой главе рассматриваются методы лечения, а рекомендации основываются на результатах систематического анализа наиболее значимых клинических исследований. Отдельные комментарии или положения, которые служат образовательным целям, указаны без степени, но включены как важная информация для читателя. Качество доказательств и силу рекомендаций оценивали по системе GRADE. Обсуждаются области противоречий, ограничения доказательств и международная актуальность, а также высказываются соответствующие предположения для будущих исследований

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Ключевые слова: альбуминурия, хроническая болезнь почек, классификация, клинические практические рекомендации, рекомендации, основанные на доказательствах, СКФ, скорость клубочковой фильтрации, KDIGO, протеинурия, систематический обзор, Albuminuria, Chronic kidney disease, Classification, Clinical practice guideline, Evidence-based recommendation, GFR, Glomerular filtration rate, KDIGO, Proteinuria, Systematic review

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