References

nid

Нефрология и диализ

Nephrology and Dialysis

1680-44222618-9801

Российское диализное общество

nid-824

Research Article

ПРАКТИЧЕСКИЕ РЕКОМЕНДАЦИИ

Национальные рекомендации по МКН-ХБП: преемственность, современное состояние и перспективы (вместо предисловия)

National recommendations on ckd-mbd: succession, update and future (as a preface)

Земченков

А. Ю.

Zemchenkov

A. Yu.

zau@mail.wplus.net

Герасимчук

Р. П.

Gerasimchuk

R. P.

noemail@neicon.ru

Санкт-Петербургская Государственная Медицинская Академия им. И.И. Мечникова, Городская Мариинская больница – Городской нефрологический центрРоссияSt.-Petersburg State Medical Academy named after I.I. Mechnikov St.-Petersburg State Healthcare Institution «City Mariinsky Hospital»Russian Federation

2011

17062025

1312030

2025

Земченков А.Ю., Герасимчук Р.П.

Zemchenkov A.Y., Gerasimchuk R.P.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://journal.nephro.ru/jour/article/view/824

Вышедшие в свет в августе 2009 года рекомендации KDIGO по минеральным и костным нарушениям при хронической болезни почек построены на строгих принципах доказательной медицины, но и при отсутствии строгих доказательств могут использоваться как фундаментальная база для принятия решений у конкретных пациентов. Рассмотрение работ 2009–2010 годов, не вошедших в обоснования рекомендаций, или более ранних работ, не прошедших строгий отбор, а также наблюдательных исследований, поможет найти наиболее сбалансированные и целесообразные решения и избегнуть опасных крайностей в условиях, когда четкие рекомендации отсутствуют. Анализ представленных в настоящем обзоре работ, а также собственный клинический опыт позволили рабочей группе Российского Диализного Общества предложить адаптированный для российских условий вариант рекомендаций по МКН-ХБП. Мы надеемся на то, что их положения, регулярно обновляемые на специально созданном сайте www.ckd-mbd.ru, будут полезны практическим врачам.

KDIGO Clinical Practice Guidelines for Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD) issued in august 2009 were established on the strict principles of the evidence-based medicine, and even in conditions of lack of hard evidences may be used as a fundamental base for clinical decisions in definite patients. Taking in consideration studies not included in the recommendations rationale (issued after 2009 or failed to pass strict selection as well as observational studies) in the lack of strict algorithms may be also useful for making reasonable and balanced decisions. The analysis of the works included in this review and other studies as well as clinical experience allowed the work group of the Russian Dialysis Society to propose variant of ckd-mbd recommendations that is the adopted for Russian practice and dialysis population. We the hope that the guidelines, updated regularly on a specially designed web-site www.ckd-mbd.ru will be useful for practitioners.

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The authors declare that there are no conflicts of interest present.