Un comité de expertos K/DOQI(14), ha propuesto que el diag- nóstico de ERC debe ser establecido por la presencia de los siguientes criterios: a. Daño renal. Kidney Foundation Americana (NKF), em seu documento Kidney Disease Outcomes Quality Initiative (K/DOQI), que se baseia nos seguintes critérios Se desarrollan los criterios de la derivación a consulta de nefrología hospitalaria K/DOQI clinical practice guidelines for chronic kidney disease: evaluation.

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Seguimiento del paciente, actitudes y objetivos por especialidad.

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In health areas where there are home support teams, whether they are dependent on Primary Care or Specialist Care, their inclusion in the therapeutic team could be very useful.

Statins metabolised via CYP3A4 atorvastatin, lovastatin, simvastatin may increase side effects by enhancing pharmacological interactions when they are administered with certain inducing drugs phenytoin, phenobarbital, barbiturates, rifampicin, dexamethasone, cyclophosphamide, carbamazepine, omeprazole or inhibitors.

Am J Kidney Dis ;53 3 Suppl 3: Regardless of the etiology, main outcomes in patients with CKD are its complications anemia, metabolic acidosis, malnutrition and alteration in mineral metabolismdeath mainly due to cardiovascular causes and loss of renal function. Calcimimetics may be used in dialysis patients.

Consensus document for the detection and management of chronic kidney disease

Different studies have demonstrated the importance of proteinuria in the pathogeny of CKD progressionas well as the link between albuminuria and renal prognosis and mortality in various populations independently of the GFR and other classic cardiovascular disease risk factors. Equations to use in methods for measuring creatinine without traceability to IDMS non-standardised. National Collaborating Centre for Chronic Conditions.


Saxagliptin must be used at doses of 2. The insulin regimen will be adapted to the control target and may be a conventional therapy or an intensive treatment, although we should remember that the basal-bolus regimen has a lower rate of hypoglycaemia. We can consider that a patient has renal progression: N Engl J Med ; Kdoai ;28 Suppl 1: Serum creatinine concentration should not be used as the only test for assessing renal kdoq, with GFR being the best tool for doing so.

J Clin Invest ; Palliative treatment of terminal uraemia. Protein content must be adjusted to 0. According to glomerular filtration rate: This consensus document arises from the need to revise and update the previous document developed in by S.

Consensus document for the detection and management of chronic kidney disease

It is estimated that renal replacement therapy consumes 2. Comparison of drug dosing recommendations based on measured GFR and kidney function estimating equations.

The results in stages 4 and 5 or in HD are not as clear. Atorvastatin in patients with type 2 diabetes mellitus undergoing hemodialysis.

As a general rule, it is recommended to carry out minutes of moderate exercise 4 to 7 days a week. We must particularly emphasise avoiding the unnecessary use of NSAIDsdue to the risk of renal function deterioration. Higher doses may be required using this route. Am J Kidney Dis ;42 Suppl 3: The objective of home management of terminal uraemia is to facilitate the wellbeing of uraemic patients who cannot undergo dialysis, minimising the physical, family and healthcare impact of their condition and optimising the resources of our National Health System.


In high-risk patients, we insist that the early introduction of dialysis should be considered and it should be personalised. Aluminium compounds are excellent binders, but are not recommended over long periods, given that they may induce aluminium intoxication in CKD patients.

Likewise, establishing strategies for preventing and managing CKD and its complications by Primary Care, as well as criteria for the appropriate referral of patients to Nephrology comprise the aspects covered in this document. Experience with liraglutide and exenatide in this field is very limited. Cuidado paliativo en el paciente con enfermedad renal cr?? With certain joint protocols, some intravenous Fe may be administered in the health centre under medical supervision.

Sostenibilidad y equidad del tratamiento sustitutivo de la funci?? How to study anaemia in chronic kidney disease, laboratory requests.