• Atencion primaria · Nov 2014

    [Consensus document for the detection and management of chronic kidney disease].

    • Alberto Martínez-Castelao, José L Górriz, Jordi Bover, Julián Segura-de la Morena, Jesús Cebollada, Javier Escalada, Enric Esmatjes, Lorenzo Fácila, Javier Gamarra, Silvia Gràcia, Julio Hernández-Moreno, José L Llisterri-Caro, Pilar Mazón, Rosario Montañés, Francisco Morales-Olivas, Manuel Muñoz-Torres, Pedro de Pablos-Velasco, Ana de Santiago, Marta Sánchez-Celaya, Carmen Suárez, and Salvador Tranche.
    • Sociedad Española de Nefrología (SEN), Barcelona, España. Electronic address: amartinez@bellvitgehospital.cat.
    • Aten Primaria. 2014 Nov 1; 46 (9): 501-19.

    AbstractChronic kidney disease (CKD) is an important global health problem, involving to 10% of the Spanish population, promoting high morbidity and mortality for the patient and an elevate consumption of the total health resources for the National Health System. This is a summary of an executive consensus document of ten scientific societies involved in the care of the renal patient, that actualizes the consensus document published in 2007. The central extended document can be consulted in the web page of each society. The aspects included in the document are: Concept, epidemiology and risk factors for CKD. Diagnostic criteria, evaluation and stages of CKD, albuminuria and glomerular filtration rate estimation. Progression factors for renal damage. Patient remission criteria. Follow-up and objectives of each speciality control. Nephrotoxicity prevention. Cardio-vascular damage detection. Diet, life-style and treatment attitudes: hypertension, dyslipidaemia, hyperglycemia, smoking, obesity, hyperuricemia, anemia, mineral and bone disorders. Multidisciplinary management for Primary Care, other specialities and Nephrology. Integrated management of CKD patient in haemodialysis, peritoneal dialysis and renal transplant patients. Management of the uremic patient in palliative care. We hope that this document may be of help for the multidisciplinary management of CKD patients by summarizing the most updated recommendations. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

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