指南
肾脏疾病
医学
重症监护医学
系统回顾
心理干预
疾病管理
循证医学
分级(工程)
批判性评价
循证实践
内科学
疾病
梅德林
替代医学
病理
护理部
土木工程
工程类
法学
帕金森病
政治学
作者
Ian H. de Boer,M. Luiza Caramori,Juliana C.N. Chan,Hiddo J.L. Heerspink,Clint Hurst,Kamlesh Khunti,Adrian Liew,Erin D. Michos,Sankar D. Navaneethan,Wasiu A. Olowu,Tami Sadusky,Nikhil Tandon,Katherine R. Tuttle,Christoph Wanner,Katy G. Wilkens,Sophia Zoungas,Peter Rossing
标识
DOI:10.1016/j.kint.2020.06.019
摘要
The Kidney Disease: Improving Global Outcomes (KDIGO) 2020 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease (CKD) represents the first KDIGO guideline on this subject. The scope includes topics such as comprehensive care, glycemic monitoring and targets, lifestyle and antihyperglycemic interventions, and approaches to self-management and optimal models of care. The goal of the guideline is to generate a useful resource for clinicians and patients by providing actionable recommendations with infographics based on a rigorous, formal systematic literature review. Another aim is to propose research recommendations for areas in which there are gaps in knowledge. The guideline targets a broad audience of clinicians treating diabetes and CKD while taking into account implications for policy and payment. The development of this guideline followed an explicit process of evidence review and appraisal. Treatment approaches and guideline recommendations are based on systematic reviews of relevant studies, appraisal of the quality of the evidence, and the strength of recommendations following the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Limitations of the evidence are discussed and areas for future research are presented.
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