Management of chronic kidney disease: a Hong Kong consensus recommendation.

IF 3.1 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Hong Kong Medical Journal Pub Date : 2024-08-27 DOI:10.12809/hkmj2311309

S C W Tang, K K L Ho, W W K Ko, A Lee, C B Leung, W K Lo, R C W Ma, S L Pang, K C B Tan, M W Tsang, M C S Wong, W C W Wong, F K M Wong, C C Szeto

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引用次数: 0

Abstract

Chronic kidney disease (CKD) imposes a significant burden on healthcare systems worldwide, and diabetes is a major risk factor for CKD. There is currently no consensus in Hong Kong regarding the prioritisation of early identification and intervention for CKD. A comprehensive and Hong Kong-specific diabetes and CKD treatment guideline is also lacking. A multidisciplinary group of experts discussed issues surrounding the current management of CKD and reviewed evidence in the context of local experience to support recommendations. The experts used a modified Delphi approach to finalise recommendations. Consensus was regarded as ≥75% acceptability among all expert panel members. The panel members finalised 14 CKD-focused consensus statements addressing disease definition, screening, disease monitoring, lifestyle management, and treatment strategies. The recommendations provided are relevant to the Hong Kong healthcare setting and can be used as a guide by physicians across various specialties to facilitate the appropriate management of CKD.

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慢性肾脏病的管理：香港共识建议。

慢性肾脏病（CKD）给全球医疗系统带来了沉重负担，而糖尿病是导致慢性肾脏病的主要风险因素。目前，香港尚未就早期识别和干预慢性肾脏病的优先次序达成共识。此外，香港也缺乏全面的糖尿病和慢性肾功能衰竭治疗指南。一个由多学科专家组成的小组讨论了有关目前慢性肾脏病管理的问题，并结合本地经验审查了相关证据，以支持相关建议。专家们采用改良德尔菲法最终确定了建议。所有专家组成员的接受度≥75%即为达成共识。专家组成员最终确定了 14 项以慢性肾脏病为重点的共识声明，涉及疾病定义、筛查、疾病监测、生活方式管理和治疗策略。所提供的建议适用于香港的医疗环境，可作为各专科医师的指南，以促进对慢性肾脏病的适当管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hong Kong Medical Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

1.50

自引率

14.80%

发文量

117

审稿时长

10 weeks

期刊介绍： The HKMJ is a Hong Kong-based, peer-reviewed, general medical journal which is circulated to 6000 readers, including all members of the HKMA and Fellows of the HKAM. The HKMJ publishes original research papers, review articles, medical practice papers, case reports, editorials, commentaries, book reviews, and letters to the Editor. Topics of interest include all subjects that relate to clinical practice and research in all branches of medicine. The HKMJ welcomes manuscripts from authors, but usually solicits reviews. Proposals for review papers can be sent to the Managing Editor directly. Please refer to the contact information of the Editorial Office.