心脏移植患者的肾病管理:基于德尔菲调查的全国共识专家论文。

IF 5 2区 医学 Q1 IMMUNOLOGY
Transplantation Pub Date : 2025-09-01 Epub Date: 2025-02-07 DOI:10.1097/TP.0000000000005302
María Dolores García-Cosío Carmena, Marta Farrero, María Teresa Blasco Peiró, Marta Crespo, Juan Delgado Jiménez, Beatriz Díaz Molina, Constantino Fernández Rivera, Iris Paula Garrido Bravo, Verónica López Jiménez, Edoardo Melilli, Sonia Mirabet Pérez, María Lourdes Pérez Tamajón, Diego Rangel Sousa, Emilio Rodrigo, Josep María Cruzado, Domingo Hernández Marrero
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引用次数: 0

摘要

肾脏疾病是心脏移植受者常见的并发症,需要全面和个性化的治疗方法。预先存在的肾脏疾病、围手术期因素、免疫抑制和心血管并发症之间的相互作用使得这些患者的肾功能障碍管理具有挑战性。本专家共识的目的是寻找心脏移植受者慢性肾脏疾病管理的协议。一个由西班牙心脏病专家和肾移植专家组成的小组回顾了与心脏移植受者慢性肾脏疾病当前管理相关的证据,并使用两轮德尔菲方法得出了共识声明。会议提出了共识声明,涵盖了关键议题,包括心脏移植受者肾脏疾病的识别和管理以及肾移植的适应症。这些声明为心脏移植患者肾脏疾病的管理提供了额外的专家指导,发表的临床证据很少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of Kidney Disease in Heart Transplant Patients: A National Delphi Survey-based Consensus Expert Paper.

Kidney disease is a common complication in heart transplant recipients and requires a comprehensive and personalized approach. The interplay between preexisting kidney disease, perioperative factors, immunosuppression, and cardiovascular complications makes the management of kidney dysfunction challenging in these patients. The objective of this expert consensus was to look for agreements for the management of chronic kidney disease in heart transplant recipients. A panel of Spanish cardiologists and nephrologists with expertise in heart and kidney transplantation reviewed the evidence related to the current management of chronic kidney disease in heart transplant recipients and consensus statements were developed using a 2-round Delphi methodology. Consensus statements were proposed covering key topics, including the identification and management of kidney disease in heart transplant recipients and the indications for kidney transplantation. These statements provide additional expert guidance for the management of kidney disease in patients undergoing heart transplantation where published clinical evidence is scarce.

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来源期刊
Transplantation
Transplantation 医学-免疫学
CiteScore
8.50
自引率
11.30%
发文量
1906
审稿时长
1 months
期刊介绍: The official journal of The Transplantation Society, and the International Liver Transplantation Society, Transplantation is published monthly and is the most cited and influential journal in the field, with more than 25,000 citations per year. Transplantation has been the trusted source for extensive and timely coverage of the most important advances in transplantation for over 50 years. The Editors and Editorial Board are an international group of research and clinical leaders that includes many pioneers of the field, representing a diverse range of areas of expertise. This capable editorial team provides thoughtful and thorough peer review, and delivers rapid, careful and insightful editorial evaluation of all manuscripts submitted to the journal. Transplantation is committed to rapid review and publication. The journal remains competitive with a time to first decision of fewer than 21 days. Transplantation was the first in the field to offer CME credit to its peer reviewers for reviews completed. The journal publishes original research articles in original clinical science and original basic science. Short reports bring attention to research at the forefront of the field. Other areas covered include cell therapy and islet transplantation, immunobiology and genomics, and xenotransplantation. ​
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