[奥地利肾脏学会慢性肾脏疾病(CKD)的诊断和治疗建议]。

IF 2.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Wiener Klinische Wochenschrift Pub Date : 2025-10-01 Epub Date: 2025-09-29 DOI:10.1007/s00508-025-02590-y
Sara H Ksiazek, Martin Windpessl, Emanuel Zitt, Michael Rudnicki, Kathrin Eller, Christoph Schwarz, Marlies Antlanger, Sabine Schmaldienst, Daniel Cejka, Rainer Oberbauer, Alexander R Rosenkranz, Marcus D Säemann
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引用次数: 0

摘要

慢性肾脏疾病(CKD)影响全球超过8亿人,但只有约6-10%的患者意识到自己的病情。有限的公众意识和医疗保健系统的结构性措施不足导致CKD经常未被诊断或诊断后延迟,因此治疗不足。目前的预测估计,如果不采取及时有效的措施来提高认识和早期发现,到2040年,慢性肾脏病可能成为全球第五大死因。本文介绍了奥地利CKD筛查、诊断和治疗的实践导向指南。它概述了推荐筛查的风险群体,并描述了医生如何在所有医学专业中诊断和治疗慢性肾病。这些指南的一个关键方面是提出减缓疾病进展的药物治疗方案,并提供具体的适应症和实用的临床使用建议。此外,这些建议涉及奥地利肾病专家的国家定义转诊标准,并讨论可能的ckd相关并发症以及适当的治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Recommendations for the Diagnosis and Treatment of Chronic Kidney Disease (CKD) by the Austrian Society of Nephrology].

Chronic kidney disease (CKD) affects over 800 million people worldwide, yet only about 6-10% of those affected are aware of their condition. Limited public awareness and insufficient structural measures in the healthcare system lead to the fact that CKD is frequently not diagnosed or diagnosed after a delay and therefore insufficiently treated. Current projections estimate that CKD could become the fifth leading cause of death worldwide by 2040, if timely and effective measures to increase awareness and early detection are not implemented. This article presents practice-oriented guidelines for the screening, diagnostics and treatment of CKD in Austria. It outlines for which risk groups screening is recommended and describes how physicians can diagnose and treat CKD across all medical specialties. A key aspect of these guidelines is the presentation of pharmacological treatment options that slow disease progression, with specific indications and practical clinical recommendations for their use. Furthermore, the recommendations address nationally defined referral criteria to nephrology specialists in Austria and discusses possible CKD-related complications along with appropriate treatment strategies.

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来源期刊
Wiener Klinische Wochenschrift
Wiener Klinische Wochenschrift 医学-医学:内科
CiteScore
4.70
自引率
3.80%
发文量
110
审稿时长
4-8 weeks
期刊介绍: The Wiener klinische Wochenschrift - The Central European Journal of Medicine - is an international scientific medical journal covering the entire spectrum of clinical medicine and related areas such as ethics in medicine, public health and the history of medicine. In addition to original articles, the Journal features editorials and leading articles on newly emerging topics, review articles, case reports and a broad range of special articles. Experimental material will be considered for publication if it is directly relevant to clinical medicine. The number of international contributions has been steadily increasing. Consequently, the international reputation of the journal has grown in the past several years. Founded in 1888, the Wiener klinische Wochenschrift - The Central European Journal of Medicine - is certainly one of the most prestigious medical journals in the world and takes pride in having been the first publisher of landmarks in medicine.
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