亚洲慢性肾脏疾病的挑战:第二届亚洲慢性肾脏疾病倡议论坛报告。

Yusuke Tsukamoto, Vivekanand Jha, Gavin Becker, Hung Chun Chen, Vlado Perkovic, Wiguno Prodjosudjadi, Kriang Tungsanga, Haiyan Wang, Zaki Morad
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引用次数: 9

摘要

背景:亚洲慢性肾脏疾病倡议论坛于2007年在日本滨松召开,当时来自16个国家的代表联合起来促进亚太地区慢性肾脏疾病(CKD)研究的合作。在第一次会议成果的基础上,组织了第二次会议作为协商一致会议,以确定最相关的问题,并制定研究建议和行动计划。会议记录:会议于2008年5月4日在吉隆坡举行,作为第11届亚太肾脏病学大会的会前会议。会议包括三个部分:第一部分致力于肾小球滤过率的估计和血清肌酐测量的标准化。第二部分讨论了亚洲终末期肾病的病因学和危险因素的具体考虑。我们的结论是,区域性的特殊问题可能导致终末期肾脏疾病的高患病率。第三次会议讨论了促进亚太区域发达国家和发展中国家之间CKD倡议的协调和一体化的问题。结论:制定了以下行动计划:(1)验证现有的全球估计肾小球滤过率方程或使用中央实验室标准化的血清肌酐创建新的估计肾小球滤过率方程;(ii)建立泛亚洲CKD登记,以促进CKD及其合并症的风险分析;(iii)调整CKD检测和管理的现有临床实践指南,以解决该地区的具体问题;(iv)与其他国际专业机构紧密合作,在发展中国家推动慢性肾病各方面的人力发展和教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A challenge to chronic kidney disease in Asia: The report of the second Asian Forum of Chronic Kidney Disease Initiative.

Background: The Asian Forum of Chronic Kidney Disease Initiative started in 2007 in Hamamatsu, Japan when delegates from 16 countries joined together to facilitate collaboration in studying chronic kidney disease (CKD) in the Asia-Pacific region. Based on the outcome of the first meeting, the second meeting was organized as a consensus conference to frame the most relevant issues, and develop research recommendations and action plan.

Proceedings: The meeting was held on 4 May 2008 as a pre-conference meeting to the 11th Asian Pacific Congress of Nephrology in Kuala Lumpur. This meeting consisted of three sessions: Session I was dedicated to the estimation of glomerular filtration rate and the standardization of serum creatinine measurements. Session II discussed specific considerations in the aetiology of and risk factors for end-stage renal disease in Asia. We concluded that there were regional specific problems that might lead to a very high prevalence of end-stage renal disease. Session III discussed the issue of facilitation of coordination and integration of the CKD initiative between developed and developing countries in the Asia-Pacific region.

Conclusion: The following action plans were formulated: (i) validating the existing global estimated glomerular filtration rate equation or creating a new one using serum creatinine standardized by a central laboratory; (ii) establishing a pan-Asian CKD registry to facilitate risk analysis of CKD and its comorbidities; (iii) adapting existing clinical practice guidelines for CKD detection and management to address specific problems in this region; and (iv) working closely with other international professional organizations to promote manpower development and education in different aspects of CKD in developing countries.

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