2型糖尿病和慢性肾脏疾病风险分层的必要性:建议的临床价值

M. Basina, T. McLaughlin, J. Tokita, A. Vega, A. Zabetian, Allison Trucillo, G. Nadkarni, Michael J Donovan, J. Vassalotti, S. Coca, David W Lam
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引用次数: 0

摘要

慢性肾脏疾病(CKD)在超过40%的糖尿病患者中发展,在美国影响了超过700万人。在美国1500万2型糖尿病和CKD患者中,> 90%处于“早期CKD”(G1-G3期)。肾脏疾病进展的标准风险分层工具有局限性,在个体水平上缺乏精确性。个性化风险工具,如KidneyIntelX™,将经过验证的预后蛋白生物标志物与关键临床变量集成到电子健康记录(EHR)中,可以帮助解决这些挑战。KidneyIntelX可以在患者病程的早期识别出患者,此时干预将是最有效的。本文介绍了4个案例研究,展示了3位不同的医生如何使用kidney yintelx来制定临床决策并优化2型糖尿病和CKD患者的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The need for risk stratification in type 2 diabetes and chronic kidney disease: Proposed clinical value of KidneyIntelX
Abstract Chronic kidney disease (CKD) develops in > 40% of people living with diabetes and affects > 7 million people in the United States. Of the 15 million individuals with type 2 diabetes and CKD in the United States, > 90% are in the “early stages of CKD” (stages G1–G3). Standard risk stratification tools for progression of kidney disease have limitations, and lack precision at an individual level. Individualized risk tools, such as KidneyIntelX™, that incorporate well-validated prognostic protein biomarkers integrated with key clinical variables and are integrated into the electronic health record (EHR) can help address these challenges. KidneyIntelX can identify patients earlier in their disease course when intervention would be most impactful. Herein, 4 case studies are presented to demonstrate how 3 different physicians utilized KidneyIntelX to make clinical decisions and optimize the management of patients with type 2 diabetes and CKD.
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