Un comité de expertos K/DOQI(14), ha propuesto que el diag- nóstico de ERC debe ser establecido por la presencia de los siguientes criterios: a. Daño renal. Kidney Foundation Americana (NKF), em seu documento Kidney Disease Outcomes Quality Initiative (K/DOQI), que se baseia nos seguintes critérios Se desarrollan los criterios de la derivación a consulta de nefrología hospitalaria K/DOQI clinical practice guidelines for chronic kidney disease: evaluation.

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Progression of nephropathy in type 2 diabetic patients. Am J Kidney Dis ;53 3 Suppl 3: When the kidney disease is established, the exercise must be adapted to the physical ability of each patient.

Consensus document for the detection and management of chronic kidney disease

The factors of renal progression are displayed in Table 5. Progression must be defined on criterkos basis of two aspects: During treatment with erythropoiesis-stimulating agents ESAiron metabolism should be studied every three months, if the patient receives intravenous Fe.

The appropriate protein intake in CKD patients is 0.

Renal lesion may be revealed directly from histological abnormalities in the renal biopsy or indirectly through the presence of albuminuria or urinary sediment abnormalities or by using imaging techniques. Some drugs may be potentially toxic after contrast administration, such as metformin. Chronic kidney disease CKD is a public health problem worldwide. In CKD patients, anaemia is defined as a situation in which Hb concentration in blood is two standard deviations below the mean Hb concentration of the general population, corrected for age and sex.

Both acarbose and miglitol and their metabolites accumulate in renal failure and their use is therefore not recommended. In elderly patients, this measurement will be kkdoqi individualised.

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Levey A, Coresh J. Its purpose is, therefore, to prevent, detect, refer to the specialist and manage CKD, with the aim of improving kidney health and prognosis in our patients. Cur Opin Nephrol Hypertens. The extractions should be combined so that they do not have to be repeated.

Each of them appointed its representatives who appear as authors in the drafting of the document, which was subsequently submitted for approval by their respective boards of directors. This equation has not been reformulated for creatinine values obtained using appropriate procedures and cannot be re-expressed for the current methods of measuring creatinine, and as such, it should not be used.

Consensus document for the detection and management of chronic kidney disease

Services on Demand Journal. Criteria for referral to Nephrology. Most guidelines recommend gemfibrozil as the fibrate of choice and they recommend avoiding the others. This will indicate the frequency of successive laboratory tests. Kidney Int ;2 Suppl: Regardless of the etiology, main outcomes in patients with CKD are its complications anemia, metabolic acidosis, malnutrition and alteration in mineral metabolismdeath mainly due to cardiovascular causes and loss of renal function.

Table criteriios displays the objectives of monitoring and follow-up of CKD patients according to the stage. Binders without calcium or aluminium include sevelamer and lanthanum carbonate. Nefrologia ;28 Suppl 3: Smoking is associated with renal impairment and proteinuria in the normal population: Seguimiento del paciente, actitudes y objetivos por especialidad. Overweight, obesity and intentional weight loss in chronic kidney disease: It is necessary to bear in mind that the risk of severe hypoglycaemia in patients with renal failure on intensive treatment is very high and is increased by a decreased intake, df change in meal times and the presence of autonomic neuropathy.


It is not necessary to adjust statin dose, except in very advanced stages of CKD and only for those that are eliminated via the kidney. Levey AS, Coresh J.

Longitudinal studies on the rate of decline in renal function with age. It is very important to avoid re in risk situations or adjust their dose in accordance with the eGFR aminoglycosides, vancomycin, aciclovir, tenofovir, amphotericin, etc. Rosuvastatin and cardiovascular events in patients dde hemodialysis.

Weight loss interventions in chronic kidney disease: In health areas where there are home support teams, whether they are dependent on Primary Care or Specialist Care, their inclusion in the therapeutic team could be very useful. We must particularly emphasise avoiding the unnecessary use of NSAIDsdue to the risk of renal function deterioration.

For assessing renal progression, we recommend albuminuria and baseline GFR estimationas well as the identification of renal progression factors. In Brazil incidence and prevalence of end stage renal failure are increasing; prognosis is still poor and costs of disease treatment are very high. The use of high-protein diets, as well as drugs that cause weight reduction, may have adverse effects in CKD.

Effects of azotemia on results of the boronate-agarose affinity method and in exchange methods for glycated hemoglobin. They are the treatment of choice.