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Priority topics for European multidisciplinary guidelines on the management of chronic kidney disease in older adults
SN. van der Veer, W. van Biesen, P. Bernaert, D. Bolignano, EA. Brown, A. Covic, K. Farrington, KJ. Jager, J. Kooman, JF. Macías-Núñez, A. Mooney, BC. van Munster, E. Topinkova, NJ. Van Den Noortgate, G. Wirnsberger, JP. Michel, I. Nistor,
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články
Medline Complete (EBSCOhost) od 2011-03-01 do Před 1 rokem
Health & Medicine (ProQuest) od 1999-01-01 do Před 1 rokem
Odkazy
PubMed
26984833
DOI
10.1007/s11255-016-1257-4
Knihovny.cz E-zdroje
- MeSH
- chronická renální insuficience komplikace diagnóza terapie MeSH
- lidé MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- směrnice pro lékařskou praxi jako téma * MeSH
- věkové faktory MeSH
- zdravotní priority * MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
PURPOSE: To identify and prioritize potential topics to be addressed in the development of European multidisciplinary guidelines on the management of chronic kidney disease stage 3b-5 in older patients. METHODS: We composed a list of 47 potential guideline topics by reviewing the literature, consulting online 461 nephrologists and 107 geriatricians, and obtaining expert input. A multidisciplinary panel of twelve experts then prioritized the topics during a face-to-face consensus meeting, following a nominal group technique structure with two voting rounds. Topics were rated on a 9-point scale ranging from 1 ('not at all important') to 9 ('critically important'). RESULTS: The highest rating (median; range) was assigned to 'Screening and referral' (8.5; 2.0). Eight topics shared the second highest rating with a median priority score of 8.0 (2.0) and included 'Starting dialysis or not' and 'Accurate assessment of renal function.' 'Targets for and treatment of diabetes' received the lowest rating with (3.0; 6.0). CONCLUSIONS: This joint initiative of the European Renal Association-European Dialysis Transplant Association (ERA-EDTA) and the European Union Geriatric Medicine Society (EUGMS) prioritized the development of guidance on interdisciplinary referral of older patients with chronic kidney disease stage 3b-5. Future guidance will therefore focus on identifying prognostic scores to predict death and progression to end-stage renal disease, as well as accurate tests for assessment of renal function in older kidney patients. This will contribute to more informed treatment decision making in this growing patient population.
Department of Geriatric Medicine 1st Faculty of Medicine Charles University Prague Czech Republic
Department of Geriatric Medicine Ghent University Hospital Ghent Belgium
Division of Nephrology Department of Internal Medicine Medical University of Graz Graz Austria
Faculty of Medicine University of Salamanca Salamanca Spain
Imperial College Renal and Transplant Centre Hammersmith Hospital London UK
Nephrology Department AZ Maria Middelares Hospital Ghent Belgium
Nephrology Department Gr T Popa University of Medicine and Pharmacy Iasi Romania
Renal Unit Lister Hospital Stevenage Hertfordshire UK
Renal Unit St James's University Hospital Leeds Teaching Hospitals NHS Trust Leeds UK
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- $a van der Veer, Sabine N $u European Renal Best Practice Methods Support Team, Ghent University Hospital, Ghent, Belgium. sabine.vanderveer@manchester.ac.uk. Health eResearch Centre @ Farr Institute for Health Informatics Research, University of Manchester, Vaughan House, Portsmouth Street, Manchester, M13 9GB, UK. sabine.vanderveer@manchester.ac.uk.
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- $a PURPOSE: To identify and prioritize potential topics to be addressed in the development of European multidisciplinary guidelines on the management of chronic kidney disease stage 3b-5 in older patients. METHODS: We composed a list of 47 potential guideline topics by reviewing the literature, consulting online 461 nephrologists and 107 geriatricians, and obtaining expert input. A multidisciplinary panel of twelve experts then prioritized the topics during a face-to-face consensus meeting, following a nominal group technique structure with two voting rounds. Topics were rated on a 9-point scale ranging from 1 ('not at all important') to 9 ('critically important'). RESULTS: The highest rating (median; range) was assigned to 'Screening and referral' (8.5; 2.0). Eight topics shared the second highest rating with a median priority score of 8.0 (2.0) and included 'Starting dialysis or not' and 'Accurate assessment of renal function.' 'Targets for and treatment of diabetes' received the lowest rating with (3.0; 6.0). CONCLUSIONS: This joint initiative of the European Renal Association-European Dialysis Transplant Association (ERA-EDTA) and the European Union Geriatric Medicine Society (EUGMS) prioritized the development of guidance on interdisciplinary referral of older patients with chronic kidney disease stage 3b-5. Future guidance will therefore focus on identifying prognostic scores to predict death and progression to end-stage renal disease, as well as accurate tests for assessment of renal function in older kidney patients. This will contribute to more informed treatment decision making in this growing patient population.
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