| Theme |
Chronic Kidney Disease (CKD) -- A new tide flows around the world |
| Title |
The utilities and problems of guidelines for chronic kidney disease and related complications |
| Author |
Jun Mitome |
Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine |
| Author |
Keitaro Yokoyama |
Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine |
| [ Summary ] |
Chronic kidney disease (CKD) is a worldwide public health concern. In the United States, the National Kidney Foundation (NKF) Kidney Disease Outcome Quality Initiative (K / DOQI) has approved the development of clinical practice guidelines to define CKD and to classify stages in the progression of CKD. It is important to prevent or delay adverse CKD outcomes, such as kidney failure, cardiovascular disease, or premature death.
However, the guidelines were originally developed for a Caucasian population. It is known that the management and quality of dialysis therapy in Japan is different and better than that in the US. Therefore, we should also consider the differences in clinical features of management for CKD in Japan and the U.S. The application of the K / DOQI Guidelines may pose various problems. Modified guidelines based on evidence are necessary for Japanese patients with CKD. |