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Adapting Clinical Practice Guidelines for Chronic Kidney Disease: Blood Pressure Management and Kidney Replacement Therapy in Adults and Children in the Saudi Arabian Context Using the Grading of Recommendations Assessment, Development, and Evaluation-ADOLOPMENT Methodology.
Alhasan, Khalid A; Yepes-Nuñez, Juan José; Askandarani, Sumayah; Amer, Yasser S; Al-Jelaify, Muneera; Almatham, Khalid I; Al-Ghonaim, Mohammed; Al Dalbhi, Sultan; Kari, Jameela A; Mitwalli, Ahmed; Memish, Ziad A; Valson, Joanna Sara; Alvira, Ximena; Bilimoria, Khushnam; Chawla, Ruchi; Feit, Sheila; Bickett, Skye; Brunnhuber, Klara.
Afiliación
  • Alhasan KA; Department of Pediatrics, College of Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.
  • Yepes-Nuñez JJ; Saudi Society of Nephrology and Transplantation, Riyadh, Saudi Arabia.
  • Askandarani S; Kidney and Pancreas Health Center, Organ Transplant Center of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
  • Amer YS; Universidad de los Andes, School of Medicine, Bogotá, Colombia.
  • Al-Jelaify M; Pulmonology Service, Internal Medicine Section, Fundación Santa Fe de Bogotá University Hospital, Bogotá, Colombia.
  • Almatham KI; Multi-Organ Transplant Center King Fahad Specialist Hospital, Dammam, Saudi Arabia.
  • Al-Ghonaim M; Department of Pediatrics, College of Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.
  • Al Dalbhi S; Department of Corporate Quality Management, Clinical Practice Guidelines and Quality Research Unit, King Saud University Medical City, Riyadh, Saudi Arabia.
  • Kari JA; Adaptation Working Group, Guidelines International Network, Perth, Scotland, UK.
  • Mitwalli A; Pharmacy Services Department, King Saud University Medical City, Riyadh, Saudi Arabia.
  • Memish ZA; Nephrology Division, King Fahad Medical City, College of Medicine, AlFaisal University, Riyadh, Saudi Arabia.
  • Valson JS; Department of Medicine, Nephrology Division, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
  • Alvira X; Department of Nephrology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Bilimoria K; Pediatric Nephrology Center of Excellence, King Abdulaziz University Hospital, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
  • Chawla R; Department of Medicine, Nephrology Division, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
  • Feit S; Nephrology Department, Dallah Hospital, Riyadh, Saudi Arabia.
  • Bickett S; Research and Innovation Centre, College of Medicine, AlFaisal University, Riyadh, Saudi Arabia.
  • Brunnhuber K; Clinical Solutions, RELX Group New Delhi Ltd. Gurgaon, New Delhi, India.
Saudi J Kidney Dis Transpl ; 34(Suppl 1): S177-S218, 2023 Dec 01.
Article en En | MEDLINE | ID: mdl-38995286
ABSTRACT
This practice guideline was developed by the chronic kidney disease (CKD) Task Force, which was composed of clinical and methodological experts. The Saudi Arabian Ministry of Health and its health holding company commissioned this guideline project to support the realization of Vision 2030's health-care transformation pillar. The synthesis of these guidelines was guided by the Grading of Recommendations Assessment, Development, and Evaluation (GRADE)- ADOLOPMENT methodology. The final guidelines addressed 12 clinical questions on the management of blood pressure in patients with CKD through a set of recommen-dations and performance measures. The recom-mendations included antihypertensive agents in children; renin- angiotensin system inhibition (RASi) versus non-RASi in adults; intensive versus standard blood pressure targets; early versus late assessment for kidney replacement therapy (KRT); late versus early preparation strategies for KRT; CKD symptoms during assessment for KRT or conservative manage-ment; initiation of KRT in patients with deteriorating CKD; choice of KRT modality or conservative management in certain CKD patient groups; changing or discontinuing KRT modalities; the frequency of reviews for KRT or conservative management; and information, education, and support. These conditional recommendations were based on a low to very low certainty of evidence, which highlights the need for high-quality randomized trials com-paring different antihypertensive agents in patients with CKD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Terapia de Reemplazo Renal / Insuficiencia Renal Crónica / Antihipertensivos Límite: Adult / Child / Humans País/Región como asunto: Asia Idioma: En Revista: Saudi J Kidney Dis Transpl Año: 2023 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación:
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Terapia de Reemplazo Renal / Insuficiencia Renal Crónica / Antihipertensivos Límite: Adult / Child / Humans País/Región como asunto: Asia Idioma: En Revista: Saudi J Kidney Dis Transpl Año: 2023 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: