KDIGO clinical practice guideline for the care of kidney transplant recipients: a summary

被引:534
作者
Kasiske, Bertram L. [2 ]
Zeier, Martin G. [3 ]
Chapman, Jeremy R. [4 ]
Craig, Jonathan C. [5 ]
Ekberg, Henrik [6 ]
Garvey, Catherine A. [7 ]
Green, Michael D. [8 ]
Jha, Vivekanand [9 ]
Josephson, Michelle A. [10 ]
Kiberd, Bryce A. [11 ]
Kreis, Henri A. [12 ,13 ]
McDonald, Ruth A. [14 ]
Newmann, John M. [15 ]
Obrador, Gregorio T. [16 ]
Vincenti, Flavio G. [17 ]
Cheung, Michael [1 ]
Earley, Amy [18 ]
Raman, Gowri [18 ]
Abariga, Samuel [18 ]
Wagner, Martin [18 ]
Balk, Ethan M. [18 ]
机构
[1] Natl Kidney Fdn, New York, NY 10016 USA
[2] Hennepin Cty Med Ctr, Dept Med, Minneapolis, MN 55415 USA
[3] Univ Heidelberg Hosp, Dept Med, Heidelberg, Germany
[4] Westmead Hosp, Dept Renal Med, Westmead, NSW 2145, Australia
[5] Childrens Hosp, Dept Nephrol, Westmead, NSW, Australia
[6] Lund Univ, Dept Nephrol & Transplantat, Malmo, Sweden
[7] Univ Minnesota, Minneapolis, MN USA
[8] Childrens Hosp Pittsburgh, Div Infect Dis, Pittsburgh, PA 15213 USA
[9] Postgrad Med Inst, Chandigarh, India
[10] Univ Chicago, Dept Med, Nephrol Sect, Chicago, IL 60637 USA
[11] Dalhousie Univ, Dept Med, Halifax, NS, Canada
[12] Univ Paris 05, Paris, France
[13] Hop Necker Enfants Malad, Transplantat Serv, Paris, France
[14] Univ Washington, Div Nephrol, Seattle Childrens Hosp, Seattle, WA 98195 USA
[15] Hlth Policy Res & Anal, Reston, VA USA
[16] Univ Panamer, Sch Med, Mexico City, DF, Mexico
[17] Univ Calif San Francisco, Dept Med, Div Nephrol, San Francisco, CA USA
[18] Tufts Med Ctr, Tufts Ctr Kidney Dis Guideline Dev & Implementat, Boston, MA USA
关键词
disease management; KDIGO; kidney transplantation; practice guideline; systematic review; RECOMMENDATIONS;
D O I
10.1038/ki.2009.377
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The 2009 Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline on the monitoring, management, and treatment of kidney transplant recipients is intended to assist the practitioner caring for adults and children after kidney transplantation. The guideline development process followed an evidence-based approach, and management recommendations are based on systematic reviews of relevant treatment trials. Critical appraisal of the quality of the evidence and the strength of recommendations followed the Grades of Recommendation Assessment, Development, and Evaluation (GRADE) approach. The guideline makes recommendations for immunosuppression and graft monitoring, as well as prevention and treatment of infection, cardiovascular disease, malignancy, and other complications that are common in kidney transplant recipients, including hematological and bone disorders. Limitations of the evidence, especially the lack of definitive clinical outcome trials, are discussed and suggestions are provided for future research. This summary includes a brief description of methodology and the complete guideline recommendations but does not include the rationale and references for each recommendation, which are published elsewhere. Kidney International (2010) 77, 299-311; doi: 10.1038/ki.2009.377; published online 21 October 2009
引用
收藏
页码:299 / 311
页数:13
相关论文
共 10 条
[1]  
[Anonymous], METH REF GUID EFF CO
[2]  
Atkins D, 2004, BMJ-BRIT MED J, V328, P1490
[3]  
EBPG Expert Group on Renal Transplantation, 2002, Nephrol Dial Transplant, V17 Suppl 4, P1
[4]   KDIGO Clinical Practice Guideline for the Care of Kidney Transplant Recipients [J].
Eckardt, Kai-Uwe ;
Kasiske, Bertram L. .
AMERICAN JOURNAL OF TRANSPLANTATION, 2009, 9 :S1-S155
[5]  
ECKARDT KU, NAT REV NEP IN PRESS
[6]   GRADE:: going from evidence to recommendations [J].
Guyatt, Gordon H. ;
Oxman, Andrew D. ;
Kunz, Regina ;
Falck-Ytter, Yngve ;
Vist, Gunn E. ;
Liberati, Alessandro ;
Schunemann, Holger J. .
BMJ-BRITISH MEDICAL JOURNAL, 2008, 336 (7652) :1049-1051
[7]  
Kasiske BL, 2000, J AM SOC NEPHROL, V11, pS1
[8]   KDIGO clinical practice guidelines for the prevention, diagnosis, evaluation, and treatment of hepatitis C in chronic kidney disease - Foreword [J].
Lameire, Norbert ;
Eknoyan, Garabed .
KIDNEY INTERNATIONAL, 2008, 73 :S1-S2
[9]   Foreword [J].
Eckardt, Kai-Uwe ;
Kasiske, Bertram L. .
KIDNEY INTERNATIONAL, 2009, 76 :S1-S2
[10]   Grading evidence and recommendations for clinical practice guidelines in nephrology. A position statement from Kidney Disease: Improving Global Outcomes (KDIGO) [J].
Uhlig, K. ;
MacLeod, A. ;
Craig, J. ;
Lau, J. ;
Levey, A. S. ;
Levin, A. ;
Moist, L. ;
Steinberg, E. ;
Walker, R. ;
Wanner, C. ;
Lameire, N. ;
Eknoyan, G. .
KIDNEY INTERNATIONAL, 2006, 70 (12) :2058-2065