Results: One consensus statement and 15 guidelines were identified andincluded. Methodological rigour across guidelines was variable, withaverage domain scores ranging from 24% to 95%. For detection of CKD, allguidelines recommended estimated glomerular filtration rate measurement,some also recommended serum creatinine and dipstick urinalysis.The recommended protein and albumin creatinine ratios and proteinuriadefinition thresholds varied (>150–300 mg/day to >500 mg/day). Blood pressuretargets ranged (<125/75 to <140/90 mmHg). Angiotensin convertingenzyme inhibitor and angiotensin receptor blockers were recommended forhypertension, as combined or as monotherapy. Protein intake recommendationsvaried (no restriction or 0.75 g/kg per day-1.0 g/kg per day). Saltintake of 6 g/day was recommended by most. Psychosocial support andeducation were recommended by few but specific strategies were absent.Conclusion: CKD guidelines were consistent in scope but were variable withrespect to their recommendations, coverage and methodological quality. Topromote effective primary and secondary prevention of CKD, regularlyupdated guidelines that are based on the best available evidence and augmentedwith healthcare context-specific strategies for implementation arewarranted.
การแปล กรุณารอสักครู่..