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KDIGOKidney Disease: Improving Global Outcomes
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KDIGO 2012 Clinical practice guideline for the evaluation and management of chronic kidney disease, Kidney International Supplements, 3, 1-150.
Executive summary of the KDIGO controversies conference on supportive care in chronic kidney disease: developing a roadmap to improving quality of care.
The guideline notes that recent randomized clinical trials of calcitriol and its analogs failed to demonstrate improvements in outcomes but demonstrated increased risk of hypercalcemia, leading KDIGO to conclude that the risk-benefit ratio was no longer favorable for routine usage in patients with stage 3 or 4 CKD.
The KDIGO guides, in relation to the topic of vitamin D in CKD suggest that seric levels of vitamin D should be determined in patients not undergoing dialysis; and if found insufficient should be corrected.
Los desordenes oseos y minerales en pacientes con ERC representan un grupo de alteraciones que han sido definidas en las guias KDIGO por la presencia de anormalidades minerales, oseas, hormonales y calcificaciones cardiovasculares, reservando el termino osteodistrofia renal para las alteraciones en la morfologia osea (1).
13] Kidney Disease, "Improving Global Outcomes (KDIGO) Transplant Work Group KDIGO clinical practice guideline for the care of kidney transplant recipients," American Journal of Transplantation, vol.
KDIGO [3] and the UK Renal Association [4] recommend HBV vaccination for kidney transplant recipients ideally before transplant, with an antibody check 6-12 weeks after the vaccination course.
Las guias KDIGO recomiendan que los pacientes deban ser estratificados acorde al riesgo de DRA por sus susceptibilidades y exposiciones.