[Expert consensus on multidisciplinary clinical management for chronic kidney disease].

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Abstract

Chronic kidney disease (CKD) has been a major public health challenge threatening human health worldwide. When patients with CKD eventually progress to end-stage kidney disease, it imposes a substantial burden on individuals and society. Currently, the diagnosis rate of CKD in China remains low, with an unfavorable status regarding diagnosis and treatment. Therefore, it is urgent to establish a comprehensive prevention and treatment system of CKD, that enhances the multidisciplinary clinical management pathway for CKD patients while improving physicians' co-screening and co-management capabilities across various disciplines for high-risk individuals. Based on current evidence and clinical experience, we formulate the expert consensus on multidisciplinary clinical management approach for CKD, which aims to achieve early detection, early treatment, delay the progression of kidney failure, reduce the risk of cardiovascular, cerebrovascular diseases as well as death in CKD patients, while improving the prognosis of CKD patients and alleviating the burden of CKD disease with a multidisciplinary co-screening co-management model for CKD.

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【慢性肾脏疾病多学科临床管理专家共识】。
慢性肾脏疾病(CKD)已成为威胁全球人类健康的重大公共卫生挑战。当CKD患者最终发展为终末期肾脏疾病时,它给个人和社会带来了巨大的负担。目前,中国CKD的诊断率仍然很低,在诊断和治疗方面处于不利地位。因此,迫切需要建立CKD综合防治体系,加强CKD患者多学科临床管理途径,提高医生对高危人群的多学科联合筛查和联合管理能力。根据现有证据和临床经验,我们制定了CKD多学科临床管理方法的专家共识,旨在通过CKD多学科联合筛查联合管理模式,实现早发现、早治疗,延缓肾功能衰竭进展,降低CKD患者心脑血管疾病及死亡风险,同时改善CKD患者预后,减轻CKD疾病负担。
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