从多方利益相关者的角度重新审视肾脏疾病筛查

IF 2 3区 医学 Q2 UROLOGY & NEPHROLOGY Advances in chronic kidney disease Pub Date : 2022-01-01 DOI:10.1053/j.ackd.2021.11.008
Miriam Godwin , Amber Pettis , Joseph A. Vassalotti
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引用次数: 0

摘要

美国预防服务工作组目前没有建议指导初级保健医生筛查慢性肾脏疾病(CKD)。这与CKD突发公共卫生事件的范围、临床实践指南的建议、CKD的卫生支出、CKD检测和治疗的变化以及政策制定者对确定改善卫生公平的切实方法的关注是不一致的。这篇综述总结了患者、临床医生、健康公平和卫生系统的观点,以支持筛查患有慢性肾病危险因素的成年人。这篇综述的结论是,美国预防服务工作组应该重新审视针对糖尿病和/或高血压成人的CKD筛查。
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Multiple Stakeholder Perspectives on the Reinvigorated Case for Kidney Disease Screening

The United States Preventive Services Task Force has no current recommendation to guide primary care physician screening for chronic kidney disease (CKD). This is misaligned with the scope of the CKD public health emergency, recommendations from clinical practice guidelines, health spending on CKD, the changing landscape of CKD detection and treatment, and the focus by policymakers on identifying tangible approaches to improving health equity. This review summarizes patient, clinician, health equity, and health system perspectives in support of screening adults with risk factors for CKD. This review concludes with the assessment that the United States Preventive Services Task Force should revisit targeted CKD screening specifically for adults with diabetes and/or hypertension.

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来源期刊
Advances in chronic kidney disease
Advances in chronic kidney disease 医学-泌尿学与肾脏学
自引率
3.40%
发文量
69
审稿时长
11.1 weeks
期刊介绍: The purpose of Advances Chronic Kidney Disease is to provide in-depth, scholarly review articles about the care and management of persons with early kidney disease and kidney failure, as well as those at risk for kidney disease. Emphasis is on articles related to the early identification of kidney disease; prevention or delay in progression of kidney disease
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