Chronic kidney disease: a practical guide (ACT-NAU)
Chronic kidney disease (CKD) is a major public health problem that is associated with increased global morbidity and mortality and is a major risk factor for cardiovascular disease. The prevalence of CKD is increasing exponentially worldwide. Its prevalence in Portugal is 20.9% in CKD stages 1 to 5...
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Format: | Article |
Language: | English |
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Associação Portuguesa de Medicina Geral e Familiar
2024-02-01
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Series: | Revista Portuguesa de Medicina Geral e Familiar |
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Online Access: | https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13985 |
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author | Ana Corte-Real Andreia Nunes Ana Isabel Rodrigues Carolina Belino Cristina Outerelo Diogo Ramos Gil Silva Gilberto Guimarães Henrique Sousa Ines Aires Ines Fortuna Ivan Luz Joao Mario Goncalves Joao Pedro Nobre Joaquim Calado Jorge Malheiro Leila Cardoso Leonor Luz-Duarte Luis Mendonca Luis Rodrigues Manuel Amoedo Miguel Bigotte Vieira Paula Felgueiras Paulo Subtil Rita Lopes Sofia Homem Melo Susana Heitor Vital Silva Domingues Zelia Lopes |
author_facet | Ana Corte-Real Andreia Nunes Ana Isabel Rodrigues Carolina Belino Cristina Outerelo Diogo Ramos Gil Silva Gilberto Guimarães Henrique Sousa Ines Aires Ines Fortuna Ivan Luz Joao Mario Goncalves Joao Pedro Nobre Joaquim Calado Jorge Malheiro Leila Cardoso Leonor Luz-Duarte Luis Mendonca Luis Rodrigues Manuel Amoedo Miguel Bigotte Vieira Paula Felgueiras Paulo Subtil Rita Lopes Sofia Homem Melo Susana Heitor Vital Silva Domingues Zelia Lopes |
author_sort | Ana Corte-Real |
collection | DOAJ |
description |
Chronic kidney disease (CKD) is a major public health problem that is associated with increased global morbidity and mortality and is a major risk factor for cardiovascular disease. The prevalence of CKD is increasing exponentially worldwide. Its prevalence in Portugal is 20.9% in CKD stages 1 to 5, and 9.8% for CKD stage ≥G3a/A1, so it is of utmost importance that this health problem be properly addressed in primary health care. The most common causes of CKD are hypertension and diabetes, and regular screening for CKD in these patients is recommended. Other contributing factors to CKD include acute kidney injury, obesity, smoking, infectious diseases, nephrotoxic drugs and, less frequently, contaminants in food or drinking water, heavy metals, industrial and agricultural chemicals, and high ambient temperatures. CKD is a major burden on health care systems with a propensity to increase due not only to the increasing prevalence of hypertension and diabetes but also to the aging population. This will result in greater demand on the healthcare system, greater consumption of resources, and greater economic expenditures on healthcare. Thus, it is of uttermost importance to develop awareness among physicians to prevent CKD and its risk factors, to properly screen for early diagnosis, and to correctly treat and refer to secondary health care facilities. To improve the care of patients with CKD and strengthen communication between healthcare providers, we present a document with the backbone guidelines for diagnosing CKD, its management according to its various etiologies, and referral criteria to hospital care.
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first_indexed | 2024-04-24T21:58:07Z |
format | Article |
id | doaj.art-a858d87f3ab844ca9d12709e4cd3d112 |
institution | Directory Open Access Journal |
issn | 2182-5181 |
language | English |
last_indexed | 2024-04-24T21:58:07Z |
publishDate | 2024-02-01 |
publisher | Associação Portuguesa de Medicina Geral e Familiar |
record_format | Article |
series | Revista Portuguesa de Medicina Geral e Familiar |
spelling | doaj.art-a858d87f3ab844ca9d12709e4cd3d1122024-03-20T14:04:30ZengAssociação Portuguesa de Medicina Geral e FamiliarRevista Portuguesa de Medicina Geral e Familiar2182-51812024-02-0140Chronic kidney disease: a practical guide (ACT-NAU)Ana Corte-Real0Andreia Nunes1Ana Isabel Rodrigues2Carolina Belino3Cristina Outerelo4Diogo Ramos5Gil Silva6Gilberto Guimarães7Henrique Sousa8Ines Aires9Ines Fortuna10Ivan Luz11Joao Mario Goncalves12Joao Pedro Nobre13Joaquim Calado14Jorge Malheiro15Leila Cardoso16Leonor Luz-Duarte17Luis Mendonca18Luis Rodrigues19Manuel Amoedo20Miguel Bigotte Vieira21Paula Felgueiras22Paulo Subtil23Rita Lopes24Sofia Homem Melo25Susana Heitor26Vital Silva Domingues27Zelia Lopes28UCSP Barroselas, ULS do Alto Minho. Famalicão, Portugal | MTG Research and Development Lab. Porto, Portugal.Internal Medicine Department, Hospital Garcia de Orta, EPE. Almada, Portugal.USF Cidade Jardim, ULS Viseu Dão-Lafões EPE. Viseu, Portugal.Centro Hospitalar Universitário Cova da Beira, ULS da Cova da Beira EPE. Covilhã, Portugal.Nephrology Department, ULS de Santa Maria EPE, Hospital Universitário de Santa Maria. Lisbon, Portugal.USF São Teotónio, ULS Viseu Dão-Lafões EPE. Viseu, Portugal.Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira, EPE (SESARAM). Funchal, Portugal.USF Felgaria Rubeans, ULS do Tâmega e Sousa EPE. Felgueiras, Portugal.Nephrology Department, Hospital das Forças Armadas. Lisboa, Portugal.Nephrology and Transplant Unit, Hospital Curry Cabral, ULS São José EPE. Lisbon, Portugal | NOVA Medical School, Universidade Nova de Lisboa. Lisboa, Portugal.MTG Research and Development Lab. Porto, Portugal.Nephrology Department, ULS Médio Tejo EPE. Torres Novas, Portugal.USF Levante, ULS Algarve EPE. Vila Real de Santo António, Portugal.USF Rodrigues Miguéis, ULS de Santa Maria EPE, ACeS Lisboa Norte. Lisboa, Portugal.Nephrology Department, Hospital Curry Cabral, ULS São José EPE. Lisbon, Portugal.Nephrology Department, Centro Hospitalar e Universitário de Santo António. Porto, Portugal | Instituto de Ciências Biomédicas de Abel Salazar Universidade do Porto (ICBAS/UP). Porto, Portugal.Internal Medicine Department, Centro Hospitalar Universitário de São João, ULS São João. Porto, Portugal.USF Caminho Novo, ULS Gaia Espinho EPE. Vila Nova de Gaia, Portugal | MTG Research and Development Lab. Porto, Portugal.Nephrology Department, Centro Hospitalar Universitário de São João, ULS São João EPE. Porto, Portugal.Nephrology Department, Centro Hospitalar e Universitário de Coimbra, ULS Coimbra EPE. Coimbra, Portugal.Nephrology Department, Hospital Espírito Santo de Évora, ULS do Alentejo Central EPE. Évora, Portugal.Nephrology Department, Hospital Curry Cabral, ULS São José EPE. Lisbon, Portugal | NOVA Medical School, Universidade Nova de Lisboa. Lisboa, Portugal.Internal Medicine Department, ULS Alto Minho EPE. Viana do Castelo, Portugal.Internal Medicine Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, ULS Trás-os-Montes e Alto Douro EPE. Vila Real, Portugal.MTG Research and Development Lab. Porto, Portugal.Nephrology Department, Hospital de Braga, ULS Braga EPE. Braga, Portugal.Internal Medicine Department, Integrated Diabetes Unit, Hospital Prof Doutor Fernando Fonseca, ULS de Amadora/Sintra EPE. Amadora, Portugal.Internal Medicine Department, Centro Hospitalar e Universitário de Santo António, ULS de Santo António EPE. Porto, Portugal | Instituto de Ciências Biomédicas de Abel Salazar Universidade do Porto (ICBAS/UP). Porto, Portugal.Internal Medicine Department, Centro Hospitalar do Tâmega e Sousa - Unidade Padre Américo, ULS do Tâmega e Sousa EPE. Penafiel, Portugal. Chronic kidney disease (CKD) is a major public health problem that is associated with increased global morbidity and mortality and is a major risk factor for cardiovascular disease. The prevalence of CKD is increasing exponentially worldwide. Its prevalence in Portugal is 20.9% in CKD stages 1 to 5, and 9.8% for CKD stage ≥G3a/A1, so it is of utmost importance that this health problem be properly addressed in primary health care. The most common causes of CKD are hypertension and diabetes, and regular screening for CKD in these patients is recommended. Other contributing factors to CKD include acute kidney injury, obesity, smoking, infectious diseases, nephrotoxic drugs and, less frequently, contaminants in food or drinking water, heavy metals, industrial and agricultural chemicals, and high ambient temperatures. CKD is a major burden on health care systems with a propensity to increase due not only to the increasing prevalence of hypertension and diabetes but also to the aging population. This will result in greater demand on the healthcare system, greater consumption of resources, and greater economic expenditures on healthcare. Thus, it is of uttermost importance to develop awareness among physicians to prevent CKD and its risk factors, to properly screen for early diagnosis, and to correctly treat and refer to secondary health care facilities. To improve the care of patients with CKD and strengthen communication between healthcare providers, we present a document with the backbone guidelines for diagnosing CKD, its management according to its various etiologies, and referral criteria to hospital care. https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13985Chronic kidney diseaseDiagnosisDisease managementReferral and consultation |
spellingShingle | Ana Corte-Real Andreia Nunes Ana Isabel Rodrigues Carolina Belino Cristina Outerelo Diogo Ramos Gil Silva Gilberto Guimarães Henrique Sousa Ines Aires Ines Fortuna Ivan Luz Joao Mario Goncalves Joao Pedro Nobre Joaquim Calado Jorge Malheiro Leila Cardoso Leonor Luz-Duarte Luis Mendonca Luis Rodrigues Manuel Amoedo Miguel Bigotte Vieira Paula Felgueiras Paulo Subtil Rita Lopes Sofia Homem Melo Susana Heitor Vital Silva Domingues Zelia Lopes Chronic kidney disease: a practical guide (ACT-NAU) Revista Portuguesa de Medicina Geral e Familiar Chronic kidney disease Diagnosis Disease management Referral and consultation |
title | Chronic kidney disease: a practical guide (ACT-NAU) |
title_full | Chronic kidney disease: a practical guide (ACT-NAU) |
title_fullStr | Chronic kidney disease: a practical guide (ACT-NAU) |
title_full_unstemmed | Chronic kidney disease: a practical guide (ACT-NAU) |
title_short | Chronic kidney disease: a practical guide (ACT-NAU) |
title_sort | chronic kidney disease a practical guide act nau |
topic | Chronic kidney disease Diagnosis Disease management Referral and consultation |
url | https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13985 |
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