title: Consensus document for the detection and management of chronic kidney disease.
abstract: Chronic kidney disease (CKD) is a major public health problem that, in its different stages, may affect up to 10% of the Spanish population and results in high morbidity and mortality, as well as high consumption of National Health System resources. Ten scientific societies involved in the management of kidney patients agreed to update the 2007 CKD consensus document. The current version is an abridged edition of the detailed general document, which can be consulted on the webpages of each signatory society. It includes the following aspects: CKD definition, epidemiology and risk factors and criteria on diagnosis, assessment and staging of CKD, albuminuria and glomerular filtration estimation. Progression factors and concept. Criteria for referral to Nephrology. Patient follow-up, attitudes and objectives by specialty. Prevention of nephrotoxicity. Detection of cardiovascular damage. Attitudes, lifestyle and treatment: management of high blood pressure, dyslipidaemia, hyperglycaemia, smoking, obesity, hyperuricaemia, anaemia and mineral and bone metabolism disorders. Coordinated follow-up by Primary Care &ndash; other specialties &ndash; Nephrology. Management of renal replacement therapy, haemodialysis, peritoneal dialysis and renal transplantation patients. Palliative treatment of terminal uraemia. We hope that this document will be very useful in the multidisciplinary management of CKD patients, in view of the updated recommendations.
authors.forename: Alberto
authors.initials: A
authors.lastname: Martínez-Castelao
authors.forename: José L
authors.initials: JL
authors.lastname: Górriz
authors.forename: Julián
authors.initials: J
authors.lastname: Segura-de la Morena
authors.forename: Jesús
authors.initials: J
authors.lastname: Cebollada
authors.forename: Javier
authors.initials: J
authors.lastname: Escalada
authors.forename: Enric
authors.initials: E
authors.lastname: Esmatjes
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Fácila
authors.forename: Javier
authors.initials: J
authors.lastname: Gamarra
authors.forename: Silvia
authors.initials: S
authors.lastname: Gràcia
authors.forename: Julio
authors.initials: J
authors.lastname: Hernánd-Moreno
authors.forename: José L
authors.initials: JL
authors.lastname: Llisterri-Caro
authors.forename: Pilar
authors.initials: P
authors.lastname: Mazón
authors.forename: Rosario
authors.initials: R
authors.lastname: Montañés
authors.forename: Francisco
authors.initials: F
authors.lastname: Morales-Olivas
authors.forename: Manuel
authors.initials: M
authors.lastname: Muñoz-Torres
authors.forename: Pedro
authors.initials: P
authors.lastname: de Pablos-Velasco
authors.forename: Ana
authors.initials: A
authors.lastname: de Santiago
authors.forename: Marta
authors.initials: M
authors.lastname: Sánchez-Celaya
authors.forename: Carmen
authors.initials: C
authors.lastname: Suárez
authors.forename: Salvador
authors.initials: S
authors.lastname: Tranche
mesh_terms: D000465:Algorithms; D018450:Disease Progression; D006801:Humans; D012017:Referral and Consultation; D051436:Renal Insufficiency, Chronic / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D012307:Risk Factors