title: Spanish Society of Nephrology document on KDIGO guidelines for the assessment and treatment of chronic kidney disease.
abstract: The new Kidney Disease: Improving Global Outcomes (KDIGO) international guidelines on chronic kidney disease (CKD) and the management of blood pressure (BP) in CKD patients are an update of the corresponding 2002 and 2004 KDOQI (Kidney Disease Outcomes Quality Initiative) guidelines. The documents aim to provide updated guidelines on the assessment, management and treatment of patients with CKD. The first guidelines retain the 2002 definition of CKD but present an improved prognosis classification. Furthermore, concepts about prognosis of CKD, recommendations for management of patients, and criteria for referral to the nephrologist have been updated. The second guideline retains the <130/80 mm Hg-goal for management of BP in patients with CKD presenting increased albuminuria or proteinuria (albumin-to-creatinine ratio 30-300 mg/g, and >300 mg/g, respectively) but recommends a less-strict goal of <140/90 mm Hg in patients with normoalbuminuria. The development of the guidelines followed a predetermined process in which the evidence available was reviewed and assessed. Recommendations on management and treatment are based on the systematic review of relevant studies. The GRADE system (Grading of Recommendations Assessment, Development and Evaluation) was used to assess the quality of evidence and issue the grade of recommendation. Areas of uncertainty are also discussed for the different aspects addressed.
authors.forename: Manuel
authors.initials: M
authors.lastname: Gorostidi
authors.forename: Rafael
authors.initials: R
authors.lastname: Santamaría
authors.forename: Roberto
authors.initials: R
authors.lastname: Alcázar
authors.forename: Gema
authors.initials: G
authors.lastname: Fernández-Fresnedo
authors.forename: Josep M
authors.initials: JM
authors.lastname: Galcerán
authors.forename: Marián
authors.initials: M
authors.lastname: Goicoechea
authors.forename: Anna
authors.initials: A
authors.lastname: Oliveras
authors.forename: José
authors.initials: J
authors.lastname: Portolés
authors.forename: Esther
authors.initials: E
authors.lastname: Rubio
authors.forename: Julián
authors.initials: J
authors.lastname: Segura
authors.forename: Pedro
authors.initials: P
authors.lastname: Aranda
authors.forename: Angel L M
authors.initials: AL
authors.lastname: de Francisco
authors.forename: M Dolores
authors.initials: MD
authors.lastname: Del Pino
authors.forename: Francisco
authors.initials: F
authors.lastname: Fernández-Vega
authors.forename: José L
authors.initials: JL
authors.lastname: Górriz
authors.forename: José
authors.initials: J
authors.lastname: Luño
authors.forename: Rafael
authors.initials: R
authors.lastname: Marín
authors.forename: Isabel
authors.initials: I
authors.lastname: Martínez
authors.forename: Alberto
authors.initials: A
authors.lastname: Martínez-Castelao
authors.forename: Luis M
authors.initials: LM
authors.lastname: Orte
authors.forename: Carlos
authors.initials: C
authors.lastname: Quereda
authors.forename: José C
authors.initials: JC
authors.lastname: Rodríguez-Pérez
authors.forename: Mariano
authors.initials: M
authors.lastname: Rodríguez
authors.forename: Luis M
authors.initials: LM
authors.lastname: Ruilope
mesh_terms: D018450:Disease Progression; D006801:Humans; D009398:Nephrology; D017410:Practice Guidelines as Topic; D051436:Renal Insufficiency, Chronic / Q000175:diagnosis* / Q000628:therapy*; D012955:Societies, Medical; D013030:Spain