title: [Consensus document for the detection and management of chronic kidney disease].
abstract: Chronic kidney disease (CKD) is an important global health problem, involving to 10% of the Spanish population, promoting high morbidity and mortality for the patient and an elevate consumption of the total health resources for the National Health System. This is a summary of an executive consensus document of ten scientific societies involved in the care of the renal patient, that actualizes the consensus document published in 2007. The central extended document can be consulted in the web page of each society. The aspects included in the document are: Concept, epidemiology and risk factors for CKD. Diagnostic criteria, evaluation and stages of CKD, albuminuria and glomerular filtration rate estimation. Progression factors for renal damage. Patient remission criteria. Follow-up and objectives of each speciality control. Nephrotoxicity prevention. Cardio-vascular damage detection. Diet, life-style and treatment attitudes: hypertension, dyslipidaemia, hyperglycemia, smoking, obesity, hyperuricemia, anemia, mineral and bone disorders. Multidisciplinary management for Primary Care, other specialities and Nephrology. Integrated management of CKD patient in haemodialysis, peritoneal dialysis and renal transplant patients. Management of the uremic patient in palliative care. We hope that this document may be of help for the multidisciplinary management of CKD patients by summarizing the most updated recommendations.
authors.affiliation: Sociedad Española de Nefrología (SEN), Barcelona, España. Electronic address: amartinez@bellvitgehospital.cat.
authors.forename: Alberto
authors.initials: A
authors.lastname: Martínez-Castelao
authors.affiliation: Sociedad Española de Nefrología (SEN), Barcelona, España.
authors.forename: José L
authors.initials: JL
authors.lastname: Górriz
authors.affiliation: Sociedad Española de Nefrología (SEN), Barcelona, España.
authors.forename: Jordi
authors.initials: J
authors.lastname: Bover
authors.affiliation: Sociedad Española de Hipertensión Arterial-Liga Española para la Lucha contra la Hipertensión Arterial (SEH-LELHA), Madrid, España.
authors.forename: Julián
authors.initials: J
authors.lastname: Segura-de la Morena
authors.affiliation: Sociedad Española de Medicina Interna (SEMI), Madrid, España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Cebollada
authors.affiliation: Sociedad Española de Endocrinología y Nutrición (SEEN), Madrid, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Escalada
authors.affiliation: Sociedad Española de Diabetes (SED), Madrid, España.
authors.forename: Enric
authors.initials: E
authors.lastname: Esmatjes
authors.affiliation: Sociedad Española de Cardiología (SEC), Madrid, España.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Fácila
authors.affiliation: Sociedad Española de Médicos Generalistas (AP) (SEMG), Madrid, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Gamarra
authors.affiliation: Sociedad Española de Química Clínica (SEQC), Madrid, España.
authors.forename: Silvia
authors.initials: S
authors.lastname: Gràcia
authors.affiliation: Sociedad Española de Médicos Generalistas (AP) (SEMG), Madrid, España.
authors.forename: Julio
authors.initials: J
authors.lastname: Hernández-Moreno
authors.affiliation: Sociedad Española de Medicina Rural y Generalista (AP) (SEMERGEN), Madrid, España.
authors.forename: José L
authors.initials: JL
authors.lastname: Llisterri-Caro
authors.affiliation: Sociedad Española de Cardiología (SEC), Madrid, España.
authors.forename: Pilar
authors.initials: P
authors.lastname: Mazón
authors.affiliation: Sociedad Española de Química Clínica (SEQC), Madrid, España.
authors.forename: Rosario
authors.initials: R
authors.lastname: Montañés
authors.affiliation: Sociedad Española de Hipertensión Arterial-Liga Española para la Lucha contra la Hipertensión Arterial (SEH-LELHA), Madrid, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Morales-Olivas
authors.affiliation: Sociedad Española de Endocrinología y Nutrición (SEEN), Madrid, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Muñoz-Torres
authors.affiliation: Sociedad Española de Diabetes (SED), Madrid, España.
authors.forename: Pedro
authors.initials: P
authors.lastname: de Pablos-Velasco
authors.affiliation: Sociedad Española de Medicina Rural y Generalista (AP) (SEMERGEN), Madrid, España.
authors.forename: Ana
authors.initials: A
authors.lastname: de Santiago
authors.affiliation: Sociedad Española de Medicina de Familia y Comunitaria (AP) (SEMFyC), Madrid, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Sánchez-Celaya
authors.affiliation: Sociedad Española de Medicina Interna (SEMI), Madrid, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Suárez
authors.affiliation: Sociedad Española de Medicina de Familia y Comunitaria (AP) (SEMFyC), Madrid, España.
authors.forename: Salvador
authors.initials: S
authors.lastname: Tranche
mesh_terms: D002317:Cardiovascular Agents / Q000627:therapeutic use; D002318:Cardiovascular Diseases / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control; D003131:Combined Modality Therapy; D015897:Comorbidity; D003928:Diabetic Nephropathies / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D004032:Diet; D018450:Disease Progression; D050171:Dyslipidemias / Q000453:epidemiology / Q000628:therapy; D015438:Health Behavior; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D033183:Interdisciplinary Communication; D007677:Kidney Function Tests; D016030:Kidney Transplantation; D009765:Obesity / Q000453:epidemiology; D051436:Renal Insufficiency, Chronic / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology / Q000628:therapy* / Q000652:urine; D017582:Renal Replacement Therapy; D012720:Severity of Illness Index; D013727:Terminal Care
chemical_list: D002317:Cardiovascular Agents; D007004:Hypoglycemic Agents; D000960:Hypolipidemic Agents
keywords: Albuminuria; Chronic kidney disease; Chronic kidney disease detection; Chronic kidney disease stages; Cociente albúmina/creatinina en orina; Consenso; Consensus document; Detección de enfermedad rena crónica; Enfermedad renal crónica; Estadificación de enfermedad renal crónica; Filtrado glomerular; Glomerular filtration rate; Proteinuria; Urinary albumin/creatinin ratio