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Assessment of Vascular Function in Patients With Chronic Kidney Disease
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Blood pressure in chronic kidney disease: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO)

Alfred K Cheung1, Tara I Chang2, William C Cushman3

  • 1Division of Nephrology & Hypertension, University of Utah, Salt Lake City, Utah, USA.

Kidney International
|April 24, 2019
PubMed

Insights

Kidney Disease: Improving Global Outcomes (KDIGO) experts reviewed blood pressure (BP) management in chronic kidney disease (CKD). New evidence from clinical trials prompted reevaluation of 2012 guidelines for CKD patients not on dialysis.

Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Clinical Practice Guidelines

Background:

  • The 2012 KDIGO Guideline provides recommendations for blood pressure (BP) management in chronic kidney disease (CKD).
  • New clinical trial evidence has emerged since the 2012 guideline publication.
  • Optimal BP measurement and management strategies in CKD require ongoing evaluation.

Purpose of the Study:

  • To reassess KDIGO's 2012 clinical practice guidelines for BP management in CKD.
  • To evaluate new evidence from recent clinical trials relevant to BP in CKD.
  • To discuss optimal methods for BP measurement and management in CKD patients.

Main Methods:

  • Convened a multidisciplinary panel of clinical and scientific experts.
  • Focused discussions on evidence from recent clinical trials.
  • Reviewed existing KDIGO guidelines and new data.

Main Results:

  • The conference identified areas for potential guideline reevaluation based on new evidence.
  • Discussions highlighted the importance of optimal BP measurement techniques.
  • Consensus was reached on excluding BP management in patients on maintenance dialysis from the scope.

Conclusions:

  • New evidence necessitates a review of the 2012 KDIGO BP management guidelines for CKD.
  • Optimal BP measurement and management strategies remain critical areas of focus for CKD care.
  • The conference recommendations will inform future updates to CKD guidelines.

Keywords:
blood pressure measurementblood pressure targetscardiovascular eventsguidelinetreatment threshold

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