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Management of chronic kidney disease: a Hong Kong consensus recommendation

S C W Tang1, K K L Ho2, W W K Ko3

  • 1Division of Nephrology, Department of Medicine, School of Clinical Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China.

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|August 27, 2024
PubMed

Insights

This study provides Hong Kong-specific consensus statements for managing chronic kidney disease (CKD) and diabetes, aiming to improve early identification and intervention for better patient outcomes.

Area of Science:

  • Nephrology
  • Endocrinology
  • Public Health

Background:

  • Chronic kidney disease (CKD) is a global health burden, with diabetes as a primary risk factor.
  • Hong Kong lacks specific guidelines for prioritizing early CKD identification and intervention.
  • A localized, comprehensive treatment guideline for diabetes and CKD is needed.

Purpose of the Study:

  • To develop Hong Kong-specific consensus statements for CKD management.
  • To address the lack of clear guidelines for early CKD identification and intervention.
  • To provide a practical guide for physicians in Hong Kong.

Main Methods:

  • A multidisciplinary expert panel convened to discuss CKD management.
  • Evidence was reviewed within the context of local Hong Kong experience.
  • A modified Delphi approach was used to finalize recommendations, requiring ≥75% expert consensus.

Main Results:

  • Fourteen CKD-focused consensus statements were finalized by the expert panel.
  • Statements cover CKD definition, screening, monitoring, lifestyle management, and treatment.
  • Recommendations are tailored for the Hong Kong healthcare setting.

Conclusions:

  • The developed consensus statements offer a guide for physicians in Hong Kong.
  • These recommendations aim to facilitate appropriate CKD management, especially in diabetic patients.
  • Implementation can improve early detection and intervention strategies for CKD in the region.

Keywords:
ConsensusDiabetes mellitusRenal insufficiency, chronic

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