Asia-Pacific summit on the implementation of clinical practice guidelines on diabetes and blood pressure management...

Improving Global Outcomes (KDIGO) has published the clinical practice guidelines (CPGs) on managing diabetes in CKD in 2022 and the CPGs on managing blood pressure in chronic kidney disease in 2020. KDIGO organized a guideline implementation summit targeting the Asia-Pacific region in Kuala Lumpur in 2024, with the aim to understand existing barriers and challenges in the implementation of the 2 CPGs and to propose possible solutions, tailored to the country or region's income level to bridge existing gaps in guideline implementation. The implementation summit discussion covered 4 key themes: (i) lifestyle interventions; (ii) adoption of comprehensive team-based integrated care model; (iii) achievement of various treatment targets, albuminuria screening, and kidney disease monitoring; and (iv) implementation of guideline-directed medical therapies. The summit was attended by co-chairs of the KDIGO CPGs on diabetes and blood pressure management in chronic kidney disease, with nephrologists, endocrinologists, primary care physicians, dietitians, a health economist, and patient partners from 13 Asia-Pacific countries or regions. This conference report summarizes the key challenges in the CPG implementation for diabetes and hypertension in people with chronic kidney disease in the Asia-Pacific region and provides a strategic framework of actions to overcome these barriers.