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ACR 适宜性标准® 透析 囊 功能障碍
, Mikhail C S S Higgins1, Matthew Diamond2
1Boston University School of Medicine, Boston, Massachusetts.
Journal of the American College of Radiology : JACR
|December 1, 2023
概括
维持透析接入对于末期病患者至关重要. 本指南系统地评估透析接入功能障碍,提供基于证据的方法,以改善患者的治疗结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 透析的准入对于末期病 (ESRD) 患者的生存和治疗成本的降低至关重要.
- 接入质量直接影响透析疗效和患者寿命.
- 所有透析接入方法最终都会面临功能障碍和失败.
研究的目的:
- 系统地评估和评估透析接入功能障碍的变体.
- 提供基于证据的指导方针,用于管理血栓性,非血栓性和传染性接触并发症.
- 概述用于恢复动脉静脉通道功能的诊断和干预策略.
主要方法:
- 对同行评审的医学文献进行系统分析.
- 建议评估,开发和评估 (GRADE) 原则的分级的应用.
- 使用RAND/UCLA适当性方法对成像和治疗程序的评估.
- 在文献缺乏或模两可的情况下,纳入专家意见.
主要成果:
- 透析接入功能障碍分为血栓性,非血栓性和传染性并发症.
- 恢复策略包括诊断成像,临床咨询,皮肤间干预和外科管理.
- 美国放射学学院的适当性标准为基于证据的管理提供了一个框架.
结论:
- 一种系统的,基于证据的方法对于管理透析接入功能障碍至关重要.
- 多学科的合作和成熟的方法确保了适当的患者护理.
- 优化透析接入管理可以改善ESRD患者的发病率,死亡率和生活质量.
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