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全国实验室数据库中的功能和风险评估模式:巴西CHECK-CKD研究
Murilo Guedes1,2, Paulo Telles Dias3, Rosângela R Réa4
1Center for Epidemiological Research (EPICENTER), Curitiba, Brazil.
BMC nephrology
|June 3, 2024
概括
在巴西,许多进行肌素测试的患者错过了白蛋白尿评估,阻碍了早期发现慢性病 (CKD). 非病学家管理大多数功能评估,强调需要改进CKD护理实践.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 临床实践 临床实践
背景情况:
- 慢性病 (CKD) 是一个日益严重的全球健康挑战.
- 早期检测和风险分层对于预防功能衰竭至关重要.
- 关于功能评估实践的数据有限,特别是在低收入国家.
研究的目的:
- 分析巴西功能评估的实践模式.
- 为了确定血清肌素测试的患者中,哪些患者同时也接受了albuminuria评估的比例.
- 确定涉及功能评估的专业.
主要方法:
- 一个全国性的巴西实验室数据库的回顾性观察分析.
- 包括在2018年6月至2021年5月期间进行血清肌素评估的成年患者.
- 在12个月内评估估计的膜过率 (eGFR) 和预测的白蛋白与肌素比率 (pACR) 的同时发生情况.
主要成果:
- 42%的血清肌素测量在12个月内缺乏并发的pACR评估.
- 10.8%的测试表明潜在的CKD,主要是3a阶段.
- 血清肌素测试主要由内科,心脏病学和妇产科订购;脏病学仅占1.1%.
结论:
- 有相当数量的巴西患者进行肌素测试,但没有接受推的白色素尿测量.
- 非病学家进行大多数功能评估,包括晚期CKD患者.
- 需要在临床实践中整合早期CKD检测并促进多学科护理.
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