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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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在社区药房中查慢性病:Crierfac项目
José Espejo-Guerrero1, Luis Salar-Ibáñez2, Eduardo Satué-de-Velasco3
1Community Pharmacist in Adra, Natalio Rivas Street, 35, 04770 Adra, Almería, Spain.
The International journal of pharmacy practice
|October 11, 2025
概括
社区药房有效查慢性病 (CKD),使用肌素测试和膜过率 (GFR) 估计. 这些药房可以作为未来基于人口的CKD查计划的宝贵资源.
科学领域:
- 药理学和公共卫生
- 病学和临床诊断 临床诊断
背景情况:
- 慢性病 (CKD) 构成了全球健康的重大负担.
- 通过查及早检测对于管理CKD进展和相关并发症至关重要.
- 社区药房是公共卫生干预措施的可访问点.
研究的目的:
- 在社区药房设置中评估CKD查的可行性和结果.
- 评估肌素测量和估计的膜过率 (eGFR) 对风险人群中慢性病检测的有用性.
- 确定社区药房在识别需要进一步医疗评估CKD的患者方面的作用.
主要方法:
- 一项多中心观察性研究,涉及西班牙各地的141家社区药房.
- 药剂师邀请符合特定风险标准的患者 (没有先前的CKD诊断) 参与.
- 进行了临床创氨酸测试,并使用CKD-EPI公式计算eGFR,以确定潜在的CKD病例.
主要成果:
- 在被查的2116名患者中,有19.3%的CKD指标检测呈阳性 (eGFR<45mL/min/1.73m2).
- 很大一部分参与者 (24.7%最初,5.5%随访) 需要重复测试或没有再次参加.
- 总的来说,408名患者被确定为CKD阳性,并转诊给他们的全科医生 (GP).
结论:
- 社区药房可以成功实施CKD查计划.
- 检测率与其他医疗机构的检测率一致,验证了基于药房的查.
- 药房是未来全民CKD查策略的可行和可靠资源.
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