Acute kidney disease and renal recovery: consensus report of the Acute Disease Quality Initiative (ADQI) 16 Workgroup
Acute kidney injury (AKI) and chronic kidney disease are increasingly recognized as interconnected entities and the term acute kidney disease (AKD) has been proposed to define ongoing pathophysiologic processes following an episode of AKI. In this Consensus statement, the Acute Disease Quality Initi...
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| Vydané v: | Nature reviews. Nephrology Ročník 13; číslo 4; s. 241 - 257 |
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| Hlavní autori: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
London
Nature Publishing Group UK
01.04.2017
Nature Publishing Group |
| Predmet: | |
| ISSN: | 1759-5061, 1759-507X, 1759-507X |
| On-line prístup: | Získať plný text |
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| Abstract | Acute kidney injury (AKI) and chronic kidney disease are increasingly recognized as interconnected entities and the term acute kidney disease (AKD) has been proposed to define ongoing pathophysiologic processes following an episode of AKI. In this Consensus statement, the Acute Disease Quality Initiative 16 Workgroup propose definitions and staging criteria for AKD, and strategies for the management of affected patients. They also make recommendations for areas of future research with the aims of improving understanding of the underlying processes and improving outcomes.
Consensus definitions have been reached for both acute kidney injury (AKI) and chronic kidney disease (CKD) and these definitions are now routinely used in research and clinical practice. The KDIGO guideline defines AKI as an abrupt decrease in kidney function occurring over 7 days or less, whereas CKD is defined by the persistence of kidney disease for a period of >90 days. AKI and CKD are increasingly recognized as related entities and in some instances probably represent a continuum of the disease process. For patients in whom pathophysiologic processes are ongoing, the term acute kidney disease (AKD) has been proposed to define the course of disease after AKI; however, definitions of AKD and strategies for the management of patients with AKD are not currently available. In this consensus statement, the Acute Disease Quality Initiative (ADQI) proposes definitions, staging criteria for AKD, and strategies for the management of affected patients. We also make recommendations for areas of future research, which aim to improve understanding of the underlying processes and improve outcomes for patients with AKD. |
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| AbstractList | Consensus definitions have been reached for both acute kidney injury (AKI) and chronic kidney disease (CKD) and these definitions are now routinely used in research and clinical practice. The KDIGO guideline defines AKI as an abrupt decrease in kidney function occurring over 7 days or less, whereas CKD is defined by the persistence of kidney disease for a period of >90 days. AKI and CKD are increasingly recognized as related entities and in some instances probably represent a continuum of the disease process. For patients in whom pathophysiologic processes are ongoing, the term acute kidney disease (AKD) has been proposed to define the course of disease after AKI; however, definitions of AKD and strategies for the management of patients with AKD are not currently available. In this consensus statement, the Acute Disease Quality Initiative (ADQI) proposes definitions, staging criteria for AKD, and strategies for the management of affected patients. We also make recommendations for areas of future research, which aim to improve understanding of the underlying processes and improve outcomes for patients with AKD. Consensus definitions have been reached for both acute kidney injury (AKI) and chronic kidney disease (CKD) and these definitions are now routinely used in research and clinical practice. The KDIGO guideline defines AKI as an abrupt decrease in kidney function occurring over 7 days or less, whereas CKD is defined by the persistence of kidney disease for a period of >90 days. AKI and CKD are increasingly recognized as related entities and in some instances probably represent a continuum of the disease process. For patients in whom pathophysiologic processes are ongoing, the term acute kidney disease (AKD) has been proposed to define the course of disease after AKI; however, definitions of AKD and strategies for the management of patients with AKD are not currently available. In this consensus statement, the Acute Disease Quality Initiative (ADQI) proposes definitions, staging criteria for AKD, and strategies for the management of affected patients. We also make recommendations for areas of future research, which aim to improve understanding of the underlying processes and improve outcomes for patients with AKD.Consensus definitions have been reached for both acute kidney injury (AKI) and chronic kidney disease (CKD) and these definitions are now routinely used in research and clinical practice. The KDIGO guideline defines AKI as an abrupt decrease in kidney function occurring over 7 days or less, whereas CKD is defined by the persistence of kidney disease for a period of >90 days. AKI and CKD are increasingly recognized as related entities and in some instances probably represent a continuum of the disease process. For patients in whom pathophysiologic processes are ongoing, the term acute kidney disease (AKD) has been proposed to define the course of disease after AKI; however, definitions of AKD and strategies for the management of patients with AKD are not currently available. In this consensus statement, the Acute Disease Quality Initiative (ADQI) proposes definitions, staging criteria for AKD, and strategies for the management of affected patients. We also make recommendations for areas of future research, which aim to improve understanding of the underlying processes and improve outcomes for patients with AKD. Consensus definitions have been reached for both acute kidney injury (AKI) and chronic kidney disease (CKD) and these definitions are now routinely used in research and clinical practice. The KDIGO guideline defines AKI as an abrupt decrease in kidney function occurring over 7 days or less, whereas CKD is defined by the persistence of kidney disease for a period of [greater than] 90 days. AKI and CKD are increasingly recognized as related entities and in some instances probably represent a continuum of the disease process. For patients in whom pathophysiologic processes are ongoing, the term acute kidney disease (AKD) has been proposed to define the course of disease after AKI; however, definitions of AKD and strategies for the management of patients with AKD are not currently available. In this consensus statement, the Acute Disease Quality Initiative (ADQI) proposes definitions, staging criteria for AKD, and strategies for the management of affected patients. We also make recommendations for areas of future research, which aim to improve understanding of the underlying processes and improve outcomes for patients with AKD. Acute kidney injury (AKI) and chronic kidney disease are increasingly recognized as interconnected entities and the term acute kidney disease (AKD) has been proposed to define ongoing pathophysiologic processes following an episode of AKI. In this Consensus statement, the Acute Disease Quality Initiative 16 Workgroup propose definitions and staging criteria for AKD, and strategies for the management of affected patients. They also make recommendations for areas of future research with the aims of improving understanding of the underlying processes and improving outcomes. Consensus definitions have been reached for both acute kidney injury (AKI) and chronic kidney disease (CKD) and these definitions are now routinely used in research and clinical practice. The KDIGO guideline defines AKI as an abrupt decrease in kidney function occurring over 7 days or less, whereas CKD is defined by the persistence of kidney disease for a period of >90 days. AKI and CKD are increasingly recognized as related entities and in some instances probably represent a continuum of the disease process. For patients in whom pathophysiologic processes are ongoing, the term acute kidney disease (AKD) has been proposed to define the course of disease after AKI; however, definitions of AKD and strategies for the management of patients with AKD are not currently available. In this consensus statement, the Acute Disease Quality Initiative (ADQI) proposes definitions, staging criteria for AKD, and strategies for the management of affected patients. We also make recommendations for areas of future research, which aim to improve understanding of the underlying processes and improve outcomes for patients with AKD. |
| Audience | Academic |
| Author | Fitzgerald, Robert L. Koyner, Jay Murray, Patrick Hoste, Eric Ronco, Claudio Kellum, John A. Wald, Ron Bihorac, Azra Bittleman, David Forni, Lui Siew, Edward D. Palevsky, Paul M. Endre, Zoltan Liu, Kathleen D. Zarbock, Alexander Rosner, Mitchell Bagshaw, Sean M. Kane-Gill, Sandra L. Goldstein, Stuart L. Ostermann, Marlies Cruz, Dinna Bellomo, Rinaldo Pannu, Neesh Mehta, Ravindra Nadim, Mitra Chawla, Lakhmir S. Macedo, Etienne |
| Author_xml | – sequence: 1 givenname: Lakhmir S. surname: Chawla fullname: Chawla, Lakhmir S. email: minkchawla@gmail.com organization: Department of Medicine, Veterans Affairs Medical Center – sequence: 2 givenname: Rinaldo surname: Bellomo fullname: Bellomo, Rinaldo organization: Australian and New Zealand Intensive Care Research Centre, Monash University – sequence: 3 givenname: Azra surname: Bihorac fullname: Bihorac, Azra organization: Department of Medicine, University of Florida – sequence: 4 givenname: Stuart L. surname: Goldstein fullname: Goldstein, Stuart L. organization: Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center – sequence: 5 givenname: Edward D. surname: Siew fullname: Siew, Edward D. organization: Division of Nephrology and Hypertension, Vanderbilt University School of Medicine – sequence: 6 givenname: Sean M. surname: Bagshaw fullname: Bagshaw, Sean M. organization: Division of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta – sequence: 7 givenname: David surname: Bittleman fullname: Bittleman, David organization: Department of Medicine, University of California – sequence: 8 givenname: Dinna surname: Cruz fullname: Cruz, Dinna organization: UCSD Medical Center, University of California – sequence: 9 givenname: Zoltan surname: Endre fullname: Endre, Zoltan organization: Department of Nephrology, Prince of Wales Hospital and Clinical School, University of New South Wales – sequence: 10 givenname: Robert L. surname: Fitzgerald fullname: Fitzgerald, Robert L. organization: Department of Medicine, University of California – sequence: 11 givenname: Lui surname: Forni fullname: Forni, Lui organization: Surrey County Hospital – sequence: 12 givenname: Sandra L. surname: Kane-Gill fullname: Kane-Gill, Sandra L. organization: University of Pittsburgh School of Pharmacy – sequence: 13 givenname: Eric surname: Hoste fullname: Hoste, Eric organization: Intensive Care Unit, Ghent University Hospital, Ghent University – sequence: 14 givenname: Jay surname: Koyner fullname: Koyner, Jay organization: Department of Medicine, University of Chicago – sequence: 15 givenname: Kathleen D. surname: Liu fullname: Liu, Kathleen D. organization: Divisions of Nephrology and Critical Care, Departments of Medicine and Anesthesia, University of California – sequence: 16 givenname: Etienne surname: Macedo fullname: Macedo, Etienne organization: UCSD Medical Center, University of California – sequence: 17 givenname: Ravindra surname: Mehta fullname: Mehta, Ravindra organization: UCSD Medical Center, University of California – sequence: 18 givenname: Patrick surname: Murray fullname: Murray, Patrick organization: UCD Health Sciences Centre, University College – sequence: 19 givenname: Mitra surname: Nadim fullname: Nadim, Mitra organization: Division of Nephrology, Department of Medicine, Keck School of Medicine, University of Southern California – sequence: 20 givenname: Marlies surname: Ostermann fullname: Ostermann, Marlies organization: Department of Intensive Care, Guy's & St Thomas' NHS Foundation Hospital – sequence: 21 givenname: Paul M. surname: Palevsky fullname: Palevsky, Paul M. organization: Renal Section, VA Pittsburgh Healthcare System, Renal–Electrolyte Division, University of Pittsburgh – sequence: 22 givenname: Neesh surname: Pannu fullname: Pannu, Neesh organization: Division of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta – sequence: 23 givenname: Mitchell surname: Rosner fullname: Rosner, Mitchell organization: Division of Nephrology, University of Virginia – sequence: 24 givenname: Ron surname: Wald fullname: Wald, Ron organization: Division of Nephrology, St. Michaels Hospital and the University of Toronto – sequence: 25 givenname: Alexander surname: Zarbock fullname: Zarbock, Alexander organization: University Hospital Münster – sequence: 26 givenname: Claudio surname: Ronco fullname: Ronco, Claudio organization: Department of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, International Renal Research Institute of Vicenza – sequence: 27 givenname: John A. surname: Kellum fullname: Kellum, John A. organization: Department of Critical Care Medicine, Center for Critical Care Nephrology, University of Pittsburgh |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28239173$$D View this record in MEDLINE/PubMed |
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| Snippet | Acute kidney injury (AKI) and chronic kidney disease are increasingly recognized as interconnected entities and the term acute kidney disease (AKD) has been... Consensus definitions have been reached for both acute kidney injury (AKI) and chronic kidney disease (CKD) and these definitions are now routinely used in... |
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| SubjectTerms | 692/4022/1585/104 692/4022/1585/4 692/700/1750 Acute Kidney Injury - diagnosis Acute Kidney Injury - therapy Care and treatment consensus-statement Development and progression Evaluation Humans Kidney diseases Medicine & Public Health Nephrology Practice guidelines (Medicine) Remission Induction Renal Insufficiency, Chronic - diagnosis Renal Insufficiency, Chronic - therapy |
| Title | Acute kidney disease and renal recovery: consensus report of the Acute Disease Quality Initiative (ADQI) 16 Workgroup |
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