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Referral to sub-specialists: who have the most to gain from early specialist intervention among patients with markers of renal disease?

机译:转诊亚专家:谁最多的早期专业干预患者患有肾病标记的患者?

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Chronic kidney disease (CKD) is associated with various consequences to the cardiovascular system and metabolic profile. The classification into stages should be useful for the physician to anticipate and treat early the manifestations of this disease. We have reviewed the current evidence of the potential benefits from screening, monitoring and treating adult patients for CKD stages 1-3 to counter the progression of kidney damage towards end-stage renal disease. In particular, we advocate an integrated vision of kidney and cardiovascular diseases in clinical practice. A Medline/PubMed, Embase and Cochrane Library search from 2001 to 2013 was performed. All articles related to this topic were reviewed. The search strategy was limited to papers on adult patients in English and Italian. The resulting data was organized on the basis of the current guidelines (evidence-based medicine levels of evidence).
机译:慢性肾病(CKD)与心血管系统和代谢概况的各种后果有关。分类为阶段应该有用于医生预期和治疗这种疾病的表现。我们已审查目前从筛选,监测和治疗CKD阶段患者的潜在益处的现有证据1-3,以反对肾脏损伤对终末期肾病的进展。特别是,我们倡导临床实践中肾脏和心血管疾病的综合视野。从2001年到2013年的Medline / PubMed,Embase和Cochrane库搜索是在进行中进行的。审查了与本主题相关的所有文章。搜索策略仅限于英语和意大利人的成人患者的论文。由此产生的数据是根据当前指南(基于证据的证据水平)组织的。

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