Developing the subspecialty of cardio-nephrology: The time has come. A position paper from the coordinating committee from the Working Group for Cardiorenal Medicine of the Spanish Society of Nephrology

Javier Díez; Juan F. Navarro-González; Alberto Ortiz; Rafael Santamaría; Patricia de Sequera

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Developing the subspecialty of cardio-nephrology: The time has come. A position paper from the coordinating committee from the Working Group for Cardiorenal Medicine of the Spanish Society of Nephrology

机译：开发心脏肾脏的亚特点：时间来了。来自西班牙肾病学会内科医学工作组协调委员会的职位论文

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Patients with the dual burden of chronic kidney disease (CKD) and cardiovascular disease (CVD) experience unacceptably high rates of morbidity and mortality, which also entail unfavorable effects on healthcare systems. Currently, concerted efforts to identify, prevent and treat CVD in CKD patients are lacking at the institutional level, with emphasis still being placed on individual specialty views on this topic. The authors of this position paper endorse the need for a dedicated interdisciplinary team of subspecialists in cardio-nephrology that manages appropriate clinical interventions across the inpatient and outpatient settings. There is a critical need for training programs, guidelines and best clinical practice models, and research funding from nephrology, cardiology and other professional societies, to support the development of the subspecialty of cardio-nephrology. This position paper from the coordinating committee from the Working Group for Cardiorenal Medicine of the Spanish Society of Nephrology (S.E.N.) is intended to be the starting point to develop the subspecialty of cardio-nephrology within the S.E.N.. The implementation of the subspecialty in day-to-day nephrological practice will help to diagnose, treat, and prevent CVD in CKD patients in a precise, clinically effective, and health cost-favorable manner.

机译：患有慢性肾病（CKD）和心血管疾病（CKD）的患者的经历不可接受的发病率和死亡率，这也对医疗保健系统产生了不利影响。目前，在CKD患者中识别，预防和治疗CVD的协调之一努力缺乏体制层面，重点仍处于对本课题的个人特色观点。该立场文件的作者赞同心脏 - 肾病专用跨学科团队，用于在住院患者和门诊环境中管理适当的临床干预。培训计划，准则和最佳临床实践模型以及从肾病，心脏病学等专业社会的研究资金，支持培训方案，指导方针和最佳临床实践模型，以支持心脏肾病的亚特点的发展。来自西班牙肾病学会（SEN）内科医学工作组的协调委员会的这个职位纸旨在成为在森中开发心脏肾脏的亚特点的起点。在白天的实施 - 迄今为止的肾脏实践将有助于在CKD患者中诊断，治疗和预防CKD患者中的CVD，临床有效和健康成本良好的方式。

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《Nefrologia》 |2021年第4期|共12页
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Javier Díez; Juan F. Navarro-González; Alberto Ortiz; Rafael Santamaría; Patricia de Sequera;
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Cardio-nephrologyCardiorenal medicineCardiovascular diseaseChronic kidney diseaseCardio-nefrologíaEnfermedad cardiovascularEnfermedad renal crónicaMedicina cardiorenal;

机译：心血管肾病血管血管脱落肾病肾脏肾病虫 - Nefrologíaenfermedadcardiovascularenfermedad肾CrónicausermAldinacandioRenal;

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1. Developing the subspecialty of cardio-nephrology: The time has come. A position paper from the coordinating committee from the Working Group for Cardiorenal Medicine of the Spanish Society of Nephrology [J] . Javier Díez, Juan F. Navarro-González, Alberto Ortiz, Nefrologia . 2021,第4期

机译：开发心脏肾脏的亚特点：时间来了。来自西班牙肾病学会内科医学工作组协调委员会的职位论文
2. Hemodialysis Vascular access maintenance in the Covid-19 pandemic: Positioning paper from the Interventional Nephrology Committee of the Brazilian Society of Nephrology [J] . Franco Ricardo Portiolli, Costa Ciro Bruno Silveira, Sousa Clayton Santos, Jornal Brasileiro de Nefrologia . 2020,第2期

机译：Covid-19大流行中的血液透析血管进入维护：巴西肾脏学会介入肾病委员会定位纸张
3. Management of hepatitis C virus infection in patients with chronic kidney disease: position statement of the joint committee of Italian association for the study of the liver (AISF), Italian society of internal medicine (SIMI), Italian society of infectious and tropical disease (SIMIT) and Italian society of nephrology (SIN) [J] . Minutolo Roberto, Aghemo Alessio, Chirianni Antonio, Infection . 2019,第1期

机译：慢性肾病患者丙型肝炎病毒感染的管理：意大利内科（SIMI）肝（AISF）研究肝（AISF）联合委员会的立场声明（SIMI），意大利传染病学会（SIMIT ）和意大利肾脏学会（SIN）
4. Hemodialysis Vascular access maintenance in the Covid-19 pandemic: Positioning paper from the Interventional Nephrology Committee of the Brazilian Society of Nephrology [O] . Ricardo Portiolli Franco, Ciro Bruno Silveira Costa, Clayton Santos Sousa, 2020

机译：Covid-19大流行中的血液透析血管进入维护：巴西肾脏学会介入肾病委员会定位纸张
5. ACC/AHA clinical competence statement on echocardiography11When citing this document, the American College of Cardiology, the American Heart Association, and the American College of Physicians–American Society of Internal Medicine would appreciate the following citation format: Quiñones MA, Douglas PS, Foster E, Gorcsan J, Lewis JF, Pearlman AS, Rychik J, Salcedo EE, Seward J, Stevenson JG, Thys DM, Weitz HH, and Zoghbi WA. ACC/AHA clinical competence statement on echocardiography: a report of the American College of Cardiology/American Heart Association/American College of Physicians–American Society of Internal Medicine Task Force on Clinical Competence (Committee on Echocardiography). J Am Coll Cardiol 2003;41:687–708.22This document was approved by the American College of Cardiology Board of Trustees in December 2002 and the American Heart Association Science Advisory and Coordinating Committee in November 2002.**Address for Reprints: This document is available on the Web sites of the American College of Cardiology (www.acc.org), the American Heart Association (www.americanheart.org), the American Society of Echocardiography (http://asecho.org), and the Society of Pediatric Echocardiography (www.sopeonline.com). Reprints of this document may be purchased for $5.00 each by calling 1-800-253-4636 or by writing to the American College of Cardiology, Resource Center, 9111 Old Georgetown Road, Bethesda, Maryland 20814-1699. A Report of the American College of Cardiology/American Heart Association/American College of Physicians–American Society of Internal Medicine Task Force on Clinical Competence Developed in Collaboration with the American Society of Echocardiography, the Society of Cardiovascular Anesthesiologists, and the Society of Pediatric Echocardiography [O] . Quiñones Miguel A, Douglas Pamela S, Foster Elyse, 2003

机译：ACC / AHA在超声心动图上的临床能力声明11引用该文件时，美国心脏病学会，美国心脏协会和美国内科医师学会–美国内科医师协会将赞赏以下引用格式：QuiñonesMA，Douglas PS，Foster E ，Gorcsan J，Lewis JF，Pearlman AS，Rychik J，Salcedo EE，Seward J，Stevenson JG，Thys DM，Weitz HH和Zoghbi WA。 ACC / AHA超声心动图的临床能力声明：美国心脏病学会/美国心脏协会/美国内科医师学会–美国内科医师学会临床能力特别工作组（超声心动图委员会）的报告。 J Am Coll Cardiol 2003； 41：687–708.22。该文件于2002年12月获得美国心脏病学会董事会的批准，并于2002年11月获得美国心脏协会科学咨询与协调委员会的批准。**转载地址：本文件为可在美国心脏病学院（www.acc.org），美国心脏协会（www.americanheart.org），美国超声心动图学会（http://asecho.org）和美国心脏病学会网站上找到儿科超声心动图（www.sopeonline.com）。致电1-800-253-4636或写信给美国心脏病学会资源中心，地址为9111 Old Georgetown Road，Bethesda，Maryland 20814-1699，可以每本5.00美元购买本文档的重印本。与美国超声心动图学会，心血管麻醉医师学会和小儿超声心动图学会合作建立的美国心脏病学会/美国心脏协会/美国内科医师学会-美国内科学学会临床能力特别工作组的报告

Developing the subspecialty of cardio-nephrology: The time has come. A position paper from the coordinating committee from the Working Group for Cardiorenal Medicine of the Spanish Society of Nephrology

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