Controversial issues in CKD clinical practice: position statement of the CKD-treatment working group of the Italian Society of Nephrology
This position paper of the study group “Conservative treatment of Chronic Kidney Disease—CKD” of the Italian Society of Nephrology addresses major practical, unresolved, issues related to the conservative treatment of chronic renal disease. Specifically, controversial topics from everyday clinical n...
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| Veröffentlicht in: | Journal of nephrology 2017-04, Vol.30 (2), p.159-170 |
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| container_title | Journal of nephrology |
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| creator | Bellizzi, Vincenzo Conte, Giuseppe Borrelli, Silvio Cupisti, Adamasco De Nicola, Luca Di Iorio, Biagio R. Cabiddu, Gianfranca Mandreoli, Marcora Paoletti, Ernesto Piccoli, Giorgina B. Quintaliani, Giuseppe Ravera, Maura Santoro, Domenico Torraca, Serena Minutolo, Roberto |
| description | This position paper of the study group “Conservative treatment of Chronic Kidney Disease—CKD” of the Italian Society of Nephrology addresses major practical, unresolved, issues related to the conservative treatment of chronic renal disease. Specifically, controversial topics from everyday clinical nephrology practice which cannot find a clear, definitive answer in the current literature or in nephrology guidelines are discussed. The paper reports the point of view of the study group. Concise and practical advice is given on several common issues: renal biopsy in diabetes; dual blockade of the renin–angiotensin–aldosterone system (RAAS); management of iron deficiency; low protein diet; dietary salt intake; bicarbonate supplementation; treatment of obesity; the choice of conservative therapy vs. dialysis. For each topic synthetic statements, guideline-style, are reported. |
| doi_str_mv | 10.1007/s40620-016-0338-x |
| format | Article |
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Specifically, controversial topics from everyday clinical nephrology practice which cannot find a clear, definitive answer in the current literature or in nephrology guidelines are discussed. The paper reports the point of view of the study group. Concise and practical advice is given on several common issues: renal biopsy in diabetes; dual blockade of the renin–angiotensin–aldosterone system (RAAS); management of iron deficiency; low protein diet; dietary salt intake; bicarbonate supplementation; treatment of obesity; the choice of conservative therapy vs. dialysis. For each topic synthetic statements, guideline-style, are reported.</description><identifier>ISSN: 1121-8428</identifier><identifier>EISSN: 1724-6059</identifier><identifier>DOI: 10.1007/s40620-016-0338-x</identifier><identifier>PMID: 27568307</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Angiotensin Receptor Antagonists - therapeutic use ; Angiotensin-Converting Enzyme Inhibitors - therapeutic use ; Biopsy - standards ; Diabetic Nephropathies - diagnosis ; Diabetic Nephropathies - epidemiology ; Diet, Protein-Restricted ; Diet, Sodium-Restricted ; Evidence-Based Medicine - standards ; Humans ; Iron - deficiency ; Kidney - drug effects ; Kidney - pathology ; Kidney - physiopathology ; Medicine ; Medicine & Public Health ; Nephrology ; Nephrology - standards ; Obesity - epidemiology ; Obesity - therapy ; Position papers and Guidelines ; Predictive Value of Tests ; Renal Dialysis - standards ; Renal Insufficiency, Chronic - diagnosis ; Renal Insufficiency, Chronic - epidemiology ; Renal Insufficiency, Chronic - physiopathology ; Renal Insufficiency, Chronic - therapy ; Renin-Angiotensin System - drug effects ; Risk Factors ; Sodium Chloride, Dietary - adverse effects ; Urology</subject><ispartof>Journal of nephrology, 2017-04, Vol.30 (2), p.159-170</ispartof><rights>Italian Society of Nephrology 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-6267d6eb0397d39c6dcc335b3314f619c58f2e42544021cf35291085007d4cd23</citedby><cites>FETCH-LOGICAL-c344t-6267d6eb0397d39c6dcc335b3314f619c58f2e42544021cf35291085007d4cd23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40620-016-0338-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40620-016-0338-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27568307$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bellizzi, Vincenzo</creatorcontrib><creatorcontrib>Conte, Giuseppe</creatorcontrib><creatorcontrib>Borrelli, Silvio</creatorcontrib><creatorcontrib>Cupisti, Adamasco</creatorcontrib><creatorcontrib>De Nicola, Luca</creatorcontrib><creatorcontrib>Di Iorio, Biagio R.</creatorcontrib><creatorcontrib>Cabiddu, Gianfranca</creatorcontrib><creatorcontrib>Mandreoli, Marcora</creatorcontrib><creatorcontrib>Paoletti, Ernesto</creatorcontrib><creatorcontrib>Piccoli, Giorgina B.</creatorcontrib><creatorcontrib>Quintaliani, Giuseppe</creatorcontrib><creatorcontrib>Ravera, Maura</creatorcontrib><creatorcontrib>Santoro, Domenico</creatorcontrib><creatorcontrib>Torraca, Serena</creatorcontrib><creatorcontrib>Minutolo, Roberto</creatorcontrib><creatorcontrib>“Conservative Treatment of CKD” Study Group of the Italian Society of Nephrology</creatorcontrib><creatorcontrib>On behalf of the “Conservative Treatment of CKD” Study Group of the Italian Society of Nephrology</creatorcontrib><title>Controversial issues in CKD clinical practice: position statement of the CKD-treatment working group of the Italian Society of Nephrology</title><title>Journal of nephrology</title><addtitle>J Nephrol</addtitle><addtitle>J Nephrol</addtitle><description>This position paper of the study group “Conservative treatment of Chronic Kidney Disease—CKD” of the Italian Society of Nephrology addresses major practical, unresolved, issues related to the conservative treatment of chronic renal disease. Specifically, controversial topics from everyday clinical nephrology practice which cannot find a clear, definitive answer in the current literature or in nephrology guidelines are discussed. The paper reports the point of view of the study group. Concise and practical advice is given on several common issues: renal biopsy in diabetes; dual blockade of the renin–angiotensin–aldosterone system (RAAS); management of iron deficiency; low protein diet; dietary salt intake; bicarbonate supplementation; treatment of obesity; the choice of conservative therapy vs. dialysis. For each topic synthetic statements, guideline-style, are reported.</description><subject>Angiotensin Receptor Antagonists - therapeutic use</subject><subject>Angiotensin-Converting Enzyme Inhibitors - therapeutic use</subject><subject>Biopsy - standards</subject><subject>Diabetic Nephropathies - diagnosis</subject><subject>Diabetic Nephropathies - epidemiology</subject><subject>Diet, Protein-Restricted</subject><subject>Diet, Sodium-Restricted</subject><subject>Evidence-Based Medicine - standards</subject><subject>Humans</subject><subject>Iron - deficiency</subject><subject>Kidney - drug effects</subject><subject>Kidney - pathology</subject><subject>Kidney - physiopathology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrology</subject><subject>Nephrology - standards</subject><subject>Obesity - epidemiology</subject><subject>Obesity - therapy</subject><subject>Position papers and Guidelines</subject><subject>Predictive Value of Tests</subject><subject>Renal Dialysis - standards</subject><subject>Renal Insufficiency, Chronic - diagnosis</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Renal Insufficiency, Chronic - therapy</subject><subject>Renin-Angiotensin System - drug effects</subject><subject>Risk Factors</subject><subject>Sodium Chloride, Dietary - adverse effects</subject><subject>Urology</subject><issn>1121-8428</issn><issn>1724-6059</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1uFDEQhC1ERH7gAbggH7kY_O8ZbmhJSEQEB-BseT09G4dZe7A9kH0E3hovm-TIyVb1VyV1F0IvGX3DKDVvi6SaU0KZJlSIjtw9QSfMcEk0Vf3T9meckU7y7hidlnJLKVeKy2fomBulO0HNCfqzSrHm9AtyCW7CoZQFCg4Rrz59wH4KMfgmz9n5Gjy8w3MqoYYUcamuwhZixWnE9Qb2BlIzuPpP_J3yjxA3eJPTMj8gV9VNwUX8NfkAdbeXP8N8k9OUNrvn6Gh0U4EX9-8Z-n5x_m11Sa6_fLxavb8mXkhZiebaDBrWVPRmEL3Xg_dCqLUQTI6a9V51IwfJlZSUMz8KxXtGO9XuNUg_cHGGXh9y55x-tmWr3YbiYZpchLQUyzrVG2aMUg1lB9TnVEqG0c45bF3eWUbtvgF7aMC2Buy-AXvXPK_u45f1FoZHx8PJG8APQGmjuIFsb9OSY1v5P6l_AfEhkow</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Bellizzi, Vincenzo</creator><creator>Conte, Giuseppe</creator><creator>Borrelli, Silvio</creator><creator>Cupisti, Adamasco</creator><creator>De Nicola, Luca</creator><creator>Di Iorio, Biagio R.</creator><creator>Cabiddu, Gianfranca</creator><creator>Mandreoli, Marcora</creator><creator>Paoletti, Ernesto</creator><creator>Piccoli, Giorgina B.</creator><creator>Quintaliani, Giuseppe</creator><creator>Ravera, Maura</creator><creator>Santoro, Domenico</creator><creator>Torraca, Serena</creator><creator>Minutolo, Roberto</creator><general>Springer International Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Controversial issues in CKD clinical practice: position statement of the CKD-treatment working group of the Italian Society of Nephrology</title><author>Bellizzi, Vincenzo ; Conte, Giuseppe ; Borrelli, Silvio ; Cupisti, Adamasco ; De Nicola, Luca ; Di Iorio, Biagio R. ; Cabiddu, Gianfranca ; Mandreoli, Marcora ; Paoletti, Ernesto ; Piccoli, Giorgina B. ; Quintaliani, Giuseppe ; Ravera, Maura ; Santoro, Domenico ; Torraca, Serena ; Minutolo, Roberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-6267d6eb0397d39c6dcc335b3314f619c58f2e42544021cf35291085007d4cd23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Angiotensin Receptor Antagonists - therapeutic use</topic><topic>Angiotensin-Converting Enzyme Inhibitors - therapeutic use</topic><topic>Biopsy - standards</topic><topic>Diabetic Nephropathies - diagnosis</topic><topic>Diabetic Nephropathies - epidemiology</topic><topic>Diet, Protein-Restricted</topic><topic>Diet, Sodium-Restricted</topic><topic>Evidence-Based Medicine - standards</topic><topic>Humans</topic><topic>Iron - deficiency</topic><topic>Kidney - drug effects</topic><topic>Kidney - pathology</topic><topic>Kidney - physiopathology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephrology</topic><topic>Nephrology - standards</topic><topic>Obesity - epidemiology</topic><topic>Obesity - therapy</topic><topic>Position papers and Guidelines</topic><topic>Predictive Value of Tests</topic><topic>Renal Dialysis - standards</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Renal Insufficiency, Chronic - therapy</topic><topic>Renin-Angiotensin System - drug effects</topic><topic>Risk Factors</topic><topic>Sodium Chloride, Dietary - adverse effects</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bellizzi, Vincenzo</creatorcontrib><creatorcontrib>Conte, Giuseppe</creatorcontrib><creatorcontrib>Borrelli, Silvio</creatorcontrib><creatorcontrib>Cupisti, Adamasco</creatorcontrib><creatorcontrib>De Nicola, Luca</creatorcontrib><creatorcontrib>Di Iorio, Biagio R.</creatorcontrib><creatorcontrib>Cabiddu, Gianfranca</creatorcontrib><creatorcontrib>Mandreoli, Marcora</creatorcontrib><creatorcontrib>Paoletti, Ernesto</creatorcontrib><creatorcontrib>Piccoli, Giorgina B.</creatorcontrib><creatorcontrib>Quintaliani, Giuseppe</creatorcontrib><creatorcontrib>Ravera, Maura</creatorcontrib><creatorcontrib>Santoro, Domenico</creatorcontrib><creatorcontrib>Torraca, Serena</creatorcontrib><creatorcontrib>Minutolo, Roberto</creatorcontrib><creatorcontrib>“Conservative Treatment of CKD” Study Group of the Italian Society of Nephrology</creatorcontrib><creatorcontrib>On behalf of the “Conservative Treatment of CKD” Study Group of the Italian Society of Nephrology</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bellizzi, Vincenzo</au><au>Conte, Giuseppe</au><au>Borrelli, Silvio</au><au>Cupisti, Adamasco</au><au>De Nicola, Luca</au><au>Di Iorio, Biagio R.</au><au>Cabiddu, Gianfranca</au><au>Mandreoli, Marcora</au><au>Paoletti, Ernesto</au><au>Piccoli, Giorgina B.</au><au>Quintaliani, Giuseppe</au><au>Ravera, Maura</au><au>Santoro, Domenico</au><au>Torraca, Serena</au><au>Minutolo, Roberto</au><aucorp>“Conservative Treatment of CKD” Study Group of the Italian Society of Nephrology</aucorp><aucorp>On behalf of the “Conservative Treatment of CKD” Study Group of the Italian Society of Nephrology</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Controversial issues in CKD clinical practice: position statement of the CKD-treatment working group of the Italian Society of Nephrology</atitle><jtitle>Journal of nephrology</jtitle><stitle>J Nephrol</stitle><addtitle>J Nephrol</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>30</volume><issue>2</issue><spage>159</spage><epage>170</epage><pages>159-170</pages><issn>1121-8428</issn><eissn>1724-6059</eissn><abstract>This position paper of the study group “Conservative treatment of Chronic Kidney Disease—CKD” of the Italian Society of Nephrology addresses major practical, unresolved, issues related to the conservative treatment of chronic renal disease. Specifically, controversial topics from everyday clinical nephrology practice which cannot find a clear, definitive answer in the current literature or in nephrology guidelines are discussed. The paper reports the point of view of the study group. Concise and practical advice is given on several common issues: renal biopsy in diabetes; dual blockade of the renin–angiotensin–aldosterone system (RAAS); management of iron deficiency; low protein diet; dietary salt intake; bicarbonate supplementation; treatment of obesity; the choice of conservative therapy vs. dialysis. For each topic synthetic statements, guideline-style, are reported.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>27568307</pmid><doi>10.1007/s40620-016-0338-x</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1121-8428 |
| ispartof | Journal of nephrology, 2017-04, Vol.30 (2), p.159-170 |
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| language | eng |
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| subjects | Angiotensin Receptor Antagonists - therapeutic use Angiotensin-Converting Enzyme Inhibitors - therapeutic use Biopsy - standards Diabetic Nephropathies - diagnosis Diabetic Nephropathies - epidemiology Diet, Protein-Restricted Diet, Sodium-Restricted Evidence-Based Medicine - standards Humans Iron - deficiency Kidney - drug effects Kidney - pathology Kidney - physiopathology Medicine Medicine & Public Health Nephrology Nephrology - standards Obesity - epidemiology Obesity - therapy Position papers and Guidelines Predictive Value of Tests Renal Dialysis - standards Renal Insufficiency, Chronic - diagnosis Renal Insufficiency, Chronic - epidemiology Renal Insufficiency, Chronic - physiopathology Renal Insufficiency, Chronic - therapy Renin-Angiotensin System - drug effects Risk Factors Sodium Chloride, Dietary - adverse effects Urology |
| title | Controversial issues in CKD clinical practice: position statement of the CKD-treatment working group of the Italian Society of Nephrology |
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