Diabetes Management in Chronic Kidney Disease: Synopsis of the 2020 KDIGO Clinical Practice Guideline
Year: 2020
Type: article
Abstract: DESCRIPTION: The Kidney Disease: Improving Global Outcomes (KDIGO) organization developed a clinical practice guideline in 2020 for the management of patients with diabetes and chronic kidney disease (CKD). METHODS: The KDIGO Work Group (WG) was tasked with developing the guideline for diabetes management in CKD. It defined the scope of the guideline, gathered evidence, determined systematic review topics, and graded evidence that had been summarized by an evidence review team. The English-language literature searches, which were initially done through October 2018, were updated in February 2020. The WG used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to appraise evidence and rate the strength of the recommendations. Expert judgment was used to develop consensus practice points supplementary to the evidence-based graded recommendations. The guideline document underwent open public review. Comments from various stakeholders, subject matter experts, and industry and national organizations were considered before the document was finalized. RECOMMENDATIONS: The guideline includes 12 recommendations and 48 practice points for clinicians caring for patients with diabetes and CKD. This synopsis focuses on the key recommendations pertinent to the following issues: comprehensive care needs, glycemic monitoring and targets, lifestyle interventions, antihyperglycemic therapies, and educational and integrated care approaches.
Source: Annals of Internal Medicine
DOI: 10.7326/m20-5938
Authors: Sankar D. Navaneethan, Sophia Zoungas, M. Luiza Caramori, Juliana C.N. Chan, Hiddo J.L. Heerspink, Clint Hurst, Adrian Liew, Erin D. Michos, Wasiu A. Olowu, Tami Sadusky, Nikhil Tandon, Katherine R. Tuttle, Christoph Wanner, Katy G. Wilkens, Lyubov Lytvyn, Jonathan C. Craig, David J. Tunnicliffe, Martin Howell, Marcello Tonelli, Michael Cheung, Amy Earley, Peter Rossing, Ian H. de Boer, Kamlesh Khunti
Institutions: Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Monash University, University of Minnesota, Chinese University of Hong Kong, University Medical Center Groningen, University of Groningen, Mount Elizabeth Novena Hospital, Johns Hopkins University, Obafemi Awolowo University Teaching Hospitals Complex, All India Institute of Medical Sciences, University of Washington, Universitätsklinikum Würzburg, Northwest Kidney Centers, McMaster University, Flinders University, The University of Sydney, University of Calgary, Kidney Disease: Improving Global Outcomes, University of Copenhagen, Steno Diabetes Center Copenhagen, University of Leicester, Leicester General Hospital
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: green
Funder: Steno Diabetes Center Copenhagen
Award: G6433152044
OpenAlex ID: W3099453602