Achievements in CKD-MBD guidelines targets: is there a progress in the implementation practice?

Background Guidelines should help the practicing nephrologists to reduce the variability in diagnostic and treatment strategies, and achieve the best possible patients’ outcomes. The aim of our study was to look at the treatment strategies and the shortcomings in the implementation of the chronic ki...

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Published in:International urology and nephrology 2012-12, Vol.44 (6), p.1791-1798
Main Authors: Spasovski, G., Zdravkovska, V., Zabzun, M., Antarorov, R., Ivanovski, K., Janakievska, P., Neskovski, J., Karceva-Sarajlia, E., Panova, B., Petrovska, T., Zulbeari, L., Masin-Spasovska, J., Taleska-Matovska, N., Gelev, S.
Format: Article
Language:English
Subjects:
Bone Diseases, Metabolic - complications
Bone Diseases, Metabolic - therapy
Female
Guideline Adherence - utilization
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Minerals - metabolism
Nephrology
Nephrology - Original Paper
Renal Dialysis
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - therapy
Retrospective Studies
Urology
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Summary:Background Guidelines should help the practicing nephrologists to reduce the variability in diagnostic and treatment strategies, and achieve the best possible patients’ outcomes. The aim of our study was to look at the treatment strategies and the shortcomings in the implementation of the chronic kidney disease mineral and bone disorder (CKD-MBD) KDOQI guidelines in dialysis units across the Republic of Macedonia in 2009, and to analyze trends with regard to our previous analysis from 2005. Methods A questionnaire was sent in 2009 to all dialysis units in our country for data concerning CKD-MBD in dialysis patients. This study included 742 patients, comparable with the reply we got on the same our 2005 survey, with a total of 588 patients. We collected the last 6 months mean values of biochemical parameters [calcium (Ca), phosphate (P), and intact parathyroid hormone (iPTH)], as well as treatment data including dialysate Ca concentration, phosphate binding agents, and vitamin D doses. Results The majority of patients in both surveys had values within the target ranges for all parameters, except for iPTH, which was
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-011-0092-x