Adherence to the Kidney Disease: Improving Global Outcomes CKD Guideline in Nephrology Practice Across Countries

Authors

Bénédicte Stengel
Daniel Muenz
Charlotte Tu
Elodie Speyer
Natalia Alencar de Pinho
Christian Combe
Kunihiro Yamagata
Helmut Reichel
Danilo Fliser
Ziad A Massy
Antonio A Lopes
Michel Jadoul
Wolfgang C Winkelmayer
Ronald L Pisoni
Bruce M Robinson
Roberto Pecoits-Filho

Publication Date

2-1-2021

Journal

Kidney International Reports

DOI

10.1016/j.ekir.2020.11.039

PMID

33615069

PMCID

PMC7879121

PubMedCentral® Posted Date

12-17-2020

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

albuminuria, blood pressure control, chronic kidney disease, dietary advice, lifestyle, renin-angiotensin system inhibition

Abstract

INTRODUCTION: The uptake of the Kidney Disease: Improving Global Outcomes (KDIGO) 2012 chronic kidney disease (CKD) Guideline is not fully described in real-world nephrology practice across the world.

METHODS: We used baseline data from the CKD Outcomes and Practice Patterns Study (2013-2017), a 4-country cohort of patients with estimated glomerular filtration rate/min per 1.73 m

RESULTS: The mean age ranged from 65 years in Brazil to 72 years in Germany. Albuminuria (mostly proteinuria) was measured routinely in 36% to 43% of patients in Brazil, Germany, and the United States. Blood pressure control (≤140/90 mm Hg) ranged from 49% in France to 76% in Brazil;

CONCLUSION: Adherence to recommendations to slow CKD progression is low in typical practice settings, and substantial variation among countries for some indicates opportunities for improvement.

Comments

See editorial "Recent International Progress in Preventive Nephrology and the Road Less Traveled Ahead" on page 565.

Associated Data