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Diagnóstico da Doença Renal Crónica em Adultos em Portugal

2025-02Artigo científico Acesso aberto
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dc.contributor.authorMalheiro, Jorge
dc.contributor.authorBirne, Rita
dc.contributor.authorBiscaia, André
dc.contributor.authorAlmeida, Edgar
dc.contributor.authorNobre, João
dc.contributor.authorCapela, Nuno
dc.contributor.authorAzinheira, Jorge
dc.contributor.authorNunes Oliveira, Jorge
dc.contributor.authorLebre, Luís
dc.contributor.authorCirne Carvalho, Manuel
dc.contributor.authorAlbuquerque, Margarida
dc.contributor.authorJosé De Sousa, Maria
dc.contributor.authorPaixão, Paulo
dc.contributor.authorPaixão, Paulo
dc.contributor.authorFreitas, Pedro
dc.contributor.authorRibeiro, Rita
dc.contributor.authorPinto, Rui
dc.contributor.authorRamalho, Célia
dc.contributor.authorCalçada, Eduardo
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblBiblioteca Nacional de Portugal, Centro de Estudos Históricos, CELOM
dc.date.accessioned2025-02-19T21:22:58Z
dc.date.available2025-02-19T21:22:58Z
dc.date.issued2025-02
dc.descriptionPublisher Copyright: Copyright © Ordem dos Médicos 2025.
dc.description.abstractChronic kidney disease represents a significant public health issue, affecting approximately 9.8% of the adult population in Portugal. Despite this figure, early diagnosis of this disease in high-risk groups remains limited. Although only two parameters are essential for its diagnosis – estimated glomerular filtration rate (eGFR) and albuminuria – in Portugal, over 50% of stage 3 - 5 patients have not undergone simultaneous assessment of eGFR and albuminuria. The insufficient implementation of the simultaneous assessment of these two metrics results in an inadequate evaluation of high-risk populations. A task force of 17 Portuguese experts from the main medical specialties involved in chronic kidney disease management (Nephrology and Family Medicine) and in Clinical Pathology/Laboratory Medicine (representatives of major national laboratories) convened to develop guidelines aimed at standardizing procedures for the prescribing, determination, reporting, and interpretation of diagnostic parameters (albuminuria and eGFR based on serum creatinine) in Portugal. This effort is based on clinical practice, scientific knowledge, and international recommendations. This national consensus among the key stakeholders in the chronic kidney disease screening and diagnosis process culminated in the development of four practical guidelines. These guidelines will enable the consistent provision of eGFR and albuminuria measurements, regardless of the attending physician’s medical specialty, the laboratory, or geographic location. Additionally, through this collective effort, experts want to raise awareness among national authorities to the need of developing new guidelines, based on scientific evidence and clinical practice, to address the underassessment of albuminuria and eGFR in this disease’s management.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent6
dc.format.extent487375
dc.identifier.doi10.20344/amp.22557
dc.identifier.issn0870-399X
dc.identifier.otherPURE: 110684688
dc.identifier.otherPURE UUID: d5accc7c-6a5b-43aa-b0a9-44b46f84bdaa
dc.identifier.otherScopus: 85217253504
dc.identifier.urihttp://hdl.handle.net/10362/179395
dc.identifier.urlhttps://www.scopus.com/pages/publications/85217253504
dc.language.isopor
dc.peerreviewedyes
dc.subjectAlbuminuria
dc.subjectChronic/diagnosis
dc.subjectGlomerular Filtration Rate
dc.subjectPortugal
dc.subjectRenal Insufficiency
dc.subjectGeneral Medicine
dc.subjectSDG 3 - Good Health and Well-being
dc.titleDiagnóstico da Doença Renal Crónica em Adultos em Portugalpt
dc.title.alternativeDiagnosis of Chronic Kidney Disease in Adults in PortugalPractical Recommendations from National Clinical and Laboratory Expertsen
dc.title.subtitleOrientações Práticas de Peritos Clínicos e Laboratoriais Nacionaispt
dc.typejournal article
degois.publication.firstPage119
degois.publication.issue2
degois.publication.lastPage124
degois.publication.titleActa Medica Portuguesa
degois.publication.volume38
dspace.entity.typePublication
person.familyNamePaixão
person.givenNamePaulo
person.identifier.orcid0000-0002-4294-0872
person.identifier.scopus-author-id6508103792
rcaap.rightsopenAccess
relation.isAuthorOfPublication05b765bd-f025-43ee-8cf5-2e54ceb007cb
relation.isAuthorOfPublication.latestForDiscovery05b765bd-f025-43ee-8cf5-2e54ceb007cb

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