The CARI Guidelines – Caring for Australasians with Renal Impairment Prevention of Progression of Kidney Disease
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چکیده
Databases searched: Medline (1999 to November Week 2, 2003). MeSH terms for kidney disease were combined with MeSH terms and text words for alkali therapy and bicarbonates. The results were then combined with the Cochrane highly sensitive search strategy for randomised controlled trials and MeSH terms and text words for identifying meta-analyses and systematic reviews. The Cochrane Renal Group Specialised Register of Randomised Controlled Trials was also searched for relevant trials not indexed by Medline.
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The CARI Guidelines – Caring for Australasians with Renal Impairment Prevention of Progression of Kidney Disease
a. A small volume of evidence suggests that all patients with renal involvement from diabetes should restrict protein intake to 0.75 g/kg/day (WHO recommended minimum safe daily intake). The expected benefit is modest in comparison with the benefits of good blood pressure (BP) control and angiotensin converting enzyme inhibitor (ACEI) therapy. There is Level I evidence for Type 1 diabetes with ...
متن کاملThe CARI Guidelines – Caring for Australasians with Renal Impairment Biochemical and Haematological Targets
General comments in relation to bone mineral metabolism: • In Stage 5 kidney disease, serum phosphate, serum calcium, calcium x phosphate product and parathyroid hormone (PTH) level need to be considered simultaneously when assessing the bone mineral status of a patient: a combination of high calcium, high phosphate and low PTH level being associated with the worst outcome. (Level III evidence ...
متن کاملThe CARI Guidelines – Caring for Australasians with Renal Impairment Recipient Assessment for Transplantation
1. We recommend that obesity should not on its own preclude a patient from being considered for kidney transplantation (1B). 2. As a pre-transplant BMI (Body Mass Index) > 40 kg/m may not be associated with a survival advantage compared to remaining on dialysis, we suggest that the suitability for transplant be carefully assessed on an individual basis (2C). 3. As patient and graft survival of ...
متن کاملKHA-CARI Guidelines – Caring for Australasians with Renal Impairment
Catheter exit site/tunnel infections are a major cause of S. aureus peritonitis in peritoneal dialysis (PD) patients. Hence, the prevention of ESI and tunnel infection due to S. aureus is important. A number of studies have reported that the application of mupirocin ointment intranasally or to the catheter exit site prophylactically, reduces S. aureus ESI/tunnel infection and peritonitis when c...
متن کاملThe CARI Guidelines – Caring for Australasians with Renal Impairment Biochemical and Haematological Targets
• PTH levels determined using assays for iPTH and PTH(1-84) correlate closely. However, iPTH assays vary in their detection of C-terminal PTH fragments and values may differ between assays (Level lll evidence). PTH(1–84) assays that measure the full length polypeptide are reported to be more directly comparable. (Level lll evidence) For comparison of PTH values in multicentre clinical trials, t...
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