Spanish Clinical Guidelines on Vascular Access for Haemodialysis.
Spanish Clinical Guidelines on Vascular Access for Haemodialysis.
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DOI：
10.1016/j.nefro.2017.11.004
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发表时间：
2017-11-01
期刊：
影响因子：
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通讯作者：
Barba, Angel
中科院分区：
文献类型：
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作者：
Ibeas, Jose;Roca-Tey, Ramon;Barba, Angel
血液透析的血管通路是肾脏患者的关键，这既是因为其相关的发病率和死亡率，也是因为它对生活质量的影响。从建立和维持血管通路到治疗其并发症，由于现有疾病的复杂性和所涉专科的多样性，这一过程在决策时是一项挑战。为了找到一种共同的方法，西班牙血管通路多学科小组(GEMAV)在Cochrane中心的方法学支持下，更新了2005年出版的血液透析血管通路指南。该小组包括来自五个科学学会(肾病学[S.E.N]、血管外科[SEACV]、血管和介入放射学[Seram-Servei]、传染病[SEIMC]和肾病护理[SEDEN])的专家。这些指南保持了类似的结构，即它们在不影响教育方面的情况下审查证据。然而，一方面，它们提供了遵循分级制度指导方针的方法学发展的最新情况，以便将这种对证据的系统审查转化为建议，以便于在常规临床实践中做出决策，另一方面，指导方针建立了质量指标，使监测医疗保健质量成为可能。
Vascular access for haemodialysis is key in renal patients both due to its associated morbidity and mortality and due to its impact on quality of life. The process, from the creation and maintenance of vascular access to the treatment of its complications, represents a challenge when it comes to decision-making, due to the complexity of the existing disease and the diversity of the specialities involved. With a view to finding a common approach, the Spanish Multidisciplinary Group on Vascular Access (GEMAV), which includes experts from the five scientific societies involved (nephrology [S.E.N.], vascular surgery [SEACV], vascular and interventional radiology [SERAM-SERVEI], infectious diseases [SEIMC] and nephrology nursing [SEDEN]), along with the methodological support of the Cochrane Center, has updated the Guidelines on Vascular Access for Haemodialysis, published in 2005. These guidelines maintain a similar structure, in that they review the evidence without compromising the educational aspects. However, on one hand, they provide an update to methodology development following the guidelines of the GRADE system in order to translate this systematic review of evidence into recommendations that facilitate decision-making in routine clinical practice, and, on the other hand, the guidelines establish quality indicators which make it possible to monitor the quality of healthcare.