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Priority topics for European multidisciplinary guidelines on the management of chronic kidney disease in older adults

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Abstract
PURPOSE: To identify and prioritize potential topics to be addressed in the development of European multidisciplinary guidelines on the management of chronic kidney disease stage 3b-5 in older patients. METHODS: We composed a list of 47 potential guideline topics by reviewing the literature, consulting online 461 nephrologists and 107 geriatricians, and obtaining expert input. A multidisciplinary panel of twelve experts then prioritized the topics during a face-to-face consensus meeting, following a nominal group technique structure with two voting rounds. Topics were rated on a 9-point scale ranging from 1 ('not at all important') to 9 ('critically important'). RESULTS: The highest rating (median; range) was assigned to 'Screening and referral' (8.5; 2.0). Eight topics shared the second highest rating with a median priority score of 8.0 (2.0) and included 'Starting dialysis or not' and 'Accurate assessment of renal function.' 'Targets for and treatment of diabetes' received the lowest rating with (3.0; 6.0). CONCLUSIONS: This joint initiative of the European Renal Association-European Dialysis Transplant Association (ERA-EDTA) and the European Union Geriatric Medicine Society (EUGMS) prioritized the development of guidance on interdisciplinary referral of older patients with chronic kidney disease stage 3b-5. Future guidance will therefore focus on identifying prognostic scores to predict death and progression to end-stage renal disease, as well as accurate tests for assessment of renal function in older kidney patients. This will contribute to more informed treatment decision making in this growing patient population.
Keywords
Aged, Aged, 80 and over, Renal insufficiency, chronic, Practice guidelines as topic, Consensus, CLINICAL-PRACTICE GUIDELINES, DIALYSIS PATIENTS, ELDERLY-PATIENTS, DECISION-MAKING, CARE

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Chicago
van der Veer, Sabine N, Wim Van Biesen, Pascale Bernaert, Davide Bolignano, Edwina A Brown, Adrian Covic, Ken Farrington, et al. 2016. “Priority Topics for European Multidisciplinary Guidelines on the Management of Chronic Kidney Disease in Older Adults.” International Urology and Nephrology 48 (6): 859–869.
APA
van der Veer, S. N., Van Biesen, W., Bernaert, P., Bolignano, D., Brown, E. A., Covic, A., Farrington, K., et al. (2016). Priority topics for European multidisciplinary guidelines on the management of chronic kidney disease in older adults. INTERNATIONAL UROLOGY AND NEPHROLOGY, 48(6), 859–869.
Vancouver
1.
van der Veer SN, Van Biesen W, Bernaert P, Bolignano D, Brown EA, Covic A, et al. Priority topics for European multidisciplinary guidelines on the management of chronic kidney disease in older adults. INTERNATIONAL UROLOGY AND NEPHROLOGY. 2016;48(6):859–69.
MLA
van der Veer, Sabine N, Wim Van Biesen, Pascale Bernaert, et al. “Priority Topics for European Multidisciplinary Guidelines on the Management of Chronic Kidney Disease in Older Adults.” INTERNATIONAL UROLOGY AND NEPHROLOGY 48.6 (2016): 859–869. Print.
@article{7184115,
  abstract     = {PURPOSE: To identify and prioritize potential topics to be addressed in the development of European multidisciplinary guidelines on the management of chronic kidney disease stage 3b-5 in older patients.
METHODS: We composed a list of 47 potential guideline topics by reviewing the literature, consulting online 461 nephrologists and 107 geriatricians, and obtaining expert input. A multidisciplinary panel of twelve experts then prioritized the topics during a face-to-face consensus meeting, following a nominal group technique structure with two voting rounds. Topics were rated on a 9-point scale ranging from 1 ('not at all important') to 9 ('critically important').
RESULTS: The highest rating (median; range) was assigned to 'Screening and referral' (8.5; 2.0). Eight topics shared the second highest rating with a median priority score of 8.0 (2.0) and included 'Starting dialysis or not' and 'Accurate assessment of renal function.' 'Targets for and treatment of diabetes' received the lowest rating with (3.0; 6.0).
CONCLUSIONS: This joint initiative of the European Renal Association-European Dialysis Transplant Association (ERA-EDTA) and the European Union Geriatric Medicine Society (EUGMS) prioritized the development of guidance on interdisciplinary referral of older patients with chronic kidney disease stage 3b-5. Future guidance will therefore focus on identifying prognostic scores to predict death and progression to end-stage renal disease, as well as accurate tests for assessment of renal function in older kidney patients. This will contribute to more informed treatment decision making in this growing patient population.},
  author       = { van der Veer, Sabine N and Van Biesen, Wim and Bernaert, Pascale and Bolignano, Davide and Brown, Edwina A and Covic, Adrian and Farrington, Ken and Jager, Kitty J and Kooman, Jeroen and Mac{\'i}as-N{\'u}{\~n}ez , Juan F and Mooney, Andrew and van Munster, Barbara C and Topinkova, Eva and Van Den Noortgate, Nele and Wirnsberger, Gerhard and Michel, Jean-Pierre and Nistor, Ionut},
  issn         = {0301-1623},
  journal      = {INTERNATIONAL UROLOGY AND NEPHROLOGY},
  keyword      = {Aged,Aged,80 and over,Renal insufficiency,chronic,Practice guidelines as topic,Consensus,CLINICAL-PRACTICE GUIDELINES,DIALYSIS PATIENTS,ELDERLY-PATIENTS,DECISION-MAKING,CARE},
  language     = {eng},
  number       = {6},
  pages        = {859--869},
  title        = {Priority topics for European multidisciplinary guidelines on the management of chronic kidney disease in older adults},
  url          = {http://dx.doi.org/10.1007/s11255-016-1257-4},
  volume       = {48},
  year         = {2016},
}

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