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Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference
Blood pressure (BP) and volume control are critical components of dialysis care and have substantial impacts on patient symptoms, quality of life, and cardiovascular complications. Yet, developing consensus best practices for BP and volume control have been challenging, given the absence of objectiv...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215236/ https://www.ncbi.nlm.nih.gov/pubmed/32278617 http://dx.doi.org/10.1016/j.kint.2020.01.046 |
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author | Flythe, Jennifer E. Chang, Tara I. Gallagher, Martin P. Lindley, Elizabeth Madero, Magdalena Sarafidis, Pantelis A. Unruh, Mark L. Wang, Angela Yee-Moon Weiner, Daniel E. Cheung, Michael Jadoul, Michel Winkelmayer, Wolfgang C. Polkinghorne, Kevan R. |
author_facet | Flythe, Jennifer E. Chang, Tara I. Gallagher, Martin P. Lindley, Elizabeth Madero, Magdalena Sarafidis, Pantelis A. Unruh, Mark L. Wang, Angela Yee-Moon Weiner, Daniel E. Cheung, Michael Jadoul, Michel Winkelmayer, Wolfgang C. Polkinghorne, Kevan R. |
author_sort | Flythe, Jennifer E. |
collection | PubMed |
description | Blood pressure (BP) and volume control are critical components of dialysis care and have substantial impacts on patient symptoms, quality of life, and cardiovascular complications. Yet, developing consensus best practices for BP and volume control have been challenging, given the absence of objective measures of extracellular volume status and the lack of high-quality evidence for many therapeutic interventions. In February of 2019, Kidney Disease: Improving Global Outcomes (KDIGO) held a Controversies Conference titled Blood Pressure and Volume Management in Dialysis to assess the current state of knowledge related to BP and volume management and identify opportunities to improve clinical and patient-reported outcomes among individuals receiving maintenance dialysis. Four major topics were addressed: BP measurement, BP targets, and pharmacologic management of suboptimal BP; dialysis prescriptions as they relate to BP and volume; extracellular volume assessment and management with a focus on technology-based solutions; and volume-related patient symptoms and experiences.The overarching theme resulting from presentations and discussions was that managing BP and volume in dialysis involves weighing multiple clinical factors and risk considerations as well as patient lifestyle and preferences, all within a narrow therapeutic window for avoiding acute or chronic volume-related complications. Striking this challenging balance requires individualizing the dialysis prescription by incorporating comorbid health conditions, treatment hemodynamic patterns, clinical judgment, and patient preferences into decision-making, all within local resource constraints. |
format | Online Article Text |
id | pubmed-7215236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
record_format | MEDLINE/PubMed |
spelling | pubmed-72152362021-05-01 Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference Flythe, Jennifer E. Chang, Tara I. Gallagher, Martin P. Lindley, Elizabeth Madero, Magdalena Sarafidis, Pantelis A. Unruh, Mark L. Wang, Angela Yee-Moon Weiner, Daniel E. Cheung, Michael Jadoul, Michel Winkelmayer, Wolfgang C. Polkinghorne, Kevan R. Kidney Int Article Blood pressure (BP) and volume control are critical components of dialysis care and have substantial impacts on patient symptoms, quality of life, and cardiovascular complications. Yet, developing consensus best practices for BP and volume control have been challenging, given the absence of objective measures of extracellular volume status and the lack of high-quality evidence for many therapeutic interventions. In February of 2019, Kidney Disease: Improving Global Outcomes (KDIGO) held a Controversies Conference titled Blood Pressure and Volume Management in Dialysis to assess the current state of knowledge related to BP and volume management and identify opportunities to improve clinical and patient-reported outcomes among individuals receiving maintenance dialysis. Four major topics were addressed: BP measurement, BP targets, and pharmacologic management of suboptimal BP; dialysis prescriptions as they relate to BP and volume; extracellular volume assessment and management with a focus on technology-based solutions; and volume-related patient symptoms and experiences.The overarching theme resulting from presentations and discussions was that managing BP and volume in dialysis involves weighing multiple clinical factors and risk considerations as well as patient lifestyle and preferences, all within a narrow therapeutic window for avoiding acute or chronic volume-related complications. Striking this challenging balance requires individualizing the dialysis prescription by incorporating comorbid health conditions, treatment hemodynamic patterns, clinical judgment, and patient preferences into decision-making, all within local resource constraints. 2020-03-08 2020-05 /pmc/articles/PMC7215236/ /pubmed/32278617 http://dx.doi.org/10.1016/j.kint.2020.01.046 Text en This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Flythe, Jennifer E. Chang, Tara I. Gallagher, Martin P. Lindley, Elizabeth Madero, Magdalena Sarafidis, Pantelis A. Unruh, Mark L. Wang, Angela Yee-Moon Weiner, Daniel E. Cheung, Michael Jadoul, Michel Winkelmayer, Wolfgang C. Polkinghorne, Kevan R. Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference |
title | Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference |
title_full | Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference |
title_fullStr | Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference |
title_full_unstemmed | Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference |
title_short | Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference |
title_sort | blood pressure and volume management in dialysis: conclusions from a kidney disease: improving global outcomes (kdigo) controversies conference |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215236/ https://www.ncbi.nlm.nih.gov/pubmed/32278617 http://dx.doi.org/10.1016/j.kint.2020.01.046 |
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