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A Chinese Multi-Specialty Delphi Consensus to Optimize RAASi Usage and Hyperkalaemia Management in Patients with Chronic Kidney Disease and Heart Failure
- Affiliations：
1.Renal Division, Peking University First Hospital, Beijing 100034, China
2.Department of Nephrology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, China
3.Department of Nephrology, Capital Medical University, Beijing 100029, China
4.Department of Nephrology, Southeast University Zhongda Hospital, Nanjing 210009, China
5.Department of Nephrology, Shanghai Changzheng Hospital, Shanghai 200003, China
6.Department of Cardiology, Peking Union Medical College Hospital, Beijing 100730, China
7.Renal Division, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China
8.Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
- Author bio：
E-mail: mhzhao@bjmu.edu.cn.
- Funds：
DOI：10.24920/004327
CLC：Received：05 December 2023，
Accepted：2024-04-08，
Published Online：05 June 2024，
Published：30 June 2024
- Accepted：
Scan QR Code
Zhao Ming-Hui,Chen Wei,Cheng Hong,et al.A Chinese Multi-Specialty Delphi Consensus to Optimize RAASi Usage and Hyperkalaemia Management in Patients with Chronic Kidney Disease and Heart Failure[J].Chinese Medical Sciences Journal,2024,39(02):79-90.
Zhao Ming-Hui,Chen Wei,Cheng Hong,et al.A Chinese Multi-Specialty Delphi Consensus to Optimize RAASi Usage and Hyperkalaemia Management in Patients with Chronic Kidney Disease and Heart Failure[J].Chinese Medical Sciences Journal,2024,39(02):79-90. DOI： 10.24920/004327.
摘要
Abstract
Objective
2
Variations are present in common clinical practices regarding best practice in managing hyperkalaemia (HK)
there is therefore a need to establish a multi-specialty approach to optimal renin-angiotension-aldosterone system inhibitors (RAASi) usage and HK management in patients with chronic kidney disease (CKD) & heart failure (HF).This study aimed to establish a multi-speciality approach to the optimal use of RAASi and the management of HK in patients with CKD and HF.
Methods
2
A steering expert group of cardiology and nephrology experts across China were convened to discuss challenges to HK management through a nominal group technique. The group then created a list of 41 statements for a consensus questionnaire
which was distributed for a further survey in extended panel group of cardiologists and nephrologists across China. Consensus was assessed using a modified Delphi technique
with agreement defined as "strong" (≥75% and <90%) and "very strong" (≥90%). The steering group
data collection
and analysis were aided by an independent facilitator.
Results
2
A total of 150 responses from 21 provinces across China were recruited in the survey. Respondents were comprised of an even split (
n
=75
50%) between cardiologists and nephrologists. All 41 statements achieved the 75% consensus agreement threshold
of which 27 statements attained very strong consensus (≥90% agreement) and 14 attained strong consensus (agreement between 75% and 90%).
Conclusion
2
Based on the agreement levels from respondents
the steering group agreed a set of recommendations intended to improve patient outcomes in the use of RAASi therapy and HK management in China.
关键词
Keywords
references
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