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A Korean perspective on the 2019 Kidney Disease Outcomes Quality Initiative guidelines for vascular access: what has changed and what should be changed in practice?

Kidney Research and Clinical Practice 2021년 40권 1호 p.29 ~ 39
이형석, 김성균,
소속 상세정보
이형석 ( Lee Hyung-Seok ) - Hallym University Sacred Heart Hospital Department of Internal Medicine
김성균 ( Kim Sung-Gyun ) - Hallym University Sacred Heart Hospital Department of Internal Medicine

Abstract


The Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines are developed by the National Kidney Foundation in the United States; however, the guidelines have an impact on most international societies, including those in Korea. The KDOQI recently released the updated 2019 guidelines for vascular access based on numerous papers and controversies concerning vascular access since 2006, when the first guidelines were published. The new KDOQI guidelines have undergone significant changes compared to previous guidelines, including a change in the philosophy regarding a patient-centered approach using an end-stage kidney disease “Life-Plan.” In addition, there are newly developed or revised definitions and some key differences from previous guidelines. The process of adapting guidelines needs to be individualized to hemodialysis practice in each country, while agreeing with general principles and philosophy; therefore, we summarize changes in the updated guidelines and discuss the application and implementation of the new principles and concepts of the guidelines for vascular access care in Korea.

키워드

Arteriovenous fistula; Guideline; Kidney Disease Outcomes Quality Initiative; Renal dialysis

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