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- Title
Artículo especial por el Día Mundial del Riñón: Las sociedades científicas españolas ante la guía ESC 2021 de prevención de la enfermedad vascular: generalizar la medida de la albuminuria para identificar el riesgo vascular y prevenir la enfermedad vascular
- Authors
Ortiz, Alberto; Quiroga, Borja; Díez, Javier; Escalada San Martín, Francisco Javier; Ramirez, Leblic; Pérez Maraver, Manuel; Martínez-Berganza Asensio, M. Lourdes; Arranz Arija, José Ángel; Alvarez-Ossorio Fernández, José Luis; Córdoba, Raúl; Brotons Muntó, Franscisco; Cancelo Hidalgo, María Jesús; Carles Reverter, Joan; Plasencia-Rodríguez, Chamaida; Carretera Gómeza, Juana; Guijarro, Carlos; Freijo Guerrero, M. del Mar; de Sequera, Patricia
- Abstract
The 2021 guidelines on the prevention of vascular disease (VD) in clinical practice published by the European Society of Cardiology (ESC) and supported by 13 other European scientific societies, recognise the key role of screening for chronic kidney disease (CKD) in the prevention of VD. Vascular risk in CKD is categorised based on measurements of estimated glomerular filtration rate (eGFR) and urine albumin to creatinine ratio (ACR). Thus, moderate CKD is associated with a high vascular risk and severe CKD with a very high vascular risk requiring therapeutic action, and there is no need to apply other vascular risk scores when vascular risk is already very high due to CKD. Moreover, the ESC indicates that vascular risk assessment and the subsequent decision algorithm should start with measurement of eGFR and ACR. To optimise the implementation of the ESC 2021 guidelines on the prevention of CVD in Spain, we consider that: 1) Urine testing for albuminuria using ACR should be part of the clinical routine at the same level as blood glucose, cholesterolaemia, and GFR estimation when these are used to make decisions on CVD risk. 2) Spanish public and private health services should have the necessary means and resources to optimally implement the ESC 2021 guidelines for the prevention of CVD in Spain, including ACR testing.
- Subjects
SPAIN; EUROPEAN Society of Cardiology; CHRONIC kidney failure; DISEASE risk factors; GLOMERULAR filtration rate; URINALYSIS; BLOOD sugar
- Publication
Nefrologia, 2023, Vol 43, Issue 2, p245
- ISSN
0211-6995
- Publication type
Article
- DOI
10.1016/j.nefro.2023.02.004