SynthesisBMC nephrology2018
Diagnosis and management of non-dialysis chronic kidney disease in ambulatory care: a systematic review of clinical practice guidelines.
Synthesis in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Challenges and strategies for managing early-to-moderate chronic kidney disease in primary care: A systematic integrative review in high-income countries.The European journal of general practice · 2026Pooled it
- The Management of Chronic Kidney Disease not Requiring Renal Replacement Therapy in General Practice.Deutsches Arzteblatt international · 2025Guideline
- GERBEHRT: a BERT-based model tailored for German electronic health records - potential in chronic kidney disease prediction.BMC medical informatics and decision making · 2026Article
- Predictors of 30-day mortality in major lower limb amputations: insights from a five-year retrospective study in a South Asian LMIC.BMC surgery · 2025Article
- Integrative management of chronic kidney disease: A case study combining siddha and modern medicine.Bioinformation · 2025Article
- Initiatives to enhance referral patterns from primary care to specialist kidney care:a systematic review and meta-analysis.BMJ public health · 2025Article
- An updated systematic review of the risk factors for unplanned dialysis initiation.Clinical kidney journal · 2024Review
- General practitioners' representation of early-stage CKD is a barrier to adequate management and patient empowerment: a phenomenological study.Journal of nephrology · 2024Article
- Optimizing Care Delivery in Patients with Chronic Kidney Disease in the United States: Proceedings of a Multidisciplinary Roundtable Discussion and Literature Review.Journal of clinical medicine · 2024Review
- Cost-effectiveness of screening for chronic kidney disease using a cumulative eGFR-based statistic.PloS one · 2024Article
- Assessing the quality of CKD care using process quality indicators: A scoping review.PloS one · 2024Article
- Novel Approaches in Chronic Renal Failure without Renal Replacement Therapy: A Review.Biomedicines · 2023Review
- Association of Anemia with Clinical Symptoms Commonly Attributed to Anemia-Analysis of Two Population-Based Cohorts.Journal of clinical medicine · 2023Article
- Octogenarians with chronic kidney disease in the nephrology clinic: Progressors vs. non-progressors.Frontiers in nephrology · 2023Article
- Prevalence of chronic kidney disease and associated factors among patients with underlying chronic disease at Dessie Referral Hospital, East Amhara Region, Ethiopia.Frontiers in epidemiology · 2023Article
- Monitoring and management of chronic kidney disease in ambulatory care - analysis of clinical and claims data from a population-based study.BMC health services research · 2022Article
- Qualitative approach to better understand the trajectory of patients with early and moderate stage CKD.Clinical kidney journal · 2022Article
- Understanding International Variations in Kidney Failure Incidence and Initiation of Replacement Therapy.Kidney international reports · 2022Article
- Risk-based versus GFR threshold criteria for nephrology referral in chronic kidney disease.Clinical kidney journal · 2022Review
- Referral criteria for chronic kidney disease: implications for disease management and healthcare expenditure-analysis of a population-based sample.BMC nephrology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic kidney disease (CKD) is age-dependent and has a high prevalence in the general population. Most patients are managed in ambulatory care. This systematic review provides an updated overview of quality and content of international clinical practice guidelines for diagnosis and management of non-dialysis CKD relevant to patients in ambulatory care.
methodsWe identified guidelines published from 2012-to March 2018 in guideline portals, databases and by manual search. Methodological quality was assessed with the Appraisal of Guidelines for Research and Evaluation II instrument. Recommendations were extracted and evaluated.
resultsEight hundred fifty-two publications were identified, 9 of which were eligible guidelines. Methodological quality ranged from 34 to 77%, with domains "scope and purpose" and "clarity of presentation" attaining highest and "applicability" lowest scores. Guidelines were similar in recommendations on CKD definition, screening of patients with diabetes and hypertension, blood pressure targets and referral of patients with progressive or stage G4 CKD. Definition of high risk groups and recommended tests in newly diagnosed CKD varied.
conclusionsGuidelines quality ranged from moderate to high. Guidelines generally agreed on management of patients with high risk or advanced CKD, but varied in regarding the range of recommended measurements, the need for referrals to nephrology, monitoring intervals and comprehensiveness. More research is needed on efficient management of patients with low risk of CKD progression to end stage renal disease.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.