2017 Kidney Disease: Improving Global Outcomes (KDIGO) Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) Guideline Update Implementation: Asia Summit Conference Report

Angela Yee Moon Wang, Tadao Akizawa, Sunita Bavanandan, Takayuki Hamano, Adrian Liew, Kuo Cheng Lu, Dusit Lumlertgul, Kook Hwan Oh, Ming Hui Zhao, Samuel Ka-Shun Fung, Yoshitsugu Obi, Keiichi Sumida, Lina Hui Lin Choong, Bak Leong Goh, Chuan Ming Hao, Young Joo Kwon, Der Cherng Tarng, Li Zuo, David C. Wheeler, Yusuke TsukamotoMasafumi Fukagawa

Research output: Contribution to journalArticle

Abstract

The Kidney Disease: Improving Global Outcomes (KDIGO) Clinical Practice Guideline on Chronic Kidney Disease–Mineral and Bone Disorder (CKD–MBD) 2009 provided recommendations on the detection, evaluation, and treatment of CKD-MBD in patients CKD who are and are not undergoing dialysis. Because of the accumulation of evidence since this initial publication, the CKD-MBD Guideline underwent a selective update in 2017. In April 2018, KDIGO convened a CKD-MBD Guideline Implementation Summit in Japan with the key objective to discuss various barriers to the uptake and implementation of the CKD-MBD Guideline in 8 Asian countries/regions. These countries/regions were comparable according to their high-to-middle economic ranking assigned by the World Bank. The discussion took into account the availability of CKD-MBD medication therapies and government health policies that may influence reimbursement and practice patterns in the region. Most importantly, Summit participants developed a framework of multifaceted strategies aimed at overcoming barriers to guideline implementation. The Summit attendees suggested a shared decision-making approach between clinicians and patients in CKD-MBD management, as well as individualized care based on the treatment risk-benefit ratio. The Summit participants also discussed how KDIGO, as a guideline development organization, may work in partnership with local and national nephrology societies to provide education and facilitate implementation of the guideline by clinicians. The conclusions drawn from this Summit in Asia may serve as an important guide for other regions to follow.

Original languageEnglish
Pages (from-to)1523-1537
Number of pages15
JournalKidney International Reports
Volume4
Issue number11
DOIs
StatePublished - Nov 2019

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Kidney Diseases
Guidelines
Kidney
Bone and Bones
Nephrology
United Nations
Health Policy
Practice Guidelines
Publications
Dialysis
Decision Making
Japan
Therapeutics
Odds Ratio
Economics
Organizations
Education

Keywords

  • CKD
  • KDIGO CKD-MBD Guideline
  • bone mineral density
  • calcium
  • dialysis
  • hyperparathyroidism
  • hyperphosphatemia

Cite this

Wang, Angela Yee Moon ; Akizawa, Tadao ; Bavanandan, Sunita ; Hamano, Takayuki ; Liew, Adrian ; Lu, Kuo Cheng ; Lumlertgul, Dusit ; Oh, Kook Hwan ; Zhao, Ming Hui ; Ka-Shun Fung, Samuel ; Obi, Yoshitsugu ; Sumida, Keiichi ; Choong, Lina Hui Lin ; Goh, Bak Leong ; Hao, Chuan Ming ; Kwon, Young Joo ; Tarng, Der Cherng ; Zuo, Li ; Wheeler, David C. ; Tsukamoto, Yusuke ; Fukagawa, Masafumi. / 2017 Kidney Disease : Improving Global Outcomes (KDIGO) Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) Guideline Update Implementation: Asia Summit Conference Report. In: Kidney International Reports. 2019 ; Vol. 4, No. 11. pp. 1523-1537.
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abstract = "The Kidney Disease: Improving Global Outcomes (KDIGO) Clinical Practice Guideline on Chronic Kidney Disease–Mineral and Bone Disorder (CKD–MBD) 2009 provided recommendations on the detection, evaluation, and treatment of CKD-MBD in patients CKD who are and are not undergoing dialysis. Because of the accumulation of evidence since this initial publication, the CKD-MBD Guideline underwent a selective update in 2017. In April 2018, KDIGO convened a CKD-MBD Guideline Implementation Summit in Japan with the key objective to discuss various barriers to the uptake and implementation of the CKD-MBD Guideline in 8 Asian countries/regions. These countries/regions were comparable according to their high-to-middle economic ranking assigned by the World Bank. The discussion took into account the availability of CKD-MBD medication therapies and government health policies that may influence reimbursement and practice patterns in the region. Most importantly, Summit participants developed a framework of multifaceted strategies aimed at overcoming barriers to guideline implementation. The Summit attendees suggested a shared decision-making approach between clinicians and patients in CKD-MBD management, as well as individualized care based on the treatment risk-benefit ratio. The Summit participants also discussed how KDIGO, as a guideline development organization, may work in partnership with local and national nephrology societies to provide education and facilitate implementation of the guideline by clinicians. The conclusions drawn from this Summit in Asia may serve as an important guide for other regions to follow.",
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author = "Wang, {Angela Yee Moon} and Tadao Akizawa and Sunita Bavanandan and Takayuki Hamano and Adrian Liew and Lu, {Kuo Cheng} and Dusit Lumlertgul and Oh, {Kook Hwan} and Zhao, {Ming Hui} and {Ka-Shun Fung}, Samuel and Yoshitsugu Obi and Keiichi Sumida and Choong, {Lina Hui Lin} and Goh, {Bak Leong} and Hao, {Chuan Ming} and Kwon, {Young Joo} and Tarng, {Der Cherng} and Li Zuo and Wheeler, {David C.} and Yusuke Tsukamoto and Masafumi Fukagawa",
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Wang, AYM, Akizawa, T, Bavanandan, S, Hamano, T, Liew, A, Lu, KC, Lumlertgul, D, Oh, KH, Zhao, MH, Ka-Shun Fung, S, Obi, Y, Sumida, K, Choong, LHL, Goh, BL, Hao, CM, Kwon, YJ, Tarng, DC, Zuo, L, Wheeler, DC, Tsukamoto, Y & Fukagawa, M 2019, '2017 Kidney Disease: Improving Global Outcomes (KDIGO) Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) Guideline Update Implementation: Asia Summit Conference Report', Kidney International Reports, vol. 4, no. 11, pp. 1523-1537. https://doi.org/10.1016/j.ekir.2019.09.007

2017 Kidney Disease : Improving Global Outcomes (KDIGO) Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) Guideline Update Implementation: Asia Summit Conference Report. / Wang, Angela Yee Moon; Akizawa, Tadao; Bavanandan, Sunita; Hamano, Takayuki; Liew, Adrian; Lu, Kuo Cheng; Lumlertgul, Dusit; Oh, Kook Hwan; Zhao, Ming Hui; Ka-Shun Fung, Samuel; Obi, Yoshitsugu; Sumida, Keiichi; Choong, Lina Hui Lin; Goh, Bak Leong; Hao, Chuan Ming; Kwon, Young Joo; Tarng, Der Cherng; Zuo, Li; Wheeler, David C.; Tsukamoto, Yusuke; Fukagawa, Masafumi.

In: Kidney International Reports, Vol. 4, No. 11, 11.2019, p. 1523-1537.

Research output: Contribution to journalArticle

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T2 - Improving Global Outcomes (KDIGO) Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD) Guideline Update Implementation: Asia Summit Conference Report

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AU - Hamano, Takayuki

AU - Liew, Adrian

AU - Lu, Kuo Cheng

AU - Lumlertgul, Dusit

AU - Oh, Kook Hwan

AU - Zhao, Ming Hui

AU - Ka-Shun Fung, Samuel

AU - Obi, Yoshitsugu

AU - Sumida, Keiichi

AU - Choong, Lina Hui Lin

AU - Goh, Bak Leong

AU - Hao, Chuan Ming

AU - Kwon, Young Joo

AU - Tarng, Der Cherng

AU - Zuo, Li

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AU - Tsukamoto, Yusuke

AU - Fukagawa, Masafumi

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