Nephrology Guideline Database
Guideline Target Rationales
As a first step towards its mission statement to promote “coordination, collaboration, and integration of initiatives to develop and implement clinical practice guidelines”, KDIGO convened in April 2006 a meeting of the organizations who have developed the five guidelines currently listed and compared on the KDIGO webpage. At this meeting, it was decided to establish a Liaison Task Force composed of a representative from each organization to examine the variations in recommended targets and provide a brief justification for each of the apparent differences.
The Liaison Task Force is currently composed of Robert Mactier (RA-UK); Martin Gallagher (CARI-Australia); Michael Rocco/Adeera Levin (KDOQI-USA); Marcello Tonelli (CSN-Canada); James Tattersall (EBPG-Europe); and Raymond Vanholder, chair.
The first five topics selected by the committee to launch this initiative are: target hemoglobin; Kt/Vurea for hemodialysis; Kt/Vurea for peritoneal dialysis; time of referral to a nephrologist; and preferred vascular access for hemodialysis. (each of these five can be made into a link to the tables comparing them) Over time, the Liaison Task Force will examine systematically all the tables comparing recommended targets and provide a justification for each on an ongoing basis as the guidelines are updated.
Raymond Vanholder Chair, Liaison Task Force
The target rationales for the following topics are now available:
- Hemoglobin
- Kt/V urea for hemodialysis
- Kt/V urea for peritoneal dialysis
- Time of referral to nephrologists
- Preferred vascular access for HD
Rationale for Guideline Hemoglobin Targets
- United Kingdom Renal Association
- European Best Practice Guidelines (EBPG)
- Canadian Society of Nephrology
- Kidney Disease Outcomes Quality Initiative (KDOQI)
- Caring for Australians with Renal Impairment (CARI)
Rationale for Guideline Kt/V urea Targets for Hemodialysis
- United Kingdom Renal Association
- European Best Practice Guidelines (EBPG)
- Canadian Society of Nephrology
- Kidney Disease Outcomes Quality Initiative (KDOQI)
- Caring for Australians with Renal Impairment (CARI)
Rationale for Guideline Kt/V urea Targets for Peritoneal Dialysis
- United Kingdom Renal Association
- European Best Practice Guidelines (EBPG)
- Canadian Society of Nephrology
- Kidney Disease Outcomes Quality Initiative (KDOQI)
- Caring for Australians with Renal Impairment (CARI)
Rationale for Guideline for “Time of referral to Nephrologists”
- United Kingdom Renal Association [Coming Soon]
- European Best Practice Guidelines (EBPG)
- Canadian Society of Nephrology
- Kidney Disease Outcomes Quality Initiative (KDOQI)
- Caring for Australians with Renal Impairment (CARI)
Rationale for Guideline for “Preferred Vascular Access”
- United Kingdom Renal Association [Coming Soon]
- European Best Practice Guidelines (EBPG)
- Canadian Society of Nephrology
- Kidney Disease Outcomes Quality Initiative (KDOQI)
- Caring for Australians with Renal Impairment (CARI)
