guía clínica española del acceso vascular para hemodiálisis

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ID: 243992
2017
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Abstract
RESUMEN: El acceso vascular para hemodiálisis es esencial para el enfermo renal tanto por su morbimortalidad asociada como por su repercusión en la calidad de vida. El proceso que va desde la creación y mantenimiento del acceso vascular hasta el tratamiento de sus complicaciones constituye un reto para la toma de decisiones debido a la complejidad de la patología existente y a la diversidad de especialidades involucradas. Con el fin de conseguir un abordaje consensuado, el Grupo Español Multidisciplinar del Acceso Vascular (GEMAV), que incluye expertos de las cinco sociedades científicas implicadas (nefrología [S.E.N.], cirugía vascular [SEACV], radiología vascular e intervencionista [SERAM-SERVEI], enfermedades infecciosas [SEIMC] y enfermería nefrológica [SEDEN]), con el soporte metodológico del Centro Cochrane Iberoamericano, ha realizado una actualización de la Guía del Acceso Vascular para Hemodiálisis publicada en 2005. Esta guía mantiene una estructura similar, revisando la evidencia sin renunciar a la vertiente docente, pero se aportan como novedades, por un lado, la metodología en su elaboración, siguiendo las directrices del sistema GRADE con el objetivo de traducir esta revisión sistemática de la evidencia en recomendaciones que faciliten la toma de decisiones en la práctica clínica habitual y, por otro, el establecimiento de indicadores de calidad que permitan monitorizar la calidad asistencial. ABSTRACT: Vascular access for haemodialysis is key in renal patients both due to its associated morbidity and mortality and due to its impact on quality of life. The process, from the creation and maintenance of vascular access to the treatment of its complications, represents a challenge when it comes to decision-making, due to the complexity of the existing disease and the diversity of the specialities involved. With a view to finding a common approach, the Spanish Multidisciplinary Group on Vascular Access (GEMAV), which includes experts from the five scientific societies involved (nephrology [S.E.N.], vascular surgery [SEACV], vascular and interventional radiology [SERAM-SERVEI], infectious diseases [SEIMC] and nephrology nursing [SEDEN]), along with the methodological support of the Cochrane Center, has updated the Guidelines on Vascular Access for Haemodialysis, published in 2005. These guidelines maintain a similar structure, in that they review the evidence without compromising the educational aspects. However, on one hand, they provide an update to methodology development following the guidelines of the GRADE system in order to translate this systematic review of evidence into recommendations that facilitate decision-making in routine clinical practice, and, on the other hand, the guidelines establish quality indicators which make it possible to monitor the quality of healthcare. Palabras clave: Guía de práctica clínica, Acceso vascular, Hemodiálisis, GRADE, GEMAV, Fístula arteriovenosa, Catéter venoso central, Indicadores de calidad, Monitorización, Tratamiento, Complicaciones, Angioplastia, Keywords: Clinical Practice Guidelines, Vascular access, Haemodialysis, GRADE, GEMAV, Arteriovenous fistula, Central venous catheter, Quality indicators, Monitoring, Treatment, Complications, Angioplasty
Reference Key
ibeas2017nefrologagu­a Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;José Ibeas;Ramon Roca-Tey;Joaquín Vallespín;Teresa Moreno;Guillermo Moñux;Anna Martí-Monrós;José Luis del Pozo;Enrique Gruss;Manel Ramírez de Arellano;Néstor Fontseré;María Dolores Arenas;José Luis Merino;José García-Revillo;Pilar Caro;Cristina López-Espada;Antonio Giménez-Gaibar;Milagros Fernández-Lucas;Pablo Valdés;Fidel Fernández-Quesada;Natalia de la Fuente;David Hernán;Patricia Arribas;María Dolores Sánchez de la Nieta;María Teresa Martínez;Ángel Barba
Journal european journal of preventive cardiology
Year 2017
DOI
DOI not found
URL
http://www.sciencedirect.com/science/article/pii/S0211699517302175
Keywords
diseases of the genitourinary system urology

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