Korean J Intern Med.  2022 Jul;37(4):701-718. 10.3904/kjim.2021.543.

Executive summary of the Korean Society of Nephrology 2021 clinical practice guideline for optimal hemodialysis treatment

Affiliations
  • 1Division of Nephrology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
  • 2Division of Nephrology, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
  • 3Division of Nephrology, Department of Internal Medicine, Ewha Womans University Seoul Hospital, Ewha Womans University School of Medicine, Seoul, Korea
  • 4Division of Pediatric Nephrology, Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, Korea
  • 5Division of Nephrology, Department of Internal Medicine, Chung-Ang University Hospital, Seoul, Korea
  • 6Division of Nephrology, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea
  • 7Division of Nephrology, Department of Internal Medicine, Pusan National University Hospital, Busan, Korea
  • 8Asan Jin Internal Medicine Clinic, Seoul, Korea
  • 9Division of Nephrology, Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea
  • 10Division of Nephrology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
  • 11Division of Nephrology, Department of Internal Medicine, Kyungpook National University Chilgok Hospital, Daegu, Korea
  • 12Truewords Dialysis Clinic, Incheon, Korea
  • 13Division for Healthcare Technology Assessment Research, National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea
  • 14Department of Biostatistics, Korea University College of Medicine, Seoul, Korea
  • 15Division of Nephrology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea

Abstract

The Korean Society of Nephrology (KSN) has published a clinical practice guideline (CPG) document for maintenance hemodialysis (HD). The document, 2021 Clinical Practice Guideline on Optimal HD Treatment, is based on an extensive evidence-oriented review of the benefits of preparation, initiation, and maintenance therapy for HD, with the participation of representative experts from the KSN under the methodologists’ support for guideline development. It was intended to help clinicians participating in HD treatment make safer and more effective clinical decisions by providing user-friendly guidelines. We hope that this CPG will be meaningful as a recommendation in practice, but not on a regulatory rule basis, as different approaches and treatments may be used by health care providers depending on the individual patient’s condition. This CPG consists of eight sections and 15 key questions. Each begins with statements that are graded by the strength of recommendations and quality of the evidence. Each statement is followed by a summary of the evidence supporting the recommendations. There are also a link to full-text documents and lists of the most important reports so that the readers can read further (most of this is available online).

Keyword

Practice guideline; Hemodialysis units; hospital; Evidence-based practice; GRADE approach
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