Clinical Practice Guideline for detection and management of diabetic kidney disease: A consensus report by the Spanish Society of Nephrology
To address all the changes in the management of people with diabetes (DM) and chronic kidney disease (CKD), under the auspices of the Spanish Society of Nephrology (SEN), the Spanish Diabetic Nephropathy Study Group (GEENDIAB) decided to publish an updated Clinical Practice Guideline for detection and management of diabetic kidney disease (DKD). It is aimed at a wide audience of clinicians treating diabetes and CKD. The terminology of kidney disease in diabetic patients has evolved toward a more inclusive nomenclature that avoids underdiagnosis of this entity. Thus, the terms "diabetes and kidney disease" and "diabetic kidney disease" are those proposed in the latest KDIGO 2022 guidelines to designate the whole spectrum of patients who can benefit from a comprehensive therapeutic approach only differentiated according to eGFR range and albuminuria. Recommendations have been divided into five main areas of interest: Chapter 1: Screening and diagnosis of diabetic kidney disease, Chapter 2: Metabolic control in people with diabetes and CKD, Chapter 3: Blood pressure control in people with diabetic kidney disease, Chapter 4: Treatment targeting progression of CKD in people with diabetic kidney disease, and Chapter 5: Antiplatelet or anticoagulant therapy in people with diabetes and CKD. World Health Organization (WHO) recommendations for guideline development were followed to report this guideline. Systematic reviews were carried out, with outcome ratings and summaries of findings, and we reported the strength of recommendations following the "Grading of Recommendations Assessment, Development and Evaluation" GRADE evidence profiles.
Authors
- Laia Oliveras (ORCID: https://orcid.org/0009-0002-5317-7304)
- Núria Montero (ORCID: https://orcid.org/0000-0002-5123-4603)
- María Quero (ORCID: https://orcid.org/0000-0002-6515-4591)
- Paula García-Sancho (ORCID: https://orcid.org/0000-0002-7813-3917)
- Clara García-Carro (ORCID: https://orcid.org/0000-0002-5130-603X)
- Diana Rodríguez‐Espinosa (ORCID: https://orcid.org/0000-0002-1027-7156)
- Marián Goicoechea (ORCID: https://orcid.org/0000-0002-7614-0830)
- Pablo Molina (ORCID: https://orcid.org/0000-0002-8311-6214)
- José Luis Górriz (ORCID: https://orcid.org/0000-0002-1134-9051)
- Nery Sablón González (ORCID: https://orcid.org/0000-0001-8205-0447)
- María Jesús Puchades (ORCID: https://orcid.org/0000-0001-6927-071X)
- Beatriz Fernández‐Fernández (ORCID: https://orcid.org/0000-0002-6727-1943)
- Juan F. Navarro‐González (ORCID: https://orcid.org/0000-0002-5015-7474)
- María José Soler (ORCID: https://orcid.org/0000-0003-3621-0766)
- Alberto Martínez‐Castelao (ORCID: https://orcid.org/0000-0003-3889-5578)
- Juan José Gorgojo Martínez (ORCID: https://orcid.org/0000-0002-8679-0968)
- Rafael Santamaría (ORCID: https://orcid.org/0000-0002-2627-1445)
Institutions
- Bellvitge University Hospital (ES)
- Hospital General Universitario Gregorio Marañón (ES)
- Hospital Clínico San Carlos (ES)
- Instituto Maimónides de Investigación Biomédica de Córdoba (ES)
- Hospital Clínico Universitario de Valencia (ES)
- Hospital Universitario de Gran Canaria Doctor Negrín (ES)
- Hospital Universitario Fundación Alcorcón (ES)
- Gobierno de Canarias (ES)
- Hospital Clínic de Barcelona (ES)
- Servicio Canario de la Salud (ES)
- Hospital Universitario Doctor Peset (ES)
- Vall d'Hebron Hospital Universitari (ES)
- Hospital Universitario Fundación Jiménez Díaz (ES)
- Hospital de Sant Joan Despí Moisès Broggi (ES)
- Hospital Universitari de Vic (ES)
- Universidad Autónoma de Madrid (ES)
Publication Details
- Journal
- Nefrología (English Edition)
- Published
- 2025-04-01
- DOI
- https://doi.org/10.1016/j.nefroe.2025.04.005
- Citations
- 5
- Primary Topic
- Diabetes Treatment and Management
- Type
- article
- Field-Weighted Citation Impact
- 6.47