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Preliminary results." "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "162" "paginaFinal" => "167" ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Isidro Torregrosa Maicas Nefrología Hospital Clínico Universitario de Valencia, M. Solís, B. Pascual, B. Ramos, M. González, C. Ramos, M. J." "autores" => array:1 [ 0 => array:1 [ "nombre" => "Isidro Torregrosa Maicas Nefrología Hospital Clínico Universitario de Valencia, M. Solís, B. Pascual, B. Ramos, M. González, C. Ramos, M. J." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resultados preliminares de la implantación de un protocolo conjunto de manejo de la enfermedad renal crónica entre Atención Primaria y Nefrología." ] ] "pdfFichero" => "P-E-S-A4391-EN.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec436355" "palabras" => array:1 [ 0 => "Enfermedad Renal Crónica, Nefrología, Atención Primaria, Protocolo" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec436356" "palabras" => array:1 [ 0 => "Chronic Kidney Disease, Nephrology, Primary Health Care, Protocol" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "During the last years there has been an important advance in the knowledge of chronic kidney disease (CKD). In order to adapt our clinical practice to these new data, a protocol of management of CKD between Nephrology and Primary Health Care has been developed. The protocol includes several items like cardiac and renal protection strategies, diagnosis and treatment of complications, use of drugs and clear derivation criteria. Implementation of the protocol has been only partial and has implied, for the Renal Unit, an increase in the number of patients,specially the oldest ones, but a clear improve in the quality of the information too,and a first positive step in the right way to face the challenge of CKD. In view of analysed data we propose some modifications for the protocol." ] "es" => array:1 [ "resumen" => "En los últimos años se ha producido un importante avance en el conocimiento de la enfermedad renal crónica (ERC). Con el objetivo de adaptar la práctica clínica a los nuevos conocimientos se ha puesto en marcha en el Departamento 5 de la Agencia Valenciana de Salud un protocolo conjunto de manejo de la ERC entre Atención Primaria y Nefrología. El protocolo desarrolla una serie de puntos entre los que se incluyen medidas de cardio y renoprotección, detección y manejo de complicaciones, uso de fármacos y criterios claros de derivación. La implantación de este protocolo hasta el momento ha sido parcial y ha supuesto, para el Servicio de Nefrología, un aumento del número de consultas y un aumento de la remisión de pacientes mayores de 80 años, pero también una mejora clara en la información con la que llegan los pacientes y un primer paso, consideramos que claramente positivo, en la dirección correcta para afrontar el reto de la ERC. A la luz de los datos analizados se proponen también algunas modificaciones del protocolo. Summary During the last years there has been an important advance in the knowledge of chronic kidney disease (CKD). In order to adapt our clinical practice to these new data, a protocol of management of CKD between Nephrology and Primary Health Care has been developed. The protocol includes several items like cardiac and renal protection strategies, diagnosis and treatment of complications, use of drugs and clear derivation criteria. Implementation of the protocol has been only partial and has implied, for the Renal Unit, an increase in the number of patients, specially the oldest ones, but a clear improve in the quality of the information too, and a first positive step in the right way to face the challenge of CKD. In view of analysed data we propose some modifications for the protocol. 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