{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T14:06:15Z","timestamp":1780409175592,"version":"3.54.1"},"reference-count":7,"publisher":"Ordem dos Medicos","issue":"2","license":[{"start":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T00:00:00Z","timestamp":1738540800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>A doen\u00e7a renal cr\u00f3nica representa um problema de sa\u00fade p\u00fablica significativo, afetando cerca de 9,8% da popula\u00e7\u00e3o adulta em Portugal. Pese embora este n\u00famero, o diagn\u00f3stico precoce desta doen\u00e7a nos grupos de alto risco \u00e9 reduzido. Apesar de serem apenas dois os par\u00e2metros cruciais para o seu diagn\u00f3stico \u2013 a taxa de filtra\u00e7\u00e3o glomerular estimada (TFGe) e a albumin\u00faria \u2013 em Portugal, mais de 50% dos doentes em est\u00e1dio 3 - 5 n\u00e3o foram alvo de avalia\u00e7\u00e3o concomitante da TFGe e albumin\u00faria. A falta de implementa\u00e7\u00e3o destas duas m\u00e9tricas em simult\u00e2neo, leva \u00e0 avalia\u00e7\u00e3o inadequada da popula\u00e7\u00e3o em risco. Um grupo de trabalho composto por 17 peritos portugueses nas principais especialidades m\u00e9dicas envolvidas na gest\u00e3o da doen\u00e7a renal cr\u00f3nica (Nefrologia, Medicina Geral e Familiar) e em Patologia Cl\u00ednica\/An\u00e1lises Cl\u00ednicas (representantes dos principais laborat\u00f3rios nacionais) reuniu-se para criar um documento de orienta\u00e7\u00f5es pr\u00e1ticas que visa padronizar os procedimentos de prescri\u00e7\u00e3o, determina\u00e7\u00e3o, emiss\u00e3o de resultados e interpreta\u00e7\u00e3o dos par\u00e2metros de diagn\u00f3stico (albumin\u00faria e TFGe baseada na creatinina s\u00e9rica) da doen\u00e7a renal cr\u00f3nica em Portugal, baseando-se na pr\u00e1tica cl\u00ednica, conhecimento cient\u00edfico e recomenda\u00e7\u00f5es internacionais. Este consenso nacional entre os principais intervenientes no processo de rastreio e diagn\u00f3stico, culminou na elabora\u00e7\u00e3o de quatro orienta\u00e7\u00f5es pr\u00e1ticas que ir\u00e3o permitir fornecer de forma consistente a TFGe e albumin\u00faria, independentemente da especialidade m\u00e9dica do m\u00e9dico assistente, laborat\u00f3rio de an\u00e1lises ou localiza\u00e7\u00e3o geogr\u00e1fica. Al\u00e9m disso, com este esfor\u00e7o coletivo, os peritos pretendem sensibilizar as autoridades nacionais para a reda\u00e7\u00e3o de novas normas de orienta\u00e7\u00e3o cl\u00ednica, fundamentadas em evid\u00eancia cient\u00edfica e na pr\u00e1tica cl\u00ednica, para abordar a subavalia\u00e7\u00e3o da albumin\u00faria e da TFGe na gest\u00e3o desta doen\u00e7a.<\/jats:p>","DOI":"10.20344\/amp.22557","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T11:50:07Z","timestamp":1738583407000},"page":"119-124","source":"Crossref","is-referenced-by-count":2,"title":["Diagnosis of Chronic Kidney Disease in Adults in Portugal: Practical Recommendations from National Clinical and Laboratory Experts"],"prefix":"10.20344","volume":"38","author":[{"given":"Jorge","family":"Malheiro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Birne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Biscaia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgar","family":"Almeida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Nobre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuno","family":"Capela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Azinheira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Nunes Oliveira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00eds","family":"Lebre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Cirne Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarida","family":"Albuquerque","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Jos\u00e9 de Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo","family":"Paix\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Freitas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Pinto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9lia","family":"Ramalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Cal\u00e7ada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8464","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"key":"8020","doi-asserted-by":"crossref","unstructured":"Sundstrom J, Bodegard J, Bollmann A, Vervloet MG, Mark PB, Karasik A, et al. Prevalence, outcomes, and cost of chronic kidney disease in a contemporary population of 2.4 million patients from 11 countries: The CaReMe CKD study. Lancet Reg Health Eur. 2022;20:100438.","DOI":"10.1016\/j.lanepe.2022.100438"},{"key":"8021","doi-asserted-by":"crossref","unstructured":"Santos-Araujo C, Mendonca L, Carvalho DS, Bernardo F, Pardal M, Couceiro J, et al. Twenty years of real-world data to estimate chronic kidney disease prevalence and staging in an unselected population. Clin Kidney J. 2023;16:111-24.","DOI":"10.1093\/ckj\/sfac206"},{"key":"8022","doi-asserted-by":"crossref","unstructured":"Birkeland KI, Bodegard J, Eriksson JW, Norhammar A, Haller H, Linssen GCM, et al. Heart failure and chronic kidney disease manifestation and mortality risk associations in type 2 diabetes: a large multinational cohort study. Diabetes Obes Metab. 2020;22:1607-18.","DOI":"10.1111\/dom.14074"},{"key":"8023","unstructured":"Golestaneh L, Alvarez PJ, Reaven NL, Funk SE, McGaughey KJ, Romero A, et al. All-cause costs increase exponentially with increased chronic kidney disease stage. Am J Manag Care. 2017;23:S163-72."},{"key":"8024","unstructured":"Kidney Disease: Improving Global Outcomes CKDWG. KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int. 2024;105:S117-314."},{"key":"8025","doi-asserted-by":"crossref","unstructured":"Levey AS, Stevens LA, Schmid CH, Zhang YL, Castro AF, 3rd, Feldman HI, et al. A new equation to estimate glomerular filtration rate. Ann Intern Med. 2009;150:604-12.","DOI":"10.7326\/0003-4819-150-9-200905050-00006"},{"key":"8026","doi-asserted-by":"crossref","unstructured":"Cockcroft DW, Gault MH. Prediction of creatinine clearance from serum creatinine. Nephron. 1976;16:31-41.","DOI":"10.1159\/000180580"}],"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/22557\/15601","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/22557\/15601","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T11:50:12Z","timestamp":1738583412000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/22557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,3]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,3]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.22557","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,3]]}}}