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Practice Guideline
. 2022 Jul;37(4):701-718.
doi: 10.3904/kjim.2021.543. Epub 2022 Jun 3.

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

Ji Yong Jung  1 , Kyung Don Yoo  2 , Eunjeong Kang  3 , Hee Gyung Kang  4 , Su Hyun Kim  5 , Hyoungnae Kim  6 , Hyo Jin Kim  7 , Tae-Jin Park  8 , Sang Heon Suh  9 , Jong Cheol Jeong  10 , Ji-Young Choi  11 , Young-Hwan Hwang  12 , Miyoung Choi  13 , Yae Lim Kim  14 , Kook-Hwan Oh  15 ; Clinical Practice Guideline Work Group  1
Affiliations
Practice Guideline

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

Ji Yong Jung et al. Korean J Intern Med. 2022 Jul.

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).

Keywords: Evidence-based practice; GRADE approach; Hemodialysis units, hospital; Practice guideline.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

The Work Group has been making the best efforts to avoid any actual and potential conflicts of interest to ensure a neutral and fair process in guideline development. All members of the Work Group obtained a conflict-of-interest disclosure form before participating in the development of the CPG and when completing the CPG to determine whether there was a financial or non-financial conflict of interest. In the case of reports of corporate research sponsorship or consulting, detailed report contents were confirmed after review by the Work Group. To determine whether the amount of money and the content of the recommendation can be affected, and if an amount exceeding the standard may affect the content of the recommendation, we recommend that the opinion of the relevant member be excluded when determining the direction and strength of the recommendation. This principle was applied from the beginning to the end of the development.

The full text version of this CPG is available on the KSN website (http://www.ksn.or.kr, http://krcp-ksn.org).

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