Harmonizing acute and chronic kidney disease definition and classification: report of a Kidney Disease: Improving Global Outcomes (KDIGO) Consensus Conference

• DOI: 10.1016/j.kint.2021.06.028
• Publication Date: 2021-07-09T15:25:03Z
• Authors: Norbert H. Lameire; Adeera Levin; John A. Kellum; Michael Cheung; Michel Jadoul; Wolfgang C. Winke...; Paul E. Stevens; Fergus J. Caskey; Chris K.T. Farmer; Alejandro Ferreir...; Masafumi Fukagawa; Stuart L. Goldstein; Grace Igiraneza; Andreas Kribben; Edgar V. Lerma; Andrew S. Levey; Kathleen D. Liu; Jolanta Małyszko; Marlies Ostermann; Neesh Pannu; Claudio Ronco; Simon Sawhney; Andrew D. Shaw; Nattachai Srisawat
• Keywords: Nephrology

Kidney disease is an important public health problem. Both acute kidney injury (AKI) and chronic have been well defined classified, leading to improved research efforts subsequent management strategies recommendations. For those patients with abnormalities in function and/or structure who meet neither the definition of AKI nor disease, there remains a gap research, care, guidance. The term diseases disorders, abbreviated (AKD), has introduced as construct address this. To expand harmonize existing definitions ultimately better inform clinical Disease: Improving Global Outcomes (KDIGO) organized consensus workshop. Multiple invitees from around globe, representing both researchers experts, met virtually examine data, discuss key concepts related AKD. Despite some remaining unresolved questions, conference attendees reached general on classification AKD, strategies, priorities. AKD by implications for duration ≤3 months. may include AKI, but, more importantly, also includes that are not severe or develop over period >7 days. cause(s) should be sought, functional structural parameters. Management currently based empirical considerations. A robust agenda enable refinement validation systems, thus testing interventions proposed.