Over the last decade, since the introduction of an international classification of chronic kidney disease (CKD) and the development of simple tools to detect people with CKD, primary care has had to adapt to a new paradigm of disease. Significantly, improved identification of CKD, and increased awareness and understanding of the potential associated adverse outcomes, has in turn required the development, implementation and integration of new policies, models and pathways of care. The UK health care system, including primary care, is uniquely positioned to respond to new initiatives. Despite early reservations, CKD has gone from an unheard of condition in primary care prior to 2006 to one where people with this condition are recorded in disease registers and increasingly managed in accordance with evidence-based guidance. National and local initiatives implemented together have contributed to the improved understanding and management of CKD in primary care in the UK and are showing signs of having made significant health gains in CKD.

译文

在过去的十年中,自从引入国际慢性肾脏病 (CKD) 分类和开发简单的工具来检测CKD患者以来,初级保健不得不适应新的疾病范式。值得注意的是,改善对CKD的识别,并提高对潜在相关不良后果的认识和理解,反过来又需要制定,实施和整合新的政策,模式和护理途径。包括初级保健在内的英国医疗保健系统在应对新举措方面处于独特的地位。尽管有早期的保留,但CKD已从2006年前初级保健中闻所未闻的状况转变为将患有这种状况的人记录在疾病登记册中,并根据循证指南进行越来越多的管理。共同实施的国家和地方举措有助于提高英国初级保健对CKD的理解和管理,并显示出在CKD中取得重大健康成就的迹象。

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