Chronic allograft injury(CAI)typically occurs in the medium to long-term stage after kidney transplantation,resulting in a gradual deterioration of the transplanted kidney's function and affecting long-term survival of the grafts and recipients.CAI has multiple etiologies with varying injuries that may intertwine,leading to complex clinical manifestations.This poses challenges for diagnosing and treating CAI effectively,making it an important clinical issue in the field of kidney transplantation.To protect the function of the transplanted kidney and enhance its long-term survival rate,the Chinese Medical Association of Organ Transplantation Branch initiated the development of the"Guideline for the Clinical Diagnosis and Treatment of Chronic Injury of Transplanted Kidney(2023 edition)".This guideline systematically summarizes CAI's etiologies,clinical diagnosis and differential diagnosis,treatment strategies,prognosis and follow-up plans while adhering to"Oxford University's 2009 Evidence Grading System"for recommendation strength grading standards.By establishing recommendation strength levels and evidence grades,this guideline provides guidance throughout all stages of clinical diagnosis and treatment.
关键词
肾脏移植/慢性损害/临床诊疗/指南
Key words
Kidney transplant/Chronic injury/Clinical diagnosis and treatment/Guideline