Consenso colombiano basado en evidencia y en la opinión de expertos para la utilización de los inhibidores del cotransportador sodio-glucosa tipo 2 (iSGLT-2) en el continuo cardiorrenal de pacientes con enfermedad renal crónica

datacite.rightshttp://purl.org/coar/access_right/c_abf2
dc.contributor.authorMONTEJO, JUAN DIEGO
dc.contributor.authorLopera, John Mauricio
dc.contributor.authorROSSELLI SANMARTIN, CARLOS
dc.contributor.authorRonderos Botero, Izcay
dc.contributor.authordaza arnedo, rodrigo andres
dc.contributor.authorYama-Mosquera, Erica
dc.contributor.authorFLECHAS, jaflechas
dc.contributor.authorContreras, Kateir
dc.contributor.authorMachacón Miranda, Elkin
dc.contributor.authorHenao, Carlos
dc.contributor.authorROMERO JALLER, KATHERYNE CECILIA
dc.contributor.authorFigueroa Millán , Christian Camilo
dc.contributor.authorMejia-Garcia, Carlos Hernan
dc.contributor.authorHernández Sierra, Astrid Patricia
dc.contributor.authorGonzález Sánchez, Diego Andrés
dc.contributor.authorDE LA ESPRIELLA BADEL, VICTOR
dc.contributor.authorDávila Guerra, Miguel Ángel
dc.contributor.authorParra Serrano, Paola
dc.contributor.authorGuevara, Juan Guillermo
dc.contributor.authorUribe Betancur, José Mauricio
dc.contributor.authorCárdenas-Garzón, Karen
dc.contributor.authorZuluaga Peña, Julio Ricardo
dc.contributor.authorZuluaga, Juan Pablo
dc.contributor.authorRico-Fontalvo, Jorge
dc.date.accessioned2025-05-28T20:47:02Z
dc.date.available2025-05-28T20:47:02Z
dc.date.issued2025
dc.description.abstractContexto: el tratamiento de la enfermedad renal crónica (ERC) tiene como objetivo disminuir el riesgo de progresión de la enfermedad, el surgimiento de complicaciones y el riesgo de muer te, especialmente considerando el continuo cardiorrenal. Mediante diferentes ensayos clínicos realizados con personas diabéticas y no diabéticas, así como de otros grupos de riesgo como in suficiencia cardiaca y ERC, los antidiabéticos conocidos como inhibidores del cotransportador sodio-glucosa tipo 2 (iSGLT-2, según sus siglas en inglés) han demostrado efectos beneficiosos en los resultados renales y cardiovasculares. Objetivo: establecer recomendaciones para el manejo con iSGLT-2 para pacientes con ERC. Metodología: el consenso se desarrolló en las siguientes etapas: conformación del grupo desa rrollador; definición de las preguntas objeto de investigación; búsqueda, tamización, evaluación y selección de la evidencia; elaboración de síntesis y evaluación de la evidencia; discusión en paneles formales, generación de recomendaciones y juicio de expertos; y redacción, elaboración y revisión del documento del consenso. Resultados: los 22 expertos clínicos formularon un total de 15 recomendaciones para 12 pregun tas de investigación. La certeza de la evidencia varió entre moderada y alta, basada principalmente en guías de práctica clínica, revisiones sistemáticas de la literatura, ensayos clínicos y consensos de expertos. La mayoría de las recomendaciones fueron débiles a favor.spa
dc.description.abstractBackground: The treatment of chronic kidney disease (CKD) aims to decrease the risk of disease pro gression, emergence of complications, and risk of death, especially considering the cardiorenal conti nuum. Different clinical trials conducted with diabetic and non-diabetic individuals, as well as other risk groups such as heart failure and CKD, and antidiabetic drugs known as sodium-glucose cotransporter type 2 (iSGLT-2) inhibitors have shown beneficial effects on renal and cardiovascular outcomes. Purpose: The objective of this consensus was to establish recommendations for management with iSGLT-2 by patients with CKD. Methodology: The consensus was developed in the following stages: formation of the development group; definition of the research questions; search, screening, evaluation, and selection of evidence; synthesis and evaluation of the evidence; discussion in formal panels; generation of recommendations and expert judgment; and drafting, elaboration, and revision of the consensus document. Results: The 22 clinical experts formulated 15 recommendations for the 12 research questions. The certainty of the evidence ranged from moderate to high based primarily on clinical practice guidelines, systematic literature reviews, clinical trials, and expert consensus. Most of the recommendations were weak.eng
dc.format.mimetypepdf
dc.identifier.citationMontejo Hernández JD, Lopera JM, Rosselli C, Ronderos I, Daza R, Yama-MosqueraE,et al.Consenso colombiano basado en evidencia y en la opinión de expertos para la utilizaciónde los inhibidores del cotransportador sodio-glucosa tipo 2 (iSGLT-2) en el continuo cardiorrenalde pacientes con enfermedad renal crónica. Rev. Colomb. Nefrol. 2025;12(2),e938. https://doi.org/10.22265/acnef.12.2.938spa
dc.identifier.doihttp://doi.org/10.22265/acnef.12.2.938
dc.identifier.issn25005006  (Electrónico)
dc.identifier.issn23897708 (Impreso)
dc.identifier.urihttps://hdl.handle.net/20.500.12442/16631
dc.identifier.urlhttps://revistanefrologia.org/index.php/rcn/article/view/938
dc.language.isospa
dc.publisherAsociación Colombiana de Nefrología e Hipertensión Arterialspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationaleng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceRevista Colombiana de Nefrologíaspa
dc.sourceVol.  12 No. 2, (2025)spa
dc.subjectEnfermedad renal crónicaspa
dc.subjectDiabetes mellitus tipo 2spa
dc.subjectInhibidores del cotransportador de sodio-glucosa 2spa
dc.subjectSíndrome cardiorrenalspa
dc.subjectConsensospa
dc.subjectTécnica Delphispa
dc.subject.keywordsChronic kidney diseaseeng
dc.subject.keywordsType 2 diabetes mellituseng
dc.subject.keywordsSodium-glucose cotransporter 2 inhibitorseng
dc.subject.keywordsCardiorenal syndromeeng
dc.subject.keywordsConsensuseng
dc.subject.keywordsDelphi techniqueeng
dc.titleConsenso colombiano basado en evidencia y en la opinión de expertos para la utilización de los inhibidores del cotransportador sodio-glucosa tipo 2 (iSGLT-2) en el continuo cardiorrenal de pacientes con enfermedad renal crónicaspa
dc.title.translatedEvidence-based Colombian consensus and expert opinion regarding the use of sodium-glucose cotransporter type 2 (iSGLT-2) inhibitors in the cardiorenal continuum in patients with chronic kidney diseaseeng
dc.type.driverinfo:eu-repo/semantics/article
dc.type.spaArtículo científico
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dcterms.referencesNeuen BL, Jardine MJ. SGLT2 inhibitors and finerenone: one or the other or both? Nephrol Dial Transplant. 2022;37(7):1209-11. https://doi.org/10.1093/ndt/gfac046eng
dcterms.referencesRossing P, Filippatos G, Agarwal R, Anker SD, Pitt B, Ruilope LM, et al. Finerenone in predominantly advanced CKD and type 2 diabetes with or without sodium-glucose cotransporter-2 inhibitor therapy. Kidney Int Rep. 2022;7(1):36-45. https://doi.org/10.1016/ j.ekir.2021.10.008eng
dcterms.referencesTsukamoto S, Morita R, Yamada T, Urate S, Azushima K, Uneda K, et al. Cardiovascular and kidney outcomes of combination therapy with sodium-glucose cotransporter-2 inhibi tors and mineralocorticoid receptor antagonists in patients with type 2 diabetes and chronic kidney disease: a systematic review and network meta-analysis. Diabetes Res Clin Pract. 2022;194:110161. https://doi.org/10.1016/j.diabres.2022.110161eng
dcterms.referencesHeerspink HJL, Vart P, Jongs N, Neuen BL, Bakris G, Claggett B, et al. Estimated lifetime benefit of novel pharmacological therapies in patients with type 2 diabetes and chronic kidney disease: a joint analysis of randomized controlled clinical trials. Diabetes Obes Metab. 2023;25(11):3327-36. https://doi.org/10.1111/dom.15232eng
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