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From uncompensated Jaffé to Croatian national guidelines for laboratory diagnostics of chronic kidney disease (CKD) – THE INITIAL PHASE

BACKGROUND: In February 2014 a new Joint Working Group (JWG) of Croatian Society of Medical Biochemistry and Laboratory Medicine (CSMBLM) and Croatian Chamber of Medical Biochemists (CCMB) for laboratory diagnostics of CKD was established. The final aim of the JWG is to provide first Croatian guidelines for laboratory diagnostics of CKD. METHODS: At the initial meeting of the JWG a detailed workflow was developed. It conforms to the regulations of the CSMBLM Committee for Scientific and Professional Development and comprises following steps: 1. Assess the current state of laboratory diagnostics of CKD in Croatian medical biochemistry laboratories. 2. Prepare initial concept of recommendations for laboratory diagnostics of CKD. 3. Apply the text of the recommendations for the peer-review process in indexed scientific Journal with an international review process. 4. After the completion of the international peer-review process prepare the text of recommendations in Croatian language. 5. Provide extensive support in implementation process in a form of lectures, webinars and education. 6. Follow-up after implementation of the guidelines. RESULTS: In 2014 members of the JWG accomplished the first 2 predefined goals: 1. To assess the current state of laboratory diagnostics of CKD in Croatian medical biochemistry laboratories an on-line survey was conducted from March untill May 2014. The survey results showed large heterogeneity in this area of laboratory medicine and supported the need for national guidelines. 2. In September 2014 the Chair of the JWG gave a lecture in a form of webinar for the members of CSMBLM. The presented topic was introduction into the new Kidney Disease: Improving Global Outcomes (KDIGO) 2012 guidelines and initial survey results. 3. The collected survey results were prepared as the Original article titled „Laboratory diagnostics of chronic kidney disease in Croatia: state of the art„ and on January 3rd 2015 accepted for publication in Biochemia Medica Journal. 4. The initial draft of the guidelines for laboratory diagnostics of CKD in Croatia was finished in January 2015. CONCLUSIONS: The background for the first Croatian guidelines for laboratory testing of CKD was set in 2014. In 2015 the main goal is to provide the guidelines and to give support for the implementation process.

creatinine; guidelines; chronic kidney disease (CKD)

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