Renal Replacement Therapy (2019-06-01)

Clinical practice guideline for renal rehabilitation: systematic reviews and recommendations of exercise therapies in patients with kidney diseases

  • Kunihiro Yamagata,
  • Junichi Hoshino,
  • Hitoshi Sugiyama,
  • Norio Hanafusa,
  • Yugo Shibagaki,
  • Yasuhiro Komatsu,
  • Tsuneo Konta,
  • Naohiko Fujii,
  • Eiichiro Kanda,
  • Tadashi Sofue,
  • Kiyonobu Ishizuka,
  • Masashi Kitagawa,
  • Keiji Kono,
  • Norikazu Hinamoto,
  • Takayuki Miyai,
  • Kiyomi Koike,
  • Susumu Toda,
  • Jumpei Hasegawa,
  • Masayuki Yamanouchi,
  • Ryuichi Yoshimura,
  • Ryota Ishii,
  • Shunsuke Goto,
  • Hiroo Kawarazaki,
  • Kentaro Takase,
  • Fumika Taki,
  • Mimiko Matsumura,
  • Yoshihiko Raita,
  • Satoko Sakurai,
  • Tatsuya Shimizu,
  • Suguru Yamanoto,
  • Takehiko Kawaguchi,
  • Hideyo Oguchi,
  • Makoto Tsujita,
  • Masahiko Yazawa,
  • Akiko Uchida,
  • Yasuhiro Ando,
  • Satoru Kaneko,
  • Atsuhiko Matsunaga,
  • Taku Harada,
  • Osamu Ito,
  • Masahiro Kohzuki

DOI
https://doi.org/10.1186/s41100-019-0209-8
Journal volume & issue
Vol. 5, no. 1
pp. 1 – 19

Abstract

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Abstract In recent years, a concept of renal rehabilitation has become widely known among nephrology specialists, dialysis specialists, kidney transplantation specialists, rehabilitation specialists, nutrition specialists, guideline specialists, nurses, physiotherapists, and representatives of patients. Therefore, in order to make it clear the definition, methods, and effectiveness of renal rehabilitation in Japan, we launched Renal Rehabilitation Guideline Preparation Committee in 2016 as a part of works in the Japanese Society of Renal Rehabilitation, and created a guideline in accordance to the “Minds Handbook for Clinical Practice Guideline Development 2014”. Here, we report systematic reviews and recommendations of exercise therapies in patients with kidney diseases based on the guideline preparation committee works. Six recommendations for the condition of each kidney disorder, groups addressing nephritis/nephrosis, chronic kidney diseases, dialysis therapy, and kidney transplantation were created. All the recommendation grades were determined by a consensus conference participated in by representatives of patients and various professionals. The purpose of this report is to provide an evidence-based, best practice summary to optimize the quality, safety and efficacy, and availability of renal rehabilitation service, and to provide care for maximum patient prognosis, quality of life, and satisfaction.

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