| 标题： | 中国移植肾慢性损害临床诊疗指南（2023版） |
| title： | Chinese guideline for the clinical diagnosis and treatment of chronic injury of transplanted kidney (2023 edition) |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 标准指南 |
| classification： | Standard guideline |
| 领域： | 诊疗 |
| field： | Diagnosis and Treatment |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 临床医师及肾移植患者 |
| Guide users： | Clinicians and kidney transplant patients |
| 证据分级方法： | Grade分级表 1. 高级证据：定义为非常确信真实的效应值接近效应估计。包括RCT、质量升高二级的观察性研究。 2. 中级证据：定义为对效应估计值有中等程度的信心，真实值有可能接近估计值，但仍存在二者大不相同的可能性。包括质量降低一级的RCT、质量升高一级的观察性研究。 3. 低级证据：定义为对效应估计值的确信程度有限，真实值可能与估计值大不相同。包括质量降低二级的RCT证据分级、观察性研究。 4. 极低级证据：定义为我们对效应估计值几乎没有信心，真实值很可能与估计值不大相同；包括质量降低三级的RCT、质量降低一级的观察性研究、系列病例观察、个案报道. GPS:对于部分无证据支持的临床问题，则依据专家临床经验，形成基于专家共识的推荐意见，即良好实践主张（good practice statement，GPS）。 |
| Evidence grading method： | GRADE approach 1. High: We are very confident that the true effect value is close to the estimated effect, including RCTs, observational studies with 2 elevated levels. 2. Moderate: We have moderate confidence in the estimated effect, where the true value is likely to be close to the estimate but there is still the possibility that the two are substantially different. This includes RCTs with 1 deducted level and observational studies with 1 elevated level. 3. Low: We have limited confidence in the estimated effect, with the possibility that the true value is likely to be substantially different from the estimate. It includes RCTs with 2 deducted level and observational studies. 4. Extremely low: We have little confidence in the estimated effect, and the true effect value is different from the estimated effect. It includes RCTs with 3 deducted level, observational studies with 1 deducted level, case-series and case report. GPS: For some clinical problems that are not supported by evidence, recommendations based on expert consensus are formed based on expert clinical experience, that is, good practice statements (GPS). |
| 制定单位： | 中华医学会器官移植学分会 |
| Formulating unit： | Branch of Organ Transplantation, Chinese Medical Association |
| 注册时间： | 2023-11-10 |
| Registration time： | |
| 注册编号： | PREPARE-2023CN898 |
| Registration number： | |
| 指南制订的目的： | 为移植肾慢性损害提供可参考的临床诊疗策略 |
| Purpose of the guideline： | To provide referential clinical diagnosis and treatment strategy for chronic damage of transplanted kidney |
