Construction of a standardized diagnosis and treatment pathway for chronic renal failure based on kidney disease clusters
- VernacularTitle:基于肾病集群构建慢性肾衰竭标准化诊疗路径
- Author:
Shanshan ZHOU
1
;
Chunhua ZHANG
;
Lidan YU
;
Liang HU
;
Xin YU
Author Information
- Keywords: chronic renal failure; nephrology cluster; Delphi method; expert consultation; diagnostic and treatment pathway; importance rating; coefficient of variation
- From: Journal of Clinical Medicine in Practice 2025;29(6):94-98
- CountryChina
- Language:Chinese
- Abstract: Objective To establish a standardized diagnostic and treatment pathway for chronic renal failure(CRF)based on a nephrology cluster,providing a reference for the traditional Chinese medicine(TCM)diagnosis and treatment of CRF.Methods A TCM diagnostic and treatment proto-col for CRF was developed through cluster construction.A preliminary framework for the standardized diagnostic and treatment pathway of CRF was constructed through literature research.Three rounds of Delphi expert consultation were conducted among 26 experts.The experts'enthusiasm,authority,co-ordination of opinions,importance ratings,and coefficient of variation were analyzed to ultimately form the standardized diagnostic and treatment pathway for CRF.Results The active coefficients(Caj)for the first,second,and third rounds of expert consultation were 1.000,0.923,and 1.000,respectively.The expert authority coefficients(Cr)were 0.895,0.910,and 0.923,respectively.The overall Kendall's W coefficients were 0.233,0.248,and 0.293(P＜0.001).The final stand-ardized diagnostic and treatment pathway for CRF included 4 primary indicators,19 secondary indica-tors,and 77 tertiary indicators,with mean importance ratings ranging from 4.42 to 4.87 and coeffi-cients of variation ranging from 0.072 to 0.126.Conclusion The standardized diagnostic and treat-ment pathway for CRF established based on a nephrology cluster is highly scientific and reliable,with clear guidance and ease in implementation,providing good guidance for the TCM diagnosis and treat-ment of CRF.
