The format of the current Guide maintains a similar structure, and thus has the same Sections. The current edition aims to renew this Guide, updating all the subjects included in it and adding new concepts that have been raised since its publication. It has become a key document to be consulted in dialysis units and has had a considerable impact on the literature. This Guide has been a reference point for professionals working in HD since then. The first edition of the Sociedad Española de Nefrología (Spanish Society of Nephrology) Vascular Access Guide was published in 2005 with the collaboration of the other societies involved in the current guide. This guide should not only collect all the available evidence, but also convey it to professionals in a way which allows daily clinical application. Therefore, due to the great significance it holds for these patients, a Guide on vascular access is needed for use in decision-making during routine clinical practice. Vascular access (VA) used to perform haemodialysis (HD) is fundamental in the case of patients with kidney disease and, currently, its influence on morbidity and mortality is no longer questioned.
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Esta guía mantiene una estructura similar, revisando la evidencia sin renunciar a la vertiente docente, pero se aportan como novedades, por un lado, la metodología en su elaboración, siguiendo las directrices del sistema GRADE con el objetivo de traducir esta revisión sistemática de la evidencia en recomendaciones que faciliten la toma de decisiones en la práctica clínica habitual y, por otro, el establecimiento de indicadores de calidad que permitan monitorizar la calidad asistencial. Con el fin de conseguir un abordaje consensuado, el Grupo Español Multidisciplinar del Acceso Vascular (GEMAV), que incluye expertos de las cinco sociedades científicas implicadas (nefrología, cirugía vascular, radiología vascular e intervencionista, enfermedades infecciosas y enfermería nefrológica ), con el soporte metodológico del Centro Cochrane Iberoamericano, ha realizado una actualización de la Guía del Acceso Vascular para Hemodiálisis publicada en 2005. El proceso que va desde la creación y mantenimiento del acceso vascular hasta el tratamiento de sus complicaciones constituye un reto para la toma de decisiones debido a la complejidad de la patología existente y a la diversidad de especialidades involucradas. Guía Clínica Española del Acceso Vascular para HemodiálisisĮl acceso vascular para hemodiálisis es esencial para el enfermo renal tanto por su morbimortalidad asociada como por su repercusión en la calidad de vida.
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However, on the one hand, they provide an update to methodology development following the guidelines of the GRADE system in order to translate this systematic review of evidence into recommendations that facilitate decision-making in routine clinical practice, and, on the other hand, the guidelines establish quality indicators which make it possible to monitor the quality of healthcare. These guidelines maintain a similar structure, in that they review the evidence without compromising the educational aspects. With a view to finding a common approach, the Spanish Multidisciplinary Group on Vascular Access (GEMAV), which includes experts from the five scientific societies involved (nephrology, vascular surgery, vascular and interventional radiology, infectious diseases and nephrology nursing ), along with the methodological support of the Cochrane Center, has updated the Guidelines on Vascular Access for Haemodialysis, published in 2005. The process, from the creation and maintenance of vascular access to the treatment of its complications, represents a challenge to decision-making, because of the complexity of the existing disease and the diversity of the specialities involved. Vascular access for haemodialysis is key in renal patients both due to its associated morbidity and mortality and due to its impact on quality of life.