Nomenclature for kidney function and disease: executive summary and glossary from a Kidney Disease: Improving Global Out
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EDITORIAL
Nomenclature for kidney function and disease: executive summary and glossary from a Kidney Disease: Improving Global Outcomes (KDIGO) consensus conference Andrew S. Levey1 · Kai‑Uwe Eckardt2 · Nijsje M. Dorman3 · Stacy L. Christiansen4 · Michael Cheung5 · Michel Jadoul6 · Wolfgang C. Winkelmayer7 Received: 25 March 2020 / Accepted: 30 March 2020 / Published online: 19 August 2020 © The Author(s) 2020
A primary obligation of medical journals is the responsible, professional, and expeditious delivery of knowledge from researchers and practitioners to the wider community [1]. The task of journal editors, therefore, rests not merely in selecting what to publish, but in large measure judging how it can best be communicated. The challenge of improving descriptions of kidney function and disease in medical publishing was the impetus for a Kidney Disease: Improving Global Outcomes (KDIGO) Consensus Conference held in June 2019. The conference goals included standardizing and refining kidney-related nomenclature used in
This article is being published in Kidney International Reports and reprinted concurrently in several journals. The articles cover identical concepts and wording but vary in minor stylistic and spelling changes, detail, and length of manuscript, in keeping with each journal’s style. Any of these versions may be used in citing this article. Excerpts are adapted with permission of KDIGO and the International Society of Nephrology. Copyright © 2020, KDIGO. All rights reserved. Published by Elsevier on behalf of the International Society of Nephrology. This is an open access article under the CC BY-NC-ND license (https:// creativecommons.org/licenses/by-nc-nd/4.0/). Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10157-020-01946-0) contains supplementary material, which is available to authorized users.
English-language scientific articles and developing a glossary that can be used by journals [2]. The rationale for the conference was that the worldwide burden of kidney disease is rising, but public awareness remains limited, underscoring the need for effective communication by stakeholders in the kidney health community [3–6]. Despite this need, the nomenclature for describing kidney function and disease lacks uniformity and clarity. Two decades ago, a survey of hundreds of published articles and meeting abstracts reported a broad array of overlapping, confusing terms for chronic kidney disease (CKD) and advocated adoption of unambiguous terminology [7]. Nevertheless, terms flagged by that analysis as problematic, such as “chronic renal failure” and “pre-dialysis,” still appear in current-day publications. A coherent, shared nomenclature could improve communication at all levels, to not only foster better appreciation of the burden of disease but also aid understanding of how patients feel about their disease, allow more effective communication between kidney disease specialists and other clinicians, advance more straightforward comparison and
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