Controversies in acute kidney injury: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Conference
Marlies Ostermann, Rinaldo Bellomo, Emmanuel A. Burdmann, Kent Doi, Zoltán Endre, Stuart L. Goldstein, Sandra L. Kane‐Gill, Kathleen D. Liu, John R. Prowle, Andrew Shaw, Nattachai Srisawat, Michael Cheung, Michel Jadoul, Wolfgang C. Winkelmayer, John A. Kellum, Sean M. Bagshaw, Erin F. Barreto, Azra Bihorac, Ilona Bobek, Josée Bouchard, Jorge Cerdá, Rajasekara Chakravarthi, Silvia De Rosa, Daniel T. Engelman, Lui G. Forni, Ulla Hemmilä, Charles A. Herzog, Eric A. J. Hoste, Sarah C. Huen, Kunitoshi Iseki, Michael Joannidis, Kianoush Kashani, Jay L. Koyner, Andreas Kribben, Norbert Lameire, Andrew S. Levey, Etienne Macedo, Jolanta Małyszko, Melanie Meersch, Ravindra L. Mehta, Irene Mewburn, Olga Iu. Mironova, Patrick Murray, Mitra K. Nadim, Jenny S. Pan, Neesh Pannu, Zhiyong Peng, Barbara J. Philips, Daniela Ponce, Patricio E. Ray, Zaccaria Ricci, Thomas Rimmelé, Claudio Ronco, Edward D. Siew, Paul E. Stevens, Ashita Tolwani, Marcello Tonelli, Suvi T. Vaara, Marjel van Dam, Anitha Vijayan, Michael G. Wise, Vin‐Cent Wu, Alexander Zarbock
Abstract
In 2012, Kidney Disease: Improving Global Outcomes (KDIGO) published a guideline on the classification and management of acute kidney injury (AKI). The guideline was derived from evidence available through February 2011. Since then, new evidence has emerged that has important implications for clinical practice in diagnosing and managing AKI. In April of 2019, KDIGO held a controversies conference entitled Acute Kidney Injury with the following goals: determine best practices and areas of uncertainty in treating AKI; review key relevant literature published since the 2012 KDIGO AKI guideline; address ongoing controversial issues; identify new topics or issues to be revisited for the next iteration of the KDIGO AKI guideline; and outline research needed to improve AKI management. Here, we present the findings of this conference and describe key areas that future guidelines may address.