Asia-Pacific Summit on Implementation of Clinical Practice Guidelines on Diabetes and Blood Pressure Management in Chronic Kidney Disease: A KDIGO Summit Report.

Improving Global Outcomes (KDIGO) has published the Clinical Practice Guidelines (CPG) on managing diabetes in CKD in 2022 and the CPG for managing blood pressure in CKD in 2020. KDIGO organized a guideline implementation summit targeting the Asia-Pacific region in Kuala Lumpur in 2024 with the aim to understand existing barriers and challenges in implementation of the two CPGs and to propose possible solutions, tailored to the country or region's income level to bridge existing gaps in guideline implementation. The implementation summit discussion covered 4 key themes: i) lifestyle intervention; ii) adoption of comprehensive team-based integrated care model; iii) achievement of various treatment targets albuminuria screening and monitoring of kidney disease; and iv) implementation of guideline-directed medical therapies. The Summit was attended by co-chairs of the KDIGO CPGs on diabetes and blood pressure management in CKD, with nephrologists, endocrinologists, primary care physicians, dietitians, a health economist, and patient partners from 13 Asia-Pacific countries or regions. This conference report summarizes the key challenges in the CPG implementation for diabetes, hypertension in people with CKD in Asia-Pacific region, and provides a strategic framework of actions to overcome these barriers.