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  "id": "cardio:cardiovascular-kidney-metabolic-health",
  "owner": "cardio",
  "kind": "care_topic",
  "slug": "cardiovascular-kidney-metabolic-health",
  "name": "Cardiovascular-kidney-metabolic (CKM) health",
  "aliases": [
    "Cardiovascular-kidney-metabolic syndrome"
  ],
  "atlases": [
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  "summary_plain": "Cardiovascular-kidney-metabolic health is the way the American Heart Association's 2023 presidential advisory describes how metabolic risk factors, chronic kidney disease and the heart and blood vessels affect one another. The advisory says poor health in this area leads to many cardiovascular events and deaths, and that a growing number of treatments help metabolic risk factors, the kidneys or both while also protecting the heart. It calls for a clearer definition, a staging approach that supports prevention, prediction tools and care that joins up across specialties.",
  "summary_technical": "Scope page for the advisory in Circulation 2023;148(20):1606-1635, doi 10.1161/CIR.0000000000001184, PMID 37807924. Only the abstract was read, so the stages, the definitions and the prediction tools in the advisory body are not recorded. PubMed lists one correction (2024-03-26), whose text was not read. The advisory is guidance from the AHA, not a trial result. The plan asked for the staging framework; the abstract only says that a staging approach is needed.",
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  "last_substantive_edit": "2026-10-15",
  "last_evidence_check": "2026-10-15",
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  "identifiers": [],
  "navigation": {
    "cardio": {
      "system": [
        "heart",
        "kidneys",
        "metabolism"
      ],
      "condition-area": [
        "kidney-connections",
        "diabetes-and-metabolic-disease",
        "heart-failure"
      ]
    }
  },
  "payload": {
    "scope": "The combined effect of metabolic risk factors, chronic kidney disease and cardiovascular disease, as the AHA 2023 presidential advisory defines the field. The abstract speaks of the population in general and of staging across the life course.",
    "life_stages": [],
    "life_stage_terms": null,
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      "statement": "The abstract of the American Heart Association 2023 presidential advisory describes cardiovascular-kidney-metabolic health as the way metabolic risk factors, chronic kidney disease and the heart and vessels act on one another. It says poor health in this area has multisystem consequences, the most significant being a high rate of cardiovascular events and cardiovascular death, and that more treatment options now help metabolic risk factors, kidney function or both while also protecting the heart. It calls for a clearer definition of the syndrome, a staging approach that supports prevention across the life course, prediction algorithms and harmonized prevention and management strategies.",
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        "population": "People with, or at risk of, cardiovascular-kidney-metabolic syndrome. The abstract speaks of the population in general, of poor health being most common where social determinants of health are adverse, and of staging that supports prevention across the life course. It gives no age limits.",
        "care_setting": "Not stated in the abstract. The abstract calls for care models that join up several specialties.",
        "geography": "Not stated in the abstract (American Heart Association advisory; jurisdiction not verified)",
        "life_stage_note": "Across the life course, as the abstract words the aim of staging",
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        "gestational_age_status": null,
        "postnatal_age_status": null,
        "followup_description": "Not applicable (guideline context)",
        "eligibility": {
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      "certainty": "not_assessed",
      "certainty_method": null,
      "limitations": "Only the abstract and the bibliographic record were read. The stages, the definitions and the prediction tools in the advisory body are not recorded. An advisory is guidance from the AHA, not a trial result. PubMed lists one correction (2024-03-26); its text was not read, so it is not known whether it changes anything stated here.",
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