The Role of Comprehensive Renal Clinic in Chronic Kidney Disease Stabilization and Management: The Northwestern Experience

Ghossein, Cybele; Serrano, Andrés; Rammohan, Meena; Batlle, Daniel

doi:10.1053/snep.2002.35970

Cited by 18 publications

(21 citation statements)

References 21 publications

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“…• surveys/audits (n = 4) surveys/audits of current care provision [135][136][137][138] • evaluation studies (n = 13) evaluating single services or comparing different services [139][140][141][142][143][144][145][146][147][148][149][150][151] • descriptive studies (n = 7) describing single services, groups of services, individual specialties within services or an intervention for care [152][153][154][155][156][157][158] Chapter 5…”

Section: Resultsmentioning

confidence: 99%

“…MDC models were described in primary care 150 and hospital-based clinics. 142,143,145,146,151,152,154 The MDC disease management programmes based in primary care involved community-based teams of nurses, dieticians, social workers and GPs with a wide scope including a named nurse available to each patient. 150 Hospital care-based MDC nephrology clinics comprised nurses, nurseeducators, social workers, dieticians, nephrologists and academics.…”

Section: Multidisciplinary Carementioning

confidence: 99%

“…143,145,146,151,152,154 Structured care by an individual specialty Apart from nephrologists, CKD management has been influenced by the involvement of other health-care professionals. Pharmacy programmes included structured clinics solely led by pharmacists using protocols to manage the medication of patients with microalbuminuria and nephropathy.…”

Section: Shared Care Schemementioning

confidence: 99%

“…Generally, two types of educational programme were observed: education of general staff and patient education. 141,142,146,150,[153][154][155][156][157][158] The education programmes varied in content and delivery style and are detailed further in Table 21.…”

Section: Educational Interventionmentioning

confidence: 99%

See 3 more Smart Citations

Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis

Black

Sharma²,

Scotland³

et al. 2010

Health Technol Assess

178

144

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects...

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Section: Resultsmentioning

confidence: 99%

Section: Multidisciplinary Carementioning

confidence: 99%

Section: Shared Care Schemementioning

confidence: 99%

Section: Educational Interventionmentioning

confidence: 99%

See 2 more Smart Citations

Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis

Black

Sharma²,

Scotland³

et al. 2010

Health Technol Assess

178

144

View full text Add to dashboard Cite

show abstract

“…Ghossein et al suggested that the greatest benefit to patients occurs when referral to nephrologist is initiated before the plasma creatinine concentration exceeds 1.5 to 2 mg/dL or GFR is less than 60 mL/min per 1.73 m2. 145 Summary: Strategies for the early identification and treatment of DN have evolved based on new clinical trials. The current evidenced-based approaches place emphasis on individualizing optimal glycemic control, BP control with RAAS-blockade as first-line agents, and optimization of traditional cardiovascular risk factors.…”

Section: Early Referral To Nephrologistmentioning

confidence: 99%

Therapeutic Modalities in Diabetic Nephropathy: Standard and Emerging Approaches

et al. 2011

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Diabetes mellitus is the leading cause of end stage renal disease and is responsible for more than 40% of all cases in the United States. Current therapy directed at delaying the progression of diabetic nephropathy includes intensive glycemic and optimal blood pressure control, proteinuria/albuminuria reduction, interruption of the renin-angiotensin-aldosterone system through the use of angiotensin converting enzyme inhibitors and angiotensin type-1 receptor blockers, along with dietary modification and cholesterol lowering agents. However, the renal protection provided by these therapeutic modalities is incomplete. More effective approaches are urgently needed. This review highlights the available standard therapeutic approaches to manage progressive diabetic nephropathy, including markers for early diagnosis of diabetic nephropathy. Furthermore, we will discuss emerging strategies such as PPAR-gamma agonists, Endothelin blockers, vitamin D activation and inflammation modulation. Finally, we will summarize the recommendations of these interventions for the primary care practitioner.

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Chronic Kidney Disease Management Programmes and Patient Education

Harris

Graham

Sharman

2014

Management of Chronic Kidney Disease

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The Role of Comprehensive Renal Clinic in Chronic Kidney Disease Stabilization and Management: The Northwestern Experience

Cited by 18 publications

References 21 publications

Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis

Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis

Therapeutic Modalities in Diabetic Nephropathy: Standard and Emerging Approaches

Chronic Kidney Disease Management Programmes and Patient Education

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