ArticlePediatric nephrology (Berlin, Germany)2012
The effect of a multidisciplinary care clinic on the outcomes in pediatric chronic kidney disease.
Article in Pediatric nephrology (Berlin, Germany), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Baseline characteristics of participants in the NAVKIDSPediatric nephrology (Berlin, Germany) · 2023Trial
- Congenital anomalies of the kidney and urinary tract: defining risk factors of disease progression and determinants of outcomes.Pediatric nephrology (Berlin, Germany) · 2023Review
- Preparing for kidney replacement therapy in pediatric advanced CKD: a review of literature and defining a multi-disciplinary clinical approach to patient-caregiver education.Pediatric nephrology (Berlin, Germany) · 2023Review
- Illness-related parental stress and quality of life in children with kidney diseases.Pediatric nephrology (Berlin, Germany) · 2023Article
- Nutritional Assessment and Support in Children with Chronic Kidney Disease: The Benefits of Working with a Registered Dietitian.Nutrients · 2023Article
- Psychosocial supports within pediatric nephrology practices: A pediatric nephrology research consortium survey.PloS one · 2023Article
- Care for Adolescents With Polycystic Ovary Syndrome: Development and Prescribing Patterns of a Multidisciplinary Clinic.Journal of pediatric and adolescent gynecology · 2021Article
- In support of point-of-care social needs screening: The effects of five social determinants on the health of children with chronic diseases in British Columbia.Paediatrics & child health · 2019Article
- Urologic care and progression to end-stage kidney disease: a Chronic Kidney Disease in Children (CKiD) nested case-control study.Journal of pediatric urology · 2019Article
- Cholestasis affects enteral tolerance and prospective weight gain in the NICU.Clinical nutrition ESPEN · 2019Article
- A multidisciplinary approach to the clinical management of Prader-Willi syndrome.Molecular genetics & genomic medicine · 2019Article
- Multidisciplinary Chronic Kidney Disease Clinic Practices: A Scoping Review.Canadian journal of kidney health and disease · 2019Article
- Is it time for a multi-specialty approach to cardio-renal dysfunction in children with cyanotic congenital heart disease?Pediatric nephrology (Berlin, Germany) · 2018Article
- Public health: Public investment in childhood health: worth the cost.Nature reviews. Nephrology · 2017Article
- Clinical Practice: A Proposed Standardized Ophthalmological Assessment for Patients with Cystinosis.Ophthalmology and therapy · 2017Review
- Health-related quality of life in patients with pediatric onset of end-stage renal disease: state of the art and recommendations for clinical practice.Pediatric nephrology (Berlin, Germany) · 2016Review
- Perspectives on optimizing care of patients in multidisciplinary chronic kidney disease clinics.Canadian journal of kidney health and disease · 2016Review
- Anxiety, depression, resilience and quality of life in children and adolescents with pre-dialysis chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2015Article
- Distributed expertise: qualitative study of a British network of multidisciplinary teams supporting parents of children with chronic kidney disease.Child: care, health and development · 2015Article
- Factors influencing choice of renal replacement therapy in European paediatric nephrology units.Pediatric nephrology (Berlin, Germany) · 2013Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrent best evidence-based practice for children with chronic kidney disease (CKD) attempts to achieve good clinical outcomes through careful management of comorbidities and is likely best achieved with a multidisciplinary care (MDC) CKD clinic.
methodsIn this retrospective study of children with CKD in British Columbia, Canada, we analyzed clinical outcomes in a cohort of 73 CKD patients from 2003 under a standard care model and a second cohort of 125 CKD patients from 2009 under a MDC clinic model.
resultsPatient demographics were similar, but there was a decrease in the percentage of patients with CKD stage 3-5 in 2009 (59 vs. 75 %; p = 0.002), although the absolute number increased. After adjustment for severity of CKD, hemoglobin was significantly higher (13.0 g/dl vs. 12.2 g/dl, p < 0.03), calcium was significantly higher (9.6 mg/dl vs. 9.1 mg/dl, p < 0.001), and albumin was significantly higher (4.4 g/dl vs. 3.8 g/dl, p < 0.001) in the 2009 MDC cohort. The rate of disease progression, assessed by annualized estimated glomerular filtration rate (eGFR) slope, improved from -4.0 ml/min/1.73 m(2) in the 2003 cohort to 0.5 ml/min/1.73 m(2) in the 2009 cohort (p < 0.01). Blood pressure control was better in 2009 although not statistically significant.
conclusionsMultidisciplinary care improved the outcomes of children with CKD especially in anemia management, bone mineral metabolism, nutrition, and renal disease progression.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.