Evidence map›Paper›PMID 26024966›Full record

ArticleBMC nephrology2015

Development of a chronic kidney disease patient navigator program.

Stacey E Jolly, Sankar D Navaneethan, Jesse D Schold, Susana Arrigain, Victoria Konig, Yvette K Burrucker, Jennifer Hyland, Priscilla Dann, Barbara H Tucky, John W Sharp and 1 more

Abstract read
In one paragraph

Article in BMC nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019
    Pooled it
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  14. Patient Navigation: Addressing Social Challenges in Dialysis Patients.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Stacey E JollyDepartment of General Internal Medicine, Medicine Institute, Cleveland Clinic, 9500 Euclid Avenue- G10, Cleveland, OH, USA. jollys@ccf.org.
Sankar D NavaneethanDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. navanes@ccf.org.
Jesse D ScholdDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. ScholdJ@ccf.org.
Susana ArrigainDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA. arrigas@ccf.org.
Victoria KonigDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA. konigv@ccf.org.
Yvette K BurruckerDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. burrucy@ccf.org.
Jennifer HylandDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. hylandj@ccf.org.
Priscilla DannDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. dannp@ccf.org.
Barbara H TuckyDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. tuckyb@ccf.org.
John W SharpHealth Informatics Program, Kent State University, Kent, OH, USA. jsharp@himss.org.
Joseph V NallyDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. nallyj@ccf.org.

Funding

Case Western Reserve University/Cleveland Clinic CTSA (KL2)KL2RR024990 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$9.5M
Chronic Kidney Disease Knowledge and Awareness among American IndiansK23DK091363 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI JOLLY, STACEY · 2011 to 2015
$796k
Navigating the Challenges of Chronic Kidney DiseaseR34DK094112 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI NALLY, JOSEPH · 2011 to 2013
$700k
NCRR NIH HHS KL2 RR024990NCRR NIH HHS RR024990NIDDK NIH HHS 1K23DK091363NIDDK NIH HHS K23 DK091363NIDDK NIH HHS R34 DK094112NIDDK NIH HHS R34DK094112
6 · The paper itself

Abstract

backgroundChronic Kidney Disease (CKD) is a public health problem and there is a scarcity of type 2 CKD translational research that incorporates educational tools. Patient navigators have been shown to be effective at reducing disparities and improving outcomes in the oncology field. We describe the creation of a CKD Patient Navigator program designed to help coordinate care, address system-barriers, and educate/motivate patients.

methodsThe conceptual framework for the CKD Patient Navigator Program is rooted in the Chronic Care Model that has a main goal of high-quality chronic disease management. Our established multidisciplinary CKD research team enlisted new members from information technology and data management to help create the program. It encompassed three phases: hiring, training, and implementation. For hiring, we wanted a non-medical or lay person with a college degree that possessed strong interpersonal skills and experience in a service-orientated field. For training, there were three key areas: general patient navigator training, CKD education, and electronic health record (EHR) training. For implementation, we defined barriers of care and created EHR templates for which pertinent study data could be extracted.

resultsWe have hired two CKD patient navigators who will be responsible for navigating CKD patients enrolled in a clinical trial. They have undergone training in general patient navigation, specific CKD education through directed readings and clinical shadowing, as well as EHR and other patient related privacy and research training.

conclusionsThe need for novel approaches like our CKD patient navigator program designed to impact CKD care is vital and should utilize team-based care and health information technology given the changing landscape of our health systems.

Indexed as

Health Services AccessibilityMotivationPatient Education as TopicProgram DevelopmentElectronic Health RecordsHealthcare DisparitiesHealth Services Needs and DemandHumansPatient NavigationPersonnel SelectionRenal Insufficiency, Chronic

Identifiers

PMID26024966
PMCPMC4459709

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.