ArticleCanadian journal of kidney health and disease2018
Perceived Benefits and Challenges of a Risk-Based Approach to Multidisciplinary Chronic Kidney Disease Care: A Qualitative Descriptive Study.
Article in Canadian journal of kidney health and disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Your Path to Transplant: A randomized controlled trial of a tailored expert system intervention to increase knowledge, attitudes, and pursuit of kidney transplant.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021Trial
- Managing Early-Stage Chronic Kidney Disease: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives.Nursing & health sciences · 2026Article
- Clinical impact of the Kidney Failure Risk Equation for vascular access planning.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024Article
- Article
- Care of Adults with Advanced Chronic Kidney Disease.Journal of clinical medicine · 2024Review
- Article
- Recalibrating the kidney failure risk equation for a Mediterranean European population: reducing age and sex inequality.Frontiers in medicine · 2024Article
- Implementation of the Kidney Failure Risk Equation in a United States Nephrology Clinic.Kidney international reports · 2023Article
- Implementing a Formalized Risk-Based Approach to Determine Candidacy for Multidisciplinary CKD Care: A Descriptive Cohort Study.Canadian journal of kidney health and disease · 2023Article
- Article
- Patient Perspectives on Integrating Risk Prediction Into Kidney Care: Opinion Piece.Canadian journal of kidney health and disease · 2022Article
- Referring patients with chronic kidney disease back to primary care: a criteria-based analysis in outpatient renal clinics.BMC nephrology · 2021Article
- CKD Awareness Among US Adults by Future Risk of Kidney Failure.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020Article
- Patient and provider experience and perspectives of a risk-based approach to multidisciplinary chronic kidney disease care: a mixed methods study.BMC nephrology · 2019Article
- Multidisciplinary Chronic Kidney Disease Clinic Practices: A Scoping Review.Canadian journal of kidney health and disease · 2019Article
- The Kidney Failure Risk Equation for Prediction of Allograft Loss in Kidney Transplant Recipients.Kidney medicineArticle
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe kidney failure risk equation (KFRE) provides an estimate of risk of progression to kidney failure, and may guide clinical care.
objectiveWe aimed to describe patient, family, and health care provider's perspectives of the perceived benefits and challenges of using a risk-based approach to guide care delivery for patients with advanced chronic kidney disease (CKD), and refine implementation based on their input.
methodsWe used qualitative methodology to explore perceived benefits and challenges of implementing a risk-based approach (using the KFRE) to determine eligibility for multidisciplinary CKD care in Southern Alberta. We obtained perspectives from patients and families through focus groups, as well as input from health care providers through interviews and open-ended responses from an online survey. Twelve patients/family members participated in 2 focus groups, 16 health care providers participated in an interview, and 40 health care providers responded to the survey.
resultsOverall, participants felt that a KFRE-based approach had the potential to improve efficiency of the clinics by targeting care to patients at highest risk of kidney failure; however, they also expressed concerns about the impact of loss of services for lower risk individuals. Participants also articulated concerns about a perceived lack of capacity for adequate CKD patient care in the community. Our implementation strategy was modified as a result of participants' feedback.
conclusionsWe identified benefits and challenges to implementation of a risk-based approach to guide care of patients with advanced CKD. Based on these results, our implementation strategy has been modified by removing the category of referral back to primary care alone, and instead having that decision made jointly by nephrologists and patients among low-risk patients.
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Registered trials
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.