ArticleJournal of general internal medicine2019
Integrating a Medical Home in an Outpatient Dialysis Setting: Effects on Health-Related Quality of Life.
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Chronic Pain Locations, Characteristics, and Associations With Other Symptoms in Adults Receiving Maintenance Hemodialysis: Findings From the HOPE Consortium Trial.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026Trial
- Treating depression in dialysis patients: pharmacological and non-pharmacological approaches.Clinical kidney journal · 2026Review
- Primary Care Involvement and Health Care Utilization Among Patients With End-Stage Kidney Disease.JAMA network open · 2026Article
- Risk of Hospital Readmissions and Association With Receipt of Post-Hospitalization Care Coordination Services Among High-Risk Veterans.Health services research · 2026Observational
- Association of Primary Care Continuity With Home Dialysis, Transplantation, and Utilization of Medical Services for Patients Starting Hemodialysis.Kidney medicine · 2025Article
- Understanding care coordination for Veterans with complex care needs: protocol of a multiple-methods study to build evidence for an effectiveness and implementation study.Frontiers in health services · 2023Article
- Value-Based Kidney Care: A Recipe for Success.Clinical journal of the American Society of Nephrology : CJASN · 2021Article
- Changes in health-related quality of life before and after a 12-month enhanced primary care model among chronically ill primary care patients in Australia.Health and quality of life outcomes · 2020Article
- The Future of the Patient-Centered Outcomes Research Institute (PCORI).Journal of general internal medicine · 2019Article
- Improvement Strategies for the Challenging Collaboration of General Practitioners and Specialists for Patients with Complex Chronic Conditions: A Scoping Review.International journal of integrated careArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundIntegrating primary care has been proposed to reduce fragmented care delivery for patients with complex medical needs. Because of their high rates of morbidity, healthcare use, and mortality, patients with end-stage kidney disease (ESKD) may benefit from increased access to a primary care medical home.
objectiveTo evaluate the effect of integrating a primary care medical home on health-related quality of life (HRQOL) for patients with ESKD receiving chronic hemodialysis.
designBefore-after intervention trial with repeated measures at two Chicago dialysis centers.
participantsPatients receiving hemodialysis at either of the two centers.
interventionTo the standard hemodialysis team (nephrologist, nurse, social worker, dietitian), we added a primary care physician, a pharmacist, a nurse coordinator, and a community health worker. The intervention took place from January 2015 through August 2016. MAIN MEASURES: Health-related quality of life, using the Kidney Disease Quality of Life (KDQOL) measures. KEY
resultsOf 247 eligible patients, 175 (71%) consented and participated; mean age was 54 years; 55% were men and 97% were African American or Hispanic. In regression analysis adjusted for individual visits with the medical home providers and other factors, there were significant improvements in four of five KDQOL domains: at 12 and 18 months, the Mental Component Score improved from baseline (adjusted mean 49.0) by 2.64 (p = 0.01) and 2.96 (p = 0.007) points, respectively. At 6 and 12 months, the Symptoms domain improved from baseline (adjusted mean = 77.0) by 2.61 (p = 0.02) and 2.35 points (p = 0.05) respectively. The Kidney Disease Effects domain improved from baseline (adjusted mean = 72.7), to 6, 12, and 18 months by 4.36 (p = 0.003), 6.95 (p < 0.0001), and 4.14 (p = 0.02) points respectively. The Physical Component Score improved at 6 months only.
conclusionsIntegrating primary care and enhancing care coordination in two dialysis facilities was associated with improvements in HRQOL among patients with ESKD who required chronic hemodialysis.
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