ArticleKidney medicine
Advanced CKD Care and Decision Making: Which Health Care Professionals Do Patients Rely on for CKD Treatment and Advice?
Article in Kidney medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 24 citations in OpenAlex.
- Managing Early-Stage Chronic Kidney Disease: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives.Nursing & health sciences · 2026Article
- Nephrology Provider Perceptions about Recommending Influenza and COVID-19 Vaccines: A Nationwide Survey.American journal of nephrology · 2026Article
- Patient Education in Chronic Kidney Disease: A Position Statement of the Polish Society of Nephrology.International journal of nephrology and renovascular disease · 2026Article
- Contraceptive Use and Reproductive Health in Women With CKD: A Qualitative Study of Nephrologists in the United States.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026Article
- Perceptions About Influenza and COVID-19 Vaccines Among People With CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025Article
- Trust in physicians as a mediator of the relationship between person-centered care and medication adherence in patients undergoing hemodialysis: a cross-sectional study.Journal of nephrology · 2025Article
- Japanese Patients' Perceptions of Shared Decision-Making in Renal Replacement Therapy.Kidney international reports · 2025Article
- Advanced Practice Provider Residency Program to Strengthen the Kidney Health Workforce.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Exploring Primary Care Providers' Confidence in Managing Chronic Kidney Disease: A Cross-Sectional Study in Saudi Arabia.International journal of nephrology and renovascular disease · 2025Article
- Exploring Patient Needs and Preferences in CKD Education: A Cross-Sectional Survey Study.Kidney360 · 2024Article
- Factors Associated With Non-vaccination for Influenza Among Patients With CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024Observational
- Engaging patients and family members to design and implement patient-centered kidney disease research.Research involvement and engagement · 2020Article
- Person-Centered Kidney Education: The Path Forward.Kidney medicineArticle
Corrections and comments
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Authors and funding
16 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
RATIONALE &
objectiveChronic kidney disease (CKD) care is often fragmented across multiple health care providers. It is unclear whether patients rely mostly on their nephrologists or non-nephrologist providers for medical care, including CKD treatment and advice. STUDY
designCross-sectional study. SETTING &
participantsAdults receiving nephrology care at CKD clinics in Pennsylvania. PREDICTORS: Frequency, duration, and patient-centeredness (range, 1 [least] to 4 [most]) of participants' nephrology care. OUTCOME: Participants' reliance on nephrologists, primary care providers, or other specialists for medical care, including CKD treatment and advice. ANALYTICAL APPROACH: Multivariable logistic regression to quantify associations between participants' reliance on their nephrologists (vs other providers) and their demographics, comorbid conditions, kidney function, and nephrology care.
resultsAmong 1,412 patients in clinics targeted for the study, 676 (48%) participated. Among these, 453 (67%) were eligible for this analysis. Mean age was 71 (SD, 12) years, 59% were women, 97% were white, and 65% were retired. Participants were in nephrology care for a median of 3.8 (IQR, 2.0-6.6) years and completed a median of 4 (IQR, 3-5) nephrology appointments in the past 2 years. Half (56%) the participants relied primarily on their nephrologists, while 23% relied on primary care providers, 18% relied on all providers equally, and 3% relied on other specialists. Participants' adjusted odds of relying on their nephrologists were higher for those in nephrology care for longer (OR, 1.08 [95% CI, 1.02-1.15]; LIMITATIONS: Single health system study.
conclusionsMany nephrology patients relied on non-nephrologist providers for medical care. Longitudinal patient-centered nephrology care may encourage more patients to follow nephrologists' recommendations.
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Registered trials
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