ArticleInternational urology and nephrology2021
Effect of multidisciplinary care of dialysis initiation for outpatients with chronic kidney disease.
Article in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Systematic Review and Meta-Analysis Program Based on Effectiveness of a Multidisciplinary Model of Care for Patients with Chronic Kidney Disease.Contrast media & molecular imaging · 2022Pooled it
- Clinical Efficacy of Dapagliflozin in Cases of Advanced Renal Dysfunction in Chronic Kidney Disease.Internal medicine (Tokyo, Japan) · 2026Article
- Association of Estimated Glomerular Filtration Rate Slopes with Cardiorenal Outcomes in Patients with Chronic Kidney Disease before and after Multidisciplinary Education.Kidney & blood pressure research · 2026Article
- Incidental AVF creation during unrelated hospitalization is associated with worse outcomes compared with outpatient AVF creation.The journal of vascular access · 2025Article
- The way home: a scoping review of public health interventions to increase the utilization of home dialysis in chronic kidney disease patients.BMC nephrology · 2025Article
- Evaluation of the Virtual Multidisciplinary Team Meeting Model for Adult Patients on Haemodialysis: A Qualitative Study.Journal of evaluation in clinical practice · 2025Article
- The effect of brief educational intervention on level of awareness about chronic kidney disease among type-2 diabetes mellitus patients in Prince Sultan Military Hospital, Taif.Journal of diabetes and metabolic disorders · 2024Article
- Key Performance Indicators of Secondary Health Care in Chronic Kidney Disease: Experience in Public and Private Services in the State of São Paulo, Brazil.International journal of nephrology · 2024Article
- Change in Liver Fibrosis Associates with Progress of Diabetic Nephropathy in Patients with Nonalcoholic Fatty Liver Disease.Nutrients · 2023Article
- Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis.Scientific reports · 2023Article
- "You need a team": perspectives on interdisciplinary symptom management using patient-reported outcome measures in hemodialysis care-a qualitative study.Journal of patient-reported outcomes · 2023Article
- Article
- Relationship between compliance with management target values and renal prognosis in multidisciplinary care for outpatients with chronic kidney disease.Clinical and experimental nephrology · 2022Article
- The impact of multidisciplinary pre-dialysis care on the outcomes of incident peritoneal dialysis patients.BMC nephrology · 2022Article
- Effect on residual kidney function of shared decision-making in selection of dialysis therapy.Clinical and experimental nephrology · 2021Article
- Value-Based Model for Vascular Access Management in the End-Stage Kidney Disease Population.Seminars in dialysisReview
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of comprehensive multidisciplinary care (MDC) by the chronic kidney disease (CKD) team is not only to prevent worsening renal function, but also provide education on the selection of renal replacement therapy (RRT) by shared decision making (SDM). The purpose of this study was to examine the effects of MDC for predialysis outpatients on dialysis therapy, especially with regard to peritoneal dialysis (PD).
methodsThis study evaluated 112 CKD patients who underwent dialysis at our hospital starting from 2012, with 53 outpatients receiving MDC from the CKD team and 59 outpatients not receiving MDC. Annual decreases in the estimated glomerular filtration rates (ΔeGFR), the duration from the time of intervention to dialysis initiation, the urgent dialysis rate using a temporary catheter, and the PD selection rate were compared and examined between the two groups. The ΔeGFR, the duration from intervention to PD initiation, and the PD retention rate were compared between 18 PD patients in the MDC group and 10 PD patients in the non-MDC group.
resultsThe MDC group had a significantly lower ΔeGFR, significantly longer duration, and a significantly lower urgent dialysis initiation rate versus the non-MDC group. Moreover, there was a significantly higher PD selection rate, significantly prolonged duration, and significantly higher PD retention rate.
conclusionsMultidisciplinary CKD team care for outpatients is effective in delaying the progression of CKD and avoiding the initiation of urgent dialysis; contributing to improved PD selectivity and continuity by SDM.
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