Evidence map›Paper›PMID 35251673›Full record

ArticleCanadian journal of kidney health and disease2022

A Unique Multi- and Interdisciplinary Cardiology-Renal-Endocrine Clinic: A Description and Assessment of Outcomes.

Lisa Dubrofsky, Jason F Lee, Parisa Hajimirzarahimshirazi, Hongyan Liu, Alanna Weisman, Patrick R Lawler, Michael E Farkouh, Jacob A Udell, David Z Cherney

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of kidney health and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Cardiovascular-Kidney-Metabolic Syndrome: Models of Care.Reviews in cardiovascular medicine · 2026
    Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
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

9 authors at 2 institutions in 1 country.

Lisa DubrofskyDivision of Nephrology, Department of Medicine, Toronto General Hospital, University Health Network, University of Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-6995-2064
Jason F LeeDivision of Nephrology, Department of Medicine, Toronto General Hospital, University Health Network, University of Toronto, ON, Canada.
Parisa HajimirzarahimshiraziDivision of Cardiology, Department of Medicine, Women's College Hospital, University of Toronto, ON, Canada.
Hongyan LiuDivision of Nephrology, Department of Medicine, Toronto General Hospital, University Health Network, University of Toronto, ON, Canada.
Alanna WeismanDivision of Endocrinology & Metabolism, Department of Medicine, University of Toronto, ON, Canada.
Patrick R LawlerTed Rogers Centre for Heart Research, University of Toronto, ON, Canada.
Michael E FarkouhPeter Munk Cardiac Centre, University Health Network, University of Toronto, ON, Canada.
Jacob A UdellDivision of Cardiology, Department of Medicine, Women's College Hospital, University of Toronto, ON, Canada.
David Z CherneyDivision of Nephrology, Department of Medicine, Toronto General Hospital, University Health Network, University of Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-4164-0429
University Health Network · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with diabetes and co-existing chronic kidney disease and/or cardiovascular disease have complex medical needs with multiple indications for different guideline-directed medical therapies and require high health care resource utilization. The Cardiac and Renal Endocrine Clinic (C.a.R.E. Clinic) is a multi- and interdisciplinary clinic offering a unique care model to this population to overcome barriers to optimal care.

objectiveTo describe the patient characteristics and clinical data of consecutive patients seen in the C.a.R.E. Clinic between 2014 and 2020, with a focus on the feasibility, strengths, and challenges of this outpatient care model.

designSingle-center retrospective cohort study.

settingThe C.a.R.E. Clinic is a multi- and interdisciplinary clinic at Toronto General Hospital in Toronto, Canada. PATIENTS: We reviewed the charts of all 118 patients who had been referred to the C.a.R.E. Clinic with type 2 diabetes mellitus, co-existing renal disease, and/or cardiovascular disease. MEASUREMENTS: Demographic data, medication data, clinic blood pressure measurements, and laboratory data were assessed at the first and last available clinic visit.

methodsData were extracted via manual chart review of paper and electronic medical records.

resultsFirst and last attended clinic visit data were available for descriptive analysis in 74 patients. There was a significant improvement in low-density lipoprotein (LDL) cholesterol (1.9 mmol/L vs 1.5 mmol/L, LIMITATIONS: This is a retrospective chart review lacking a control group, therefore clinical improvements cannot be causally attributed to the clinic alone. New evidence and changes to guideline-recommended therapies also contributed to practice changes during this time period.

conclusionsA multi- and interdisciplinary clinic is a feasible and potentially effective way to improve evidence-based and patient-centered care for patients with diabetes, kidney, and cardiovascular disease.

Indexed as

cardiovascular diseasechronic kidney diseasediabetesinterdisciplinarymultidisciplinary

Identifiers

PMID35251673
PMCPMC8891862
OpenAlexW4226301126

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.