Evidence map›Paper›PMID 35479194›Full record

ArticleKidney medicine2022

Interdisciplinary Care and Preparedness for Kidney Failure Management in a High-Risk Population.

Tanya S Johns, Kalyan Prudhvi, Rachel A Motechin, Kaltrina Sedaliu, Michelle M Estrella, Allison Stark, Carolyn Bauer, Ladan Golestaneh, L Ebony Boulware, Michal L Melamed

Registry-linked trialAbstract read
In one paragraph

Article in Kidney medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06925776 (Community Health Workers in an Interdisciplinary Outpatient CKD Clinic to Optimize Social Care Navigation, Patient Engagement, and Home Dialysis Utilization- the CHOOSE Home Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06925776 narecruitingnot on this mapstarted 2025, after this paper: background citation

Community Health Workers in an Interdisciplinary Outpatient CKD Clinic to Optimize Social Care Navigation, Patient Engagement, and Home Dialysis Utilization- the CHOOSE Home Trial

TypeinterventionalSponsorMontefiore Medical CenterRan2025 to 2028Enrolled106ConditionsKidney Replacement TherapyArmsCHOOSE Home Intervention, Usual Care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

10 authors.

Tanya S JohnsAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Kalyan PrudhviAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Rachel A MotechinAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Kaltrina SedaliuAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Michelle M EstrellaUniversity of California, San Francisco and San Francisco VA Health Care System.
Allison StarkAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Carolyn BauerAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Ladan GolestanehAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
L Ebony BoulwareDuke University School of Medicine, Durham, NC.
Michal L MelamedAlbert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.

Funding

CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
Clinical and Translational Science AwardKL2TR001071 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHAMOON, HARRY · 2013 to 2017
$968k
Diet Related Inflammation and Kidney Function Decline in Racial/Ethnic MinoritiesK23DK124644 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI JOHNS, TANYA · 2021 to 2023
$752k
NCATS NIH HHS KL2 TR001071NCATS NIH HHS UL1 TR002556NIDDK NIH HHS K23 DK124644NIDDK NIH HHS L60 DK126281
6 · The paper itself

Abstract

Rationale & Objective: Interdisciplinary care may improve health outcomes in patients with chronic kidney disease (CKD). Few studies have evaluated this model of health care delivery in racial and ethnic minorities. Study Design: Retrospective cohort study. Setting & Participants: Incident end-stage kidney disease (ESKD) patients at Montefiore Medical Center from October 1, 2013, to October 31, 2019. Exposure: Pre-ESKD interdisciplinary care. Outcomes: Pre-ESKD transplant listing and optimal kidney replacement therapy (KRT) start (use of arteriovenous access at hemodialysis initiation, outpatient hemodialysis start, preemptive transplant, or peritoneal dialysis as the first modality). Analytical Approach: We constructed multivariable logistic regression models adjusted for sociodemographic and clinical factors to determine the odds of transplant listing and optimal KRT start between interdisciplinary versus the usual care group. Results: Of the 295 incident ESKD patients included in our study, 84 received interdisciplinary care and 211 received usual nephrology care. The mean age was 59.9 years (standard deviation, 13.9 years), 47% were women, and 87% were African American or Hispanic. Baseline characteristics were similar between the groups, except that the interdisciplinary care group had a lower prevalence of hypertension (60% vs 75%). Compared with usual care, a higher proportion of patients in the interdisciplinary care group were listed for kidney transplant (44% vs 16%) and had an optimal KRT start (53% vs 44%). Receipt of interdisciplinary care was associated with a higher odds (OR, 5.73; 95% CI, 2.78-11.80; Limitations: The study was non-randomized and had a small sample size. Conclusions: Interdisciplinary care is associated with better ESKD preparedness compared with usual nephrology care alone in racial and ethnic minorities. Larger studies are needed to determine the effectiveness of interdisciplinary care in patients with advanced CKD.

Indexed as

chronic kidney diseasehealth care deliveryInterdisciplinary or multidisciplinary caretransplant

Identifiers

PMID35479194
PMCPMC9035431

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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.