Evidence map›Paper›PMID 40207101›Full record

ArticleClinical kidney journal2025

Integrated primary and secondary care optimizes the management of people with CKD-the LUCID project.

Rupert W Major, Niraj Lakhani, Yaseen Ahmed, Jade Atkin, Richard Baines, Rose Balment, Chee Kay Cheung, Matthew P Graham-Brown, Claire Ellwood, Laura Harding and 25 more

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Article in Clinical kidney journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

7 citing papers in PubMed.

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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

35 authors.

Rupert W MajorDepartment of Population Health Sciences, College of Life Sciences, University of Leicester, Leicester, UK.
Niraj LakhaniWillows Health Primary Care Network, Leicester, UK.
Yaseen AhmedUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Jade AtkinLeicester, Leicestershire and Rutland Integrated Care Board, Leicester, UK.
Richard BainesUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Rose BalmentNorth West Leicestershire Primary Care Network, Leicestershire, UK.
Chee Kay CheungUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Matthew P Graham-BrownUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Claire EllwoodLeicester, Leicestershire and Rutland Integrated Care Board, Leicester, UK.
Laura HardingNorth West Leicestershire Primary Care Network, Leicestershire, UK.
Osasuyi IyasereUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Tracy JesaLeicester, Leicestershire and Rutland Integrated Care Board, Leicester, UK.
Jorge Jesus-SilvaUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Yusuf JinaduUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Arshad KhalidFosseway Primary Care Network, Leicestershire, UK.
Jibran KhatriUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Yahya MakkeyahUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Maria MartinezUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Helen MatherLeicester, Leicestershire and Rutland Integrated Care Board, Leicester, UK.
James F MedcalfUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Kirk MooreNorth West Leicestershire Primary Care Network, Leicestershire, UK.
James OgleBosworth Primary Care Network, Leicestershire, UK.
Eleanor OseyaLeicester City South Primary Care Network, Leicester, UK.
Dipesh PatelUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Reena PatelBelgrave and Spinney Hill Primary Care Network, Leicester, UK.
Tracy PollardLeicester City South Primary Care Network, Leicester, UK.
William PriestmanBosworth Primary Care Network, Leicestershire, UK.
Amit RastogiLeicester City South Primary Care Network, Leicester, UK.
Nil SanganeeLeicester, Leicestershire and Rutland Integrated Care Board, Leicester, UK.
Mark ShaffuOadby and Wigston Primary Care Network, Leicester, UK.
Michael SteinerUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Tun ThanSalutem Primary Care Network, Leicester, UK.
Gang XuUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.
Fahad RizviWillows Health Primary Care Network, Leicester, UK.
James O BurtonUniversity of Hospitals of Leicester NHS Trust, Leicester, UK.ORCID https://orcid.org/0000-0003-1176-7592

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Early diagnosis, risk stratification and medication optimization are essential to improve the management of chronic kidney disease (CKD) and other long-term conditions. The introduction of Integrated Care Systems (ICS) in England provides the opportunity to revolutionize the management of these conditions. Annual National Health Service kidney disease costs are ∼£6.4 billion. Methods: We designed, piloted and implemented at scale an ICS-level virtual care programme for CKD, the 'Leicester, Leicestershire, and Rutland Chronic Kidney Disease Integrated Care Delivery Project' (LUCID), based on the principles of patient and professional education, early disease identification, medicines optimization and disease surveillance. Results: In April 2022, virtual multidisciplinary team (MDT) meetings were piloted in Leicester, Leicestershire and Rutland, UK. Since April 2023 virtual MDT meetings have been available to all general practices in Leicester, Leicestershire and Rutland, representing a population of approximately 1.2 million people. As of 31 March 2024, general practices representing an estimated population of 700 000 (58.3%) were participating in the LUCID programme. Some 1085 consultations took place for 821 patients, 590 (54.4%) of which were medicines optimization consultations. Conclusions: LUCID may represent an efficient and cost-effective model to deliver patient and professional education, medicine optimization and risk stratification for people living with CKD at an ICS-wide population level. This model may be adaptable for other long-term physical and mental health conditions.

Indexed as

CKDCVDintegrated careKFREmedicine optimisation

Identifiers

PMID40207101
PMCPMC11980979

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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.