Effects of multidisciplinary models of care for adult pre-dialysis patients with chronic kidney disease: A systematic review

Strand, H; Parker, D

Effects of multidisciplinary models of care for adult pre-dialysis patients with chronic kidney disease: A systematic review

Strand, H Parker, D

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Publication Type:: Journal Article
Citation:: International Journal of Evidence-Based Healthcare, 2012, 10 (1), pp. 53 - 59
Issue Date:: 2012-03-01

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Field	Value	Language
dc.contributor.author	Strand, H	en_US
dc.contributor.author	Parker, D https://orcid.org/0000-0003-2552-8613	en_US
dc.date.issued	2012-03-01	en_US
dc.identifier.citation	International Journal of Evidence-Based Healthcare, 2012, 10 (1), pp. 53 - 59	en_US
dc.identifier.issn	1744-1595	en_US
dc.identifier.uri	http://hdl.handle.net/10453/115278
dc.description.abstract	Aim: To compare the effectiveness of multidisciplinary care with traditional medical care on the progression of chronic kidney disease (CKD) in adult pre-dialysis patients (stages 3-5). Methods: Eleven databases were searched for articles published between January 1990 and July 2009. The Joanna Briggs Institute-Meta Analysis of Statistics Assessment and Review Instrument was used to assess the methodological quality of retrieved articles and extract data. Results: Only four articles out of 927 were included in the systematic review. Two reported the results of randomised controlled trials and two reported observational studies. The data were not presented in a format that allowed a meta-analysis to be performed and therefore a narrative summary of these articles is presented. Conclusion: Multidisciplinary care is deemed to be effective in delaying the progression of CKD in adults who are in the pre-dialysis phase of this condition. Education that aims to increase the knowledge and understanding of the causes of CKD is an important component of the care. Implications for practice: Members of the multidisciplinary team should draw on their specific expertise to educate the patient about CKD. The nephrologist or a nurse practitioner should devise a management plan jointly with the patient and provide regular reviews. © 2012 The Authors International Journal of Evidence-Based Healthcare © 2012 The Joanna Briggs Institute.	en_US
dc.relation.ispartof	International Journal of Evidence-Based Healthcare	en_US
dc.relation.isbasedon	10.1111/j.1744-1609.2012.00253.x	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Kidney Failure, Chronic	en_US
dc.subject.mesh	Disease Progression	en_US
dc.subject.mesh	Renal Dialysis	en_US
dc.subject.mesh	Models, Organizational	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Patient Care Team	en_US
dc.subject.mesh	Outcome Assessment (Health Care)	en_US
dc.subject.mesh	Outcome Assessment, Health Care	en_US
dc.title	Effects of multidisciplinary models of care for adult pre-dialysis patients with chronic kidney disease: A systematic review	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	10	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	10	en_US

Abstract:

Aim: To compare the effectiveness of multidisciplinary care with traditional medical care on the progression of chronic kidney disease (CKD) in adult pre-dialysis patients (stages 3-5). Methods: Eleven databases were searched for articles published between January 1990 and July 2009. The Joanna Briggs Institute-Meta Analysis of Statistics Assessment and Review Instrument was used to assess the methodological quality of retrieved articles and extract data. Results: Only four articles out of 927 were included in the systematic review. Two reported the results of randomised controlled trials and two reported observational studies. The data were not presented in a format that allowed a meta-analysis to be performed and therefore a narrative summary of these articles is presented. Conclusion: Multidisciplinary care is deemed to be effective in delaying the progression of CKD in adults who are in the pre-dialysis phase of this condition. Education that aims to increase the knowledge and understanding of the causes of CKD is an important component of the care. Implications for practice: Members of the multidisciplinary team should draw on their specific expertise to educate the patient about CKD. The nephrologist or a nurse practitioner should devise a management plan jointly with the patient and provide regular reviews. © 2012 The Authors International Journal of Evidence-Based Healthcare © 2012 The Joanna Briggs Institute.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/115278