An Evaluation of a Shared Primary and Secondary Care Nephrology Service for Managing Patients With Moderate to Advanced CKD

Jones, Chris; Roderick, Paul; Harris, Scott; Rogerson, Mary

doi:10.1053/j.ajkd.2005.09.020

Cited by 65 publications

(51 citation statements)

References 20 publications

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“…• surveys/audits (n = 4) surveys/audits of current care provision [135][136][137][138] • evaluation studies (n = 13) evaluating single services or comparing different services [139][140][141][142][143][144][145][146][147][148][149][150][151] • descriptive studies (n = 7) describing single services, groups of services, individual specialties within services or an intervention for care [152][153][154][155][156][157][158] Chapter 5…”

Section: Resultsmentioning

confidence: 99%

“…Patients under the care of the SIMON programme had a significant reduction in mean BP after referral. 147 Likewise BP was improved when patients attended multidisciplinary nephrology clinics and redesigned services. 143,151 It was observed that in the redesigned service for diabetic nephropathy patients, the mean fall in BP was -11/7 mmHg (148/80 mmHg at baseline to 137/73 mmHg at follow-up, p < 0.001) and 33% achieved a BP target of 125/75 mmHg.…”

Section: Clinical Markersmentioning

confidence: 99%

“…147 It included an intensive hospital nephrology clinic and shared primary and nephrology care scheme. All patients were initially seen at the hospital nephrology clinic and while patients with stable CKD were monitored regularly through the shared primary and nephrology care scheme, complicated patients and those requiring continued care were retained in the hospital nephrology clinic.…”

Section: Shared Care Schemementioning

confidence: 99%

See 2 more Smart Citations

Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis

Black

Sharma²,

Scotland³

et al. 2010

Health Technol Assess

176

144

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects...

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Section: Resultsmentioning

confidence: 99%

Section: Clinical Markersmentioning

confidence: 99%

Section: Shared Care Schemementioning

confidence: 99%

See 1 more Smart Citation

Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis

Black

Sharma²,

Scotland³

et al. 2010

Health Technol Assess

176

144

View full text Add to dashboard Cite

show abstract

“…36 The opportunity to ask advice from a nephrologist has been studied in a shared care system in the UK. 17 Patients were treated in primary care that was sustained by continuous feedback from nephrologists on the laboratory and blood pressure results. Blood pressure decreased and the prescribing of renin-angiotensin system inhibitors increased.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

“…16 Observational studies on shared care for patients with CKD show promising results, 17 but the effectiveness of shared care for patients with CKD has not yet been proved in randomised trials. 18 This study developed a shared care model for patients with CKD in primary care in which the nurse practitioner played a central role and a nephrologist and a nephrology nurse could be consulted.…”

Section: Introductionmentioning

confidence: 99%

Effect of shared care on blood pressure in patients with chronic kidney disease: a cluster randomised controlled trial

Haan¹,

Vervoort²,

Weel³

et al. 2013

Br J Gen Pract

104

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BackgroundChronic kidney disease (CKD) is highly prevalent in patients with diabetes or hypertension in primary care. A shared care model could improve quality of care in these patients AimTo assess the effect of a shared care model in managing patients with CKD who also have diabetes or hypertension. Design and settingA cluster randomised controlled trial in nine general practices in The Netherlands. MethodFive practices were allocated to the shared care model and four practices to usual care for 1 year. Primary outcome was the achievement of blood pressure targets (130/80 mmHg) and lowering of blood pressure in patients with diabetes mellitus or hypertension and an estimated glomerular filtration rate (eGFR)<60ml/min/1.73m 2 . ResultsData of 90 intervention and 74 control patients could be analysed. Blood pressure in the intervention group decreased with 8.1 (95% CI = 4.8 to 11.3)/1.1 (95% CI = −1.0 to 3.2) compared to −0.2 (95% CI = −3.8 to 3.3)/−0.5 (95% CI = −2.9 to 1.8) in the control group. Use of lipid-lowering drugs, angiotensin-system inhibitors and vitamin D was higher in the intervention group than in the control group (73% versus 51%, 81% versus 64%, and 15% versus 1%, respectively, [P = 0.004, P = 0.01, and P = 0.002]). ConclusionA shared care model between GP, nurse practitioner and nephrologist is beneficial in reducing systolic blood pressure in patients with CKD in primary care.

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Survival Benefit of Nephrologic Care in Patients With Diabetes Mellitus and Chronic Kidney Disease

Tseng¹

2008

Arch Intern Med

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An Evaluation of a Shared Primary and Secondary Care Nephrology Service for Managing Patients With Moderate to Advanced CKD

Cited by 65 publications

References 20 publications

Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis

Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis

Effect of shared care on blood pressure in patients with chronic kidney disease: a cluster randomised controlled trial

Survival Benefit of Nephrologic Care in Patients With Diabetes Mellitus and Chronic Kidney Disease

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