通过提供更多信息和后续程序来改进实验室报告,从而改善基层医疗机构对慢性肾病的管理

IF 14.8 1区 医学 Q1 UROLOGY & NEPHROLOGY Kidney international Pub Date : 2024-08-20 DOI:10.1016/j.kint.2024.07.001
Amit X. Garg , Ann Young
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引用次数: 0

摘要

识别进展性慢性肾脏病的高危人群并将他们与推荐的护理联系起来,对于提供及时和最佳的治疗至关重要。ASSIST-CKD(一项针对进展性 CKD(慢性肾脏病)患者的早期识别、支持和治疗而开展的 eGFR(估计肾小球滤过率)图形监测计划)试验评估了向初级保健医生提供 eGFR 图形报告对英国肾病医生晚诊的影响。试验数据来自英国肾脏登记处。虽然结果是中性的,但 ASSIST-CKD 试验产生的数据信息丰富,为干预效果提供了有用的估计。该试验还就在繁忙的医疗环境中实施复杂干预措施所面临的挑战提供了有价值的见解,可用于指导未来干预措施的设计。
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Improving the management of chronic kidney disease in primary care by enhancing laboratory reports with additional information and follow-up procedures

Identifying people at risk for progressive chronic kidney disease and connecting them with recommended care is crucial for providing timely and optimal treatment. The ASSIST-CKD (A programme to Spread eGFR [estimated glomerular filtration rate] graph Surveillance for the early identification, Support and Treatment of people with progressive CKD [chronic kidney disease]) trial evaluated the effect of graphical eGFR reporting to primary care physicians on late presentation to a nephrologist in the United Kingdom. Trial data were obtained from the UK Renal Registry. Although the results were neutral, the data generated from the ASSIST-CKD trial are informative and provide useful estimates of the intervention effect. The trial also provides valuable insights into the challenges of implementing complex interventions in busy health care environments, which can be used to guide the designs of future interventions.

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来源期刊
Kidney international
Kidney international 医学-泌尿学与肾脏学
CiteScore
23.30
自引率
3.10%
发文量
490
审稿时长
3-6 weeks
期刊介绍: Kidney International (KI), the official journal of the International Society of Nephrology, is led by Dr. Pierre Ronco (Paris, France) and stands as one of nephrology's most cited and esteemed publications worldwide. KI provides exceptional benefits for both readers and authors, featuring highly cited original articles, focused reviews, cutting-edge imaging techniques, and lively discussions on controversial topics. The journal is dedicated to kidney research, serving researchers, clinical investigators, and practicing nephrologists.
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