Canadian chronic kidney disease clinics: a national survey of structure, function and models of care

Canadian Journal of Kidney Health and Disease
Adeera LevinManns Braden

Abstract

The goals of care for patients with chronic kidney disease (CKD) are to delay progression to end stage renal disease, reduce complications, and to ensure timely transition to dialysis or transplantation, while optimizing independence. Recent guidelines recommend that multidisciplinary team based care should be available to patients with CKD. While most provinces fund CKD care, the specific models by which these outcomes are achieved are not known. Funding for clinics is hospital or program based. To describe the structure and function of clinics in order to understand the current models of care, inform best practice and potentially standardize models of care. Prospective cross sectional observational survey study. Canadian nephrology programs in all provinces. Using an open-ended semi-structured questionnaire, we surveyed 71 of 84 multidisciplinary adult CKD clinics across Canada, by telephone and with written semi-structured questionnaires; (June 2012 to November 2013). Standardized introductory scripts were used, in both English and French. CKD clinic structure and models of care vary significantly across Canada. Large variation exists in staffing ratios (Nephrologist, dieticians, pharmacists and nurses to patients), and in r...Continue Reading

References

Jan 30, 2004·Internal Medicine Journal·D W Johnson
Nov 29, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Gerald M DevinsYitzchak M Binik
Jan 18, 2006·Clinical Medicine : Journal of the Royal College of Physicians of London·Richard BurdenUNKNOWN Guideline Development Committee, Joint Specialty Committee on Renal Disease of the Royal College of Physicians of London and
Feb 26, 2008·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Peter A SeniorKailash Jindal
Apr 29, 2008·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Jo MasonSue Carr
Nov 19, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Adeera LevinUNKNOWN Canadian Society of Nephrology
Sep 16, 2009·Seminars in Nephrology·Scott Klarenbach, Braden Manns

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Citations

May 31, 2018·Canadian Journal of Kidney Health and Disease·Maoliosa DonaldBrenda R Hemmelgarn
Sep 14, 2019·Canadian Journal of Kidney Health and Disease·Meaghan LunneyAminu K Bello
Jan 15, 2015·Seminars in Dialysis·Manish M SoodNavdeep Tangri
Aug 8, 2019·Journal of the American Society of Nephrology : JASN·S Joseph KimBryce Kiberd
Jan 27, 2018·Canadian Journal of Kidney Health and Disease·Adeera LevinBraden Manns
Jun 18, 2020·Canadian Journal of Kidney Health and Disease·Penelope S Poyah, Tabassum Ata Quraishi
May 18, 2016·Canadian Journal of Kidney Health and Disease·David CollisterAdeera Levin
Nov 6, 2015·Clinical Journal of the American Society of Nephrology : CJASN·Andrew S NarvaL Ebony Boulware
Feb 23, 2021·Canadian Journal of Kidney Health and Disease·Jay HingwalaSamuel A Silver
Oct 1, 2017·Kidney International Supplements·Aminu K BelloAdeera Levin

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