The Improving Renal Outcomes Collaborative: Blood Pressure Measurement in Transplant Recipients.

Pediatrics
Michael SeifertIMPROVING RENAL OUTCOMES COLLABORATIVE (IROC)

Abstract

Hypertension is highly prevalent in pediatric kidney transplant recipients and contributes to cardiovascular death and graft loss. Improper blood pressure (BP) measurement limits the ability to control hypertension in this population. Here, we report multicenter efforts from the Improving Renal Outcomes Collaborative (IROC) to standardize and improve appropriate BP measurement in transplant patients. Seventeen centers participated in structured quality improvement activities facilitated by IROC, including formal training in quality improvement methods. The primary outcome measure was the proportion of transplant clinic visits with appropriate BP measurement according to published guidelines. Prospective data were analyzed over a 12-week pre-intervention period and a 20-week active intervention period for each center and then aggregated as of the program-specific start date. We used control charts to quantify improvements across IROC centers. We applied thematic analysis to identify patterns and common themes of successful interventions. We analyzed data from 5392 clinic visits. At baseline, BP was measured and documented appropriately at 11% of visits. Center-specific interventions for improving BP measurement included educatin...Continue Reading

References

Aug 17, 2002·The Journal of Pediatrics·R S ParekhF K Port
Aug 14, 2003·The Journal of Pediatrics·Mark M MitsnefesPaul T McEnery
Dec 3, 2003·Quality & Safety in Health Care·J C BenneyanP E Plsek
May 21, 2004·Internal Medicine Journal·A Mourad, S Carney
Jul 22, 2004·Pediatric Transplantation·Mark M Mitsnefes
Sep 24, 2004·The New England Journal of Medicine·Alan S GoChi-yuan Hsu
Mar 3, 2007·Pediatrics·Amber PodollDaniel I Feig
Aug 30, 2008·Hypertension·Joseph T FlynnUNKNOWN Chronic Kidney Disease in Children Study Group
Feb 14, 2012·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Manish D SinhaUNKNOWN British Association for Paediatric Nephrology
Mar 3, 2012·Journal of the American Society of Nephrology : JASN·Mark M Mitsnefes
Feb 26, 2013·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·J P SingerH Chen
May 7, 2013·JAMA : the Journal of the American Medical Association·Mark M MitsnefesBethany J Foster
Jul 4, 2013·Pediatrics·Matthew F DaleyDavid J Magid
May 27, 2014·Lancet·Alberto OrtizUNKNOWN Board of the EURECA-m Working Group of ERA-EDTA
Aug 8, 2014·The New England Journal of Medicine·Vikas R DharnidharkaWilliam E Harmon
Feb 6, 2015·Journal of the American Society of Nephrology : JASN·Matthew R WeirSandra J Taler
Oct 21, 2015·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·David K Hooper, Mark Mitsnefes
Aug 23, 2017·Pediatrics·Joseph T FlynnUNKNOWN SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN
Feb 15, 2018·Clinical Journal of the American Society of Nephrology : CJASN·Elaine KuMark M Mitsnefes
Nov 21, 2018·Pediatric Clinics of North America·Pamela D Winterberg, Rouba Garro

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Citations

Jan 17, 2021·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Charles VarnellMichael Seifert

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