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

Strand, Haakan and Parker, Deborah (2012) Effects of multidisciplinary models of care for adult pre-dialysis patients with chronic kidney disease: A systematic review. International Journal of Evidence-Based Healthcare, 10 1: 53-59.


Author Strand, Haakan
Parker, Deborah
Title Effects of multidisciplinary models of care for adult pre-dialysis patients with chronic kidney disease: A systematic review
Journal name International Journal of Evidence-Based Healthcare  (ERA 2012 Listed)    (ERA 2010 Rank B)   Check publisher's open access policy
Publication date 2012-03
Sub-type Article
DOI 10.1111/j.1744-1609.2012.00253.x
Volume number 10
Issue number 1
ISSN 1744-1609; 1744-1595
Start page 53
End page 59
Total pages 7
Place of publication Richmond, Vic., Australia
Publisher Wiley-Blackwell Publishing
Collection year 2013
Language eng
Formatted 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.
Keyword Chronic kidney disease
Multidisciplinary care
Pre-dialysis
Systematic review
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article
Collections: Official 2013 Collection
School of Nursing and Midwifery Publications
 
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Created: Thu, 01 Mar 2012, 15:51:27 EST by Mr Haakan Strand on behalf of School of Nursing and Midwifery