With the best of intentions: Is it possible to meet the CARI guidelines?

Isbel, N., Bailey, R., Beal, B., Hawley, C. M., Campbell, S. B., Petrie, J. J., Burke, J., Bofinger, A. M., Marwick, T. H. and Johnson, D. W. (2001). With the best of intentions: Is it possible to meet the CARI guidelines?. In: , Nephrology: Abstracts of the Australian and New Zealand Society of Nephrology 37th Annual Scientific Meeting. Australian and New Zealand Society of Nephrology 37th Annual Scientific Meeting, Darwin, N.T., (A90-A90). 5-7 September, 2001.


Author Isbel, N.
Bailey, R.
Beal, B.
Hawley, C. M.
Campbell, S. B.
Petrie, J. J.
Burke, J.
Bofinger, A. M.
Marwick, T. H.
Johnson, D. W.
Title of paper With the best of intentions: Is it possible to meet the CARI guidelines?
Conference Paper Type Published Abstract
Conference name Australian and New Zealand Society of Nephrology 37th Annual Scientific Meeting
DOI 10.1046/j.1440-1797.2002.00007-1-90.x
Conference location Darwin, N.T.
Conference dates 5-7 September, 2001
Proceedings title Nephrology: Abstracts of the Australian and New Zealand Society of Nephrology 37th Annual Scientific Meeting   Check publisher's open access policy
Place published Carlton, Victoria
Publisher Blackwell Science
Publication date 2001
Volume number 7
Issue number 1
ISSN 1320-5358
1440-1797
Start page A90
End page A90
Total pages 1
Language eng
Abstract/Summary The CARI1 draft dialysis guidelines propose evidence based targets for biochemical and haematological parameters in ESRF. As part of a prospective randomised trial we investigated our ability to apply the CARI and National Heart Foundation of Australia targets to a representative dialysis population. All patients aged between 18–80 yrs were encouraged to enroll regardless of prior history of non-compliance or co-morbidity. Patients were randomised to either usual care (U;n = 44) or focussed care (F;n = 45). Usual care involved monthly blood tests and pysician review second monthly. In addition focus care patients had a monthly review in a physician supervised trial clinic run by nurses. The groups were comparable at baseline in terms of age, gender, dialysis modality, proportion of diabetics, time on dialysis, haemoglobin, ferritin, % saturation, parathyroid hormone, serum corrected calcium, serum phosphate, total cholesterol and LDL. At 6 months there had been significant improvements in PTH (p < 0.05), total cholesterol (p < 0.05) and LDL (p < 0.001), and a trend to better BP control. The proportion of patients meeting targets at 6 months were as follows: tot chol < 5 mmol/l-U 63%, F 82%; LDL < 3 mmol/l-U 75%, F 91%; phosphate < 1.8 mmol/l- U 42%, F 62%; PTH < 21 pmol/l-U 21%, F 40%; BP sys < 140 mmHg-U 41% F 46%; Hb > 11.5 g/dl U 58% F 64%. In spite of an intensive programme to maximise management of the haematological and biochemical parameters in patients with ESRF it appears that in a significant proportion of patients these targets could not be reached. 1The CARI Guidelines (Caring for Australians with Renal Impairment). Australian Kidney Foundation & Australia New Zealand Society of Nephrology, 2001.
Subjects EX
321012 Nephrology and Urology
730118 Organs, diseases and abnormal conditions not elsewhere classified
Q-Index Code EX
Additional Notes Abstract no. P90

Document type: Conference Paper
Sub-type: Published Abstract
Collection: School of Medicine Publications
 
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Created: Thu, 23 Aug 2007, 23:42:36 EST