What is it about?
We compared cardiovascular outcome, renal outcome, and all-cause mortality of CKD patients who received care from a multidisciplinary care team (the excellent CKD clinic) versus standard care in an outpatient clinic.
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Why is it important?
In standard care, the physician attempts to control all known risk factors, but treatment goals are achieved with difficulty. Assistance by a multidisciplinary care team may improve outcomes.
Perspectives
This is my first published article conducted when I was a final year medical student. At that time, I was working in a rural primary care hospital that had an excellent CKD clinic. This multidisciplinary clinic cannot enroll all CKD patients in that area because it required a lot of human resources, cost, and time to improve patients' outcomes. Thus, some CKD patients received medical care from a general outpatient clinic. This problem made me wonder how the multidisciplinary clinic is better than the usual care. If the excellent CKD clinic truly yields better outcomes, we need to support them to cover all CKD patients. But, if the outcome does not differ, we should stop the multidisciplinary system and find other easier ways to care for our patients.
Noppawit Aiumtrakul
Phramongkutklao Hospital
Read the Original
This page is a summary of: Cardiovascular and Renal Outcomes in an Excellent Chronic Kidney Disease Clinic Compared with an Outpatient Clinic in a Primary Care Setting: A Retrospective Cohort Study, Kidney Diseases, January 2019, Karger Publishers,
DOI: 10.1159/000495464.
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