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https://www.readbyqxmd.com/read/27799615/effect-of-telemedicine-on-glycated-hemoglobin-in-diabetes-a-systematic-review-and-meta-analysis-of-randomized-trials
#1
Labib Imran Faruque, Natasha Wiebe, Arash Ehteshami-Afshar, Yuanchen Liu, Neda Dianati-Maleki, Brenda R Hemmelgarn, Braden J Manns, Marcello Tonelli
BACKGROUND: Telemedicine, the use of telecommunications to deliver health services, expertise and information, is a promising but unproven tool for improving the quality of diabetes care. We summarized the effectiveness of different methods of telemedicine for the management of diabetes compared with usual care. METHODS: We searched MEDLINE, Embase and the Cochrane Central Register of Controlled Trials databases (to November 2015) and reference lists of existing systematic reviews for randomized controlled trials (RCTs) comparing telemedicine with usual care for adults with diabetes...
October 31, 2016: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/27707824/experiences-of-long-term-life-limiting-conditions-among-patients-and-carers-what-can-we-learn-from-a-meta-review-of-systematic-reviews-of-qualitative-studies-of-chronic-heart-failure-chronic-obstructive-pulmonary-disease-and-chronic-kidney-disease
#2
Carl R May, Amanda Cummings, Michelle Myall, Jonathan Harvey, Catherine Pope, Peter Griffiths, Paul Roderick, Mick Arber, Kasey Boehmer, Frances S Mair, Alison Richardson
OBJECTIVES: To summarise and synthesise published qualitative studies to characterise factors that shape patient and caregiver experiences of chronic heart failure (CHF), chronic obstructive pulmonary disease (COPD) and chronic kidney disease (CKD). DESIGN: Meta-review of qualitative systematic reviews and metasyntheses. Papers analysed using content analysis. DATA SOURCES: CINAHL, EMBASE, MEDLINE, PsychINFO, Scopus and Web of Science were searched from January 2000 to April 2015...
October 5, 2016: BMJ Open
https://www.readbyqxmd.com/read/27613787/local-learning-collaboratives-to-improve-quality-for-chronic-kidney-disease-ckd-from-four-regional-practice-based-research-networks-pbrns
#3
Paula Darby Lipman, Cheryl B Aspy
BACKGROUND: Four practice-based research networks (PBRNs) participated in a project to increase the diffusion of evidence-based treatment guidelines for chronic kidney disease (CKD). A multicomponent organizational intervention engaged regionally proximal primary care practices in a series of facilitated meetings, referred to as local learning collaboratives (LLCs). METHODS: The 2-wave strategy began with 8 practices in each PBRN receiving practice facilitation and subsequently joining an LLC...
September 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/27612446/design-and-protocol-for-the-dialysis-optimal-health-program-dohp-randomised-controlled-trial
#4
Simon R Knowles, Chantal F Ski, Robyn Langham, Emmet O'Flaherty, David R Thompson, Susan L Rossell, Gaye Moore, Ya-Seng Arthur Hsueh, David J Castle
BACKGROUND: Chronic kidney disease (CKD) and end-stage kidney disease (ESKD) are serious and growing health problems with enormous impact on psychological and social functioning. Despite high rates of comorbid depression and anxiety in these patient populations, and the adverse impact these have upon treatment adherence, quality of life, social connectedness and healthcare costs there has been little attention focused on the prevention or management of these problems. Thus, our aim was to evaluate the Dialysis Optimal Health Program (DOHP) that adopts a person-centred approach and engages collaborative therapy to educate and support those diagnosed with ESKD who are commencing dialysis...
2016: Trials
https://www.readbyqxmd.com/read/27583404/a-randomised-trial-of-the-effect-and-cost-effectiveness-of-early-intensive-multifactorial-therapy-on-5-year-cardiovascular-outcomes-in-individuals-with-screen-detected-type-2-diabetes-the-anglo-danish-dutch-study-of-intensive-treatment-in-people-with-screen
#5
Rebecca K Simmons, Knut Borch-Johnsen, Torsten Lauritzen, Guy Ehm Rutten, Annelli Sandbæk, Maureen van den Donk, James A Black, Libo Tao, Edward Cf Wilson, Melanie J Davies, Kamlesh Khunti, Stephen J Sharp, Nicholas J Wareham, Simon J Griffin
BACKGROUND: Intensive treatment (IT) of cardiovascular risk factors can halve mortality among people with established type 2 diabetes but the effects of treatment earlier in the disease trajectory are uncertain. OBJECTIVE: To quantify the cost-effectiveness of intensive multifactorial treatment of screen-detected diabetes. DESIGN: Pragmatic, multicentre, cluster-randomised, parallel-group trial. SETTING: Three hundred and forty-three general practices in Denmark, the Netherlands, and Cambridge and Leicester, UK...
August 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27549431/a-nurse-coordinated-model-of-care-versus-usual-care-for-chronic-kidney-disease-meta-analysis
#6
Haidan Xu, Lisha Mou, Zhiming Cai
AIM: To investigate whether a nurse-led care was more beneficial for implementing chronic kidney disease guidelines and improved multiple risk factors compared with the usual care. BACKGROUND: Several independent clinical trials have been carried out to demonstrate the efficiency of a nurse-led care to improve the outcomes for patients with chronic kidney disease and address the risk factors for renal function decline. However, their results and conclusions were inconsistent...
August 23, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27532796/multidisciplinary-management-of-diabetic-kidney-disease-a-systematic-review-and-meta-analysis
#7
Nancy Helou, Andrew Dwyer, Maya Shaha, Anne Zanchi
BACKGROUND: The increasing prevalence of diabetes poses significant challenges to healthcare systems around the world. Diabetes is the leading cause of end-stage renal disease. Diabetic kidney disease (DKD) is becoming a global health concern because it is a progressive disease associated with major health complications and increased health costs. The treatment goals for DKD are to slow the progression of the renal disease and prevent cardiovascular events. Accordingly, patients are expected to adhere to prescribed treatments and manage a wide range of daily self-care activities...
July 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27488839/the-predictive-value-of-early-acute-kidney-injury-for-long-term-survival-and-quality-of-life-of-critically-ill-patients
#8
Ivo W Soliman, Jos F Frencken, Linda M Peelen, Arjen J C Slooter, Olaf L Cremer, Johannes J van Delden, Diederik van Dijk, Dylan W de Lange
BACKGROUND: Prognostic factors for the combination of long-term survival and health-related quality of life (HRQoL) after intensive care unit (ICU) stay have not yet been studied. Our aim was to assess whether early acute kidney injury (eAKI), AKI occurring on the first day of ICU admission, is an independent predictor of this combined one-year outcome. METHODS: We included all patients admitted to the mixed ICU of the University Medical Centre Utrecht between July 2009 and April 2013, excluding patients with chronic dialysis, cardiac surgery, and length of stay shorter than 24 hours...
August 3, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27475969/design-and-methodological-considerations-of-the-centers-for-disease-control-and-prevention-urologic-and-renal-protocol-for-the-newborn-and-young-child-with-spina-bifida
#9
Jonathan C Routh, Earl Y Cheng, J Christopher Austin, Michelle A Baum, Patricio C Gargollo, Richard W Grady, Adrienne R Herron, Steven S Kim, Shelly J King, Chester J Koh, Pangaja Paramsothy, Lisa Raman, Michael S Schechter, Kathryn A Smith, Stacy T Tanaka, Judy K Thibadeau, William O Walker, M Chad Wallis, John S Wiener, David B Joseph
PURPOSE: Care of children with spina bifida has significantly advanced in the last half century, resulting in gains in longevity and quality of life for affected children and caregivers. Bladder dysfunction is the norm in patients with spina bifida and may result in infection, renal scarring and chronic kidney disease. However, the optimal urological management for spina bifida related bladder dysfunction is unknown. MATERIALS AND METHODS: In 2012 the Centers for Disease Control and Prevention convened a working group composed of pediatric urologists, nephrologists, epidemiologists, methodologists, community advocates and Centers for Disease Control and Prevention personnel to develop a protocol to optimize urological care of children with spina bifida from the newborn period through age 5 years...
July 27, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27349639/acupuncture-and-related-interventions-for-symptoms-of-chronic-kidney-disease
#10
REVIEW
Kun Hyung Kim, Myeong Soo Lee, Tae-Hun Kim, Jung Won Kang, Tae-Young Choi, Jae Dong Lee
BACKGROUND: People living with chronic kidney disease (CKD) experience a range of symptoms and often have complex comorbidities. Many pharmacological interventions for people with CKD have known risks of adverse events. Acupuncture is widely used for symptom management in patients with chronic diseases and in other palliative care settings. However, the safety and efficacy of acupuncture for people with CKD remains largely unknown. OBJECTIVES: We aimed to evaluate the benefits and harms of acupuncture, electro-acupuncture, acupressure, moxibustion and other acupuncture-related interventions (alone or combined with other acupuncture-related interventions) for symptoms of CKD...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27348488/using-the-diffusion-of-innovations-theory-to-assess-socio-technical-factors-in-planning-the-implementation-of-an-electronic-health-record-alert-across-multiple-primary-care-clinics
#11
Ching-Pin Lin, Janelle Guirguis-Blake, Gina A Keppel, Sharon Dobie, Justin Osborn, Allison M Cole, Laura-Mae Baldwin
BACKGROUND: Adverse drug events (ADEs) are a leading cause of death in the United States. Patients with stage 3 and 4 chronic kidney disease (CKD) are at particular risk because many medications are cleared by the kidneys. Alerts in the electronic health record (EHR) about drug appropriateness and dosing at the time of prescription have been shown to reduce ADEs for patients with stage 3 and 4 CKD in inpatient settings, but more research is needed about the implementation and effectiveness of such alerts in outpatient settings...
2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27316915/french-intensive-care-society-international-congress-r%C3%A3-animation-2016
#12
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27299744/main-predictors-in-health-related-quality-of-life-in-chinese-patients-with-type-2-diabetes-mellitus
#13
Eric Y F Wan, Colman S C Fung, Edmond P H Choi, Carlos K H Wong, Anca K C Chan, Karina H Y Chan, Cindy L K Lam
PURPOSE: This study aimed to identify the predictors of decline in health-related quality of life (HRQOL) in Chinese patients with type 2 diabetes mellitus (T2DM). METHODS: A prospective longitudinal observational study was conducted on 1826 Chinese T2DM patients managed in public primary care setting. HRQOL was measured at baseline, 1 and 2 years by the Short Form-12 Health Survey version 2 (SF-12v2) and Chinese (HK) Short Form-6 Dimensions (SF-6D). Linear mixed effect models with forward stepwise method were performed to select the factors associated with SF-12v2 physical (PCS) and mental component summary (MCS) scores and SF-6D value...
June 14, 2016: Quality of Life Research
https://www.readbyqxmd.com/read/27189462/primary-and-tertiary-health-professionals-views-on-the-health-care-of-patients-with-co-morbid-diabetes-and-chronic-kidney-disease-a-qualitative-study
#14
Clement Lo, Dragan Ilic, Helena Teede, Greg Fulcher, Martin Gallagher, Peter G Kerr, Kerry Murphy, Kevan Polkinghorne, Grant Russell, Timothy Usherwood, Rowan Walker, Sophia Zoungas
BACKGROUND: Health-care for co-morbid diabetes and chronic kidney disease (CKD) is often sub-optimal. To improve health-care, we explored the perspectives of general practitioners (GPs) and tertiary health-care professionals concerning key factors influencing health-care of diabetes and CKD. METHODS: A total of 65 health professionals were purposively sampled from Australia's 2 largest cities to participate in focus groups and semi-structured interviews. Four focus groups were conducted with GPs who referred to 4 tertiary health services in Australia's 2 largest cities, with 6 focus groups conducted with tertiary health-care professionals from the 4 tertiary health services...
2016: BMC Nephrology
https://www.readbyqxmd.com/read/27145768/development-of-quality-indicators-for-care-of-chronic-kidney-disease-in-the-primary-care-setting-using-electronic-health-data-a-rand-modified-delphi-method
#15
Shingo Fukuma, Sayaka Shimizu, Kakuya Niihata, Ken-Ei Sada, Motoko Yanagita, Tsuguru Hatta, Masaomi Nangaku, Ritsuko Katafuchi, Yoshiro Fujita, Junji Koizumi, Shunzo Koizumi, Kenjiro Kimura, Shunichi Fukuhara, Yugo Shibagaki
BACKGROUND: The prevalence of chronic kidney disease (CKD) has recently increased, and maintaining high quality of CKD care is a major factor in preventing end-stage renal disease. Here, we developed novel quality indicators for CKD care based on existing electronic health data. METHODS: We used a modified RAND appropriateness method to develop quality indicators for the care of non-dialysis CKD patients, by combining expert opinion and scientific evidence. A multidisciplinary expert panel comprising six nephrologists, two primary care physicians, one diabetes specialist, and one rheumatologist assessed the appropriateness of potential indicators extracted from evidence-based clinical guidelines, in accordance with predetermined criteria...
May 4, 2016: Clinical and Experimental Nephrology
https://www.readbyqxmd.com/read/27091270/screening-for-diabetic-kidney-disease-in-primary-care-for-the-underinsured-a-quality-improvement-initiative
#16
Della L Hughes-Carter, Roberta E Hoebeke
PURPOSE: Screening rates for DKD in primary care are low, even though diabetes accounts for 44% of all new kidney disease cases. The purpose of this project was to determine if a primary care team for the underinsured improved screening and diagnosis of diabetic kidney disease (DKD) after initiating a quality improvement (QI) process. METHODS: A chart audit with feedback, provider education of clinical practice guidelines, and strategies from TeamSTEPPS™ were implemented with the inter-professional primary care team...
May 2016: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/27053264/what-drives-quality-improvement-in-chronic-kidney-disease-ckd-in-primary-care-process-evaluation-of-the-quality-improvement-in-chronic-kidney-disease-qickd-trial
#17
Akin Nihat, Simon de Lusignan, Nicola Thomas, Mohammad Aumran Tahir, Hugh Gallagher
OBJECTIVES: This study is a process evaluation of the Quality Improvement in Chronic Kidney Disease (QICKD) study, comparing audit-based education (ABE) and sending clinical guidelines and prompts (G&P) with usual practice, in improving systolic blood pressure control in primary care. This evaluation aimed to explore how far clinical staff in participating practices were aware of the intervention, and why change in practice might have taken place. SETTING: 4 primary care practices in England: 2 received ABE, and 2 G&P...
2016: BMJ Open
https://www.readbyqxmd.com/read/27039404/anticoagulants-and-antiplatelet-agents-for-preventing-central-venous-haemodialysis-catheter-malfunction-in-patients-with-end-stage-kidney-disease
#18
REVIEW
Ying Wang, Jessica N Ivany, Vlado Perkovic, Martin P Gallagher, Mark Woodward, Meg J Jardine
BACKGROUND: Catheter malfunction, including thrombosis, is associated with reduced dialysis adequacy, as well as an increased risk of catheter-related bacteraemia and mortality. The role of anticoagulants in the prevention of catheter malfunction remains uncertain. OBJECTIVES: This review aimed to compare the prophylactic effect of different anticoagulant agents, preparations, doses and administration on the incidence of central venous haemodialysis catheter-related malfunction and sepsis in patients with end-stage kidney disease (ESKD)...
April 4, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27026552/-using-ehealth-in-the-continuity-care-of-chronic-kidney-disease-opportunities-and-considerations
#19
Yu-Chi Chen, Polun Chang
Kidney disease is a common complication of chronic diseases among adult and elderly populations. As early-stage chronic kidney disease (CKD) is asymptomatic, CKD patients are frequently unaware of their condition and fail to implement requisite self-care in a timely fashion. Furthermore, the shortage of case-management manpower and difficulties in follow-up have led to high incidence rates for CKD worldwide. Integrative and continuous care is key to preventing CKD. How to implement this care effectively is a challenge...
April 2016: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/27025152/children-and-adolescents-with-chronic-kidney-disease-a-population-at-risk-for-more-than-just-kidney-disease
#20
Michelle M Kelly
Health-related quality of life (HRQOL) of children and adolescents with chronic health conditions is a multifactorial concept that combines a child's perception and adaptation to physical, social, emotional, and school environments regardless of particular medical diagnosis. Children with chronic kidney disease (CKD) experience non-kidney specific co-morbidities, including depression, body image alterations, and sleep disturbance, that impair their daily lives. This article reviews the pediatric nephrology literature to highlight the evidence identifying these riskr to HRQOL and suggesting ways in which nurses in both nephrology and primary care are poised to identify and modify these risk factors...
January 2016: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
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