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Similar quality in chronic kidney disease multidisciplinary follow-up between kidney.
Carminatti, Moisés; Fernandes, Natália Maria Silva; Colugnati, Fernando Antonio Basile; Sanders-Pinheiro, Helady.
Afiliação
  • Carminatti M; Universidade Federal de Juiz de Fora, Hospital Universitário, Divisão de Nefrologia, unidade de Transplante Renal, Juiz de Fora, MG, Brasil.
  • Fernandes NMS; Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia, Juiz de Fora, MG, Brasil.
  • Colugnati FAB; Universidade Federal de Juiz de Fora, Hospital Universitário, Divisão de Nefrologia, unidade de Transplante Renal, Juiz de Fora, MG, Brasil.
  • Sanders-Pinheiro H; Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia, Juiz de Fora, MG, Brasil.
J Bras Nefrol ; 43(3): 318-329, 2021.
Article em En, Pt | MEDLINE | ID: mdl-33346316
INTRODUCTION: Multidisciplinary clinics are the best approach towards Chronic Kidney Disease (CKD) patients in pre-dialysis phases. The few studies regarding kidney transplant recipients (KTR) compare multidisciplinary and non-multidisciplinary clinics. METHODS: In this study, we compared the quality of multidisciplinary CKD care between 101 KTR and 101 propensity score-matched non-transplant pre-dialysis patients (PDP). Prevalence of patients without specific treatment at any time and percent time without specific treatment for CKD complications were the main outcomes and patient and kidney function survival, glomerular filtration rate (GFR) decline, prevalence of CKD-related complications, and percent time within therapeutic goals were the exploratory ones. RESULTS: Time within most goals was similar between the groups, except for diastolic blood pressure (83.4 vs. 77.3%, RR 0.92, CI 0.88-0.97, p = 0.002) and hypertriglyceridemia (67.7 vs. 58.2%, OR 0.85, CI 0.78-0.93, p < 0.001), better in non-transplant PDP, and for proteinuria (92.7 vs. 83.5%, RR 1.1, CI 1.05-1.16, p < 0.001), better in KTR. Patient survival and GFR decline were similar between the groups, although non-transplant PDP tended to progress earlier to dialysis (9.9% vs. 6.9%, HR 0.39, p = 0.07, CI 0.14-1.08). DISCUSSION: The similar findings between non-transplant PDP and KTR suggests that good and comparable quality of multidisciplinary is a valid strategy for promoting optimal clinical management of CKD-related complications in KTR.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Rim / Insuficiência Renal Crônica Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En / Pt Revista: J Bras Nefrol Assunto da revista: NEFROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Rim / Insuficiência Renal Crônica Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En / Pt Revista: J Bras Nefrol Assunto da revista: NEFROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil