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Disease management in chronic kidney disease
Anjay Rastogi1, Ariel Linden, Allen R Nissenson
1David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-1689, USA.
Advances in Chronic Kidney Disease
|December 25, 2007
Summary
Disease management (DM) coordinates care for chronic kidney disease (CKD) patients, improving outcomes and reducing costs. This approach addresses early identification, complication management, and smooth transitions for CKD patients, including those on dialysis.
Area of Science:
- Nephrology
- Public Health
- Healthcare Management
Background:
- Chronic kidney disease (CKD) presents a significant global health challenge.
- Fragmented care for CKD patients leads to poor outcomes and high costs.
- Disease management (DM) offers a coordinated care strategy for complex CKD populations.
Purpose of the Study:
- To outline the goals and critical components of a comprehensive DM program for CKD patients.
- To identify barriers to successful DM implementation in CKD care.
- To highlight the potential of DM to improve outcomes for CKD patients.
Main Methods:
- The study reviews the established goals for DM programs in pre-dialysis and dialysis CKD patients.
- It emphasizes the necessity of multidisciplinary collaboration among various medical specialists and caregivers.
- Potential implementation barriers and strategies to overcome them are discussed.
Main Results:
- DM programs aim for early CKD identification, slowed progression, complication management, and optimized renal replacement therapy transitions.
- For dialysis patients, reducing avoidable hospitalizations is a key DM focus.
- Multidisciplinary teams are crucial for effective CKD patient management.
Conclusions:
- Despite barriers like lack of awareness and fragmented care, DM is a promising approach for improving CKD patient outcomes.
- Overcoming implementation challenges can enhance care delivery for this vulnerable population.
- Coordinated disease management is vital for mitigating the burden of CKD.
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