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Improving Clinical Care for Children With CKD: A Report From a National Kidney Foundation Scientific Workshop
Bradley A Warady1, David L Feldman2, Lorraine E Bell3
1Division of Pediatric Nephrology, Children's Mercy Kansas City, Kansas City, Missouri.
Insights
This workshop developed clinical recommendations for pediatric chronic kidney disease (CKD) care, incorporating multidisciplinary provider, patient, and parent insights for improved management and transition to adult care.
Area of Science:
- Nephrology
- Pediatric Medicine
- Healthcare Policy
Background:
- Clinical guidelines for pediatric chronic kidney disease (CKD) often lack diverse healthcare professional, patient, and parent perspectives.
- Multidisciplinary input is crucial for comprehensive pediatric CKD care strategies.
Purpose of the Study:
- To develop key clinical recommendations for the best practices in managing pediatric patients with CKD.
- To integrate the viewpoints of healthcare providers, patients, and parents into guideline development.
Main Methods:
- Convened a multidisciplinary workshop with physicians, allied health professionals, pediatric CKD patients, and parents.
- Focused on generating recommendations across five critical areas of pediatric CKD care.
Main Results:
- Recommendations were generated for addressing patient/caregiver needs and modifying CKD progression.
- Key areas also included managing CKD-mineral and bone disorder, growth retardation, anemia, cardiovascular disease, and hypertension.
- Developed strategies for the transition and transfer of pediatric patients to adult nephrology care.
Conclusions:
- The workshop successfully produced a set of clinical recommendations by involving diverse stakeholders.
- These recommendations aim to enhance the holistic care and management of pediatric CKD patients.
Abstract:
Development of clinical guidelines and recommendations to address the care of pediatric patients with chronic kidney disease (CKD) has rarely included the perspectives of providers from a variety of health care disciplines or the patients and parents themselves. Accordingly, the National Kidney Foundation hosted an in-person, one and a half-day workshop that convened a multidisciplinary group of physicians, allied health care professionals, and pediatric patients with CKD and their parents, with the goal of developing key clinical recommendations regarding best practices for the clinical management of pediatric patients living with CKD. The key clinical recommendations pertained to 5 broad topics: addressing the needs of patients and parents/caregivers; modifying the progression of CKD; clinical management of CKD-mineral and bone disorder and growth retardation; clinical management of anemia, cardiovascular disease, and hypertension; and transition and transfer of pediatric patients to adult nephrology care. This report describes the recommendations generated by the participants who attended the workshop.
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