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基于价值的护理干预措施和CKD进展的管理
Melissa Feeney, Joseph Mehltretter, Tammy Cheung
1Strive Health, 1125 17th St #1000, Denver, CO 80202.
The American journal of managed care
|October 27, 2025
概括
基于价值的护理 (VBC) 干预措施显著减缓了慢性病 (CKD) 的进展. 患者经历了减少估计的淋巴细胞过率 (eGFR) 的下降,在晚期保持功能.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健服务研究 医疗服务研究
- 以价值为基础的护理
背景情况:
- 慢性病 (CKD) 影响全球数百万人,需要有效的干预措施来减缓进展.
- 估计的膜过率 (eGFR) 是评估功能和疾病进展的关键生物标志物.
研究的目的:
- 评估基于价值的护理 (VBC) 干预措施在缓解CKD进展方面的有效性.
- 评估VBC对3b和4期CKD患者EGFR下降率的影响.
主要方法:
- 在2017-2023年期间,对623名患有3b或4期CKD的患者进行了回顾性队列研究.
- 线性回归和混合效应模型分析了VBC干预前后的eGFR轨迹.
- 在VBC注册之前和之后,eGFR下降的比较率.
主要成果:
- 在所有CKD阶段,VBC干预导致EGFR下降率显著降低.
- 中位数的eGFR下降减少了77.2%在3b阶段和65.2%在4阶段的CKD (P<.001).
- 在VBC的患者中,与没有干预的预期值相比,在注册后的EGFR中位数较高.
结论:
- 病毒细胞模型表明,对减缓CKD进展有统计学意义的影响.
- 干预措施在CKD晚期 (3b和4阶段) 特别有效.
- 在保持功能和改善患者的治疗结果方面,VBC显示出有前途.
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