Clinical Outcomes of the Establishment of Chronic Kidney Disease Clinic for the Slow Progression of Khong Hospital, Nakhon Ratchasima Province
Keywords:
Chronic kidney disease clinic, eGFR, Clinical outcomeAbstract
The purpose of this study was to investigate the clinical outcomes of patients. Before and after receiving services in the slow progression of CKD Clinic, Khong Hospital. Methods: This study was a quasi-experimental research design. The study period was one year. Data were analyzed using descriptive statistics. Comparison of glomerular filtration rate (eGFR), HbA1c, blood pressure, and LDL values before and after receiving services from the slow progression of CKD Clinic using a paired t-test. There were 127 patients. After receiving services in the slow progression of CKD Clinic for one year, it was found that the patients had a decrease in eGFR value of 3.92 ml/min/1.73m2, statistically significant at the confidence level is 0.05. In other clinical outcomes, the slow progression of CKD Clinic can improve HbA1c and blood pressure values. In the resultant LDL values, no differences were found. In conclusion, patients with risk factors for stage 2 or more chronic kidney disease receiving care in a full-fledged multidisciplinary clinic will significantly slow down renal deterioration.
References
The Nephrology Society of Thailand.Clinical Practice Recommendations for Evaluation and Management of Chronic Kidney Disease in Adults 2017. Bangkok: The Nephrology Society of Thailand; 2017. Thai.
Nephrology Society of Thailand. Thailand Renal Replacement Therapy [Internet]. 2015 [cited 2019 Apr 1]. Available from: http://www.nephrothai.org/ images/Final_TRT_report_2015_ฉบับแก้ไข.pdf
Sriphonthong S, Kerdchantuk P, Chaiyasong S. Time to progression of end-stage renal disease in type 2 diabetic patients : a retrospective study from electronic database. Isan Journal of Pharmaceutical Sciences 2015; 11(Supplement): 168-173. Thai.
Chang PY, Chien LN, Lin YF, Chiu WT, Chiou HY. Simultaneous control of glycemic, blood pressure, and lipid significantly reduce the risk of renal progression in diabetes patients. European Journal of Internal Medicine 2016; 36: 87–92.
Yeh CH, Yu HC, Huang TY, Huang PF, Wang YC, Chen TP, et al. The risk of diabetic renal function impairment in the first decade after diagnosed of diabetes mellitus is correlated with high variability of visit-to-visit systolic and diastolic blood pressure: a case control study. BMC Nephrology 2017; 18(99): 1-7.
Moriya T, Tanaka S, Sone H, Ishibashi S, Matsunaga S, Ohashi Y, et al. Patients with type 2 diabetes having higher glomerular filtration rate showed rapid renal function decline followed by impaired glomerular filtration rate: Japan Diabetes Complications Study. Journal of Diabetes and Its Complications 2017; 31: 473–478.
Viazzi F, Piscitelli P, Giorda C, Ceriello A, Genovese S, Russo GT, et al. Association of kidney disease measures with risk of renal function worsening in patients with hypertension and type 2 diabetes. Journal of Diabetes and Its Complications 2017; 31: 419–426.
Hauteclocque AD, Ragot S, Slaoui Y, Gand E, Miot A, Sosner P, et al. The influence of sex on renal function decline in people with Type 2 diabetes. Diabetic Medicine 2014; 12: 1121-1128.
Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomu A. Improving Chronic Illness Care: Translating Evidence Into Action. Health Affairs 2001; 20(6): 64-78.
Trisirichok P, Utrasat L, Kanakarn W. Effects of self-management support by a multidisciplinary team for delaying chronic kidney disease in primary care units. Khon Kaen Center Hospital Srinakarin Medical Center 2019; 34(6): 552-558. Thai.
Teeranut A, Maythakanchanasak N, Surit P, Ruaysungnoen W, Sansom D, Srina C, et al. Health service system development to delay dialysis in patients with chronic kidney disease [Internet]. 2018 [cited 2019 Dec 30]. Available from: http://www164.115.27.97/digital/files/original/ebaf496c 2b39433d1e 10f381a91e94d3.pdf
Kaenkan W, Damnok K, Anutrakulchai S. Effectiveness of CKD patient care model using integrative disease management and case management in primary care units Northeast. Journal of Nursing and Health Care 2019; 37(3):173-82. Thai.
Jiamjariyapon T, Ingsathit A, Pongpirul K, Vipattawat K, Kanchanakorn S, Saetie A, et al. Effectiveness of Integrated Care on Delaying Progression of stage 3-4 Chronic Kidney Disease in Rural Communities of Thailand (ESCORT study):a cluster randomized controlled trial. BMC Nephrology 2017; 18: 83.
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