Nephrological dialysis transplantation (2022). DOI: 10.1093 / ndt / gfac041 “width =” 800 “height =” 528 “/>

Graphic abstract. Credit: Nephrological dialysis transplantation (2022). DOI: 10.1093 / ndt / gfac041

It is generally accepted that a team of people with unique talents and skills offers the potential to achieve more than anyone can achieve alone. The Frontier of Renal Outcome Modifications in Japan (FROM-J) study, conducted from 2008 to 2012, was designed to demonstrate just that. This 3.5-year study found that intensive interdisciplinary care, which promotes direct collaboration between GPs and specialists, improves the outcomes of chronic kidney disease (CKD).

CKD is not only a risk factor for end-stage renal disease, but is also associated with both stroke and heart disease, and overall health. The study’s senior author, Professor Kunihir Yamagata, compared one group of 1,195 patients who received only CKD treatment with another group of 1,184 patients who received treatment along with regular interactions with a nutritionist, reported their response to treatment and reminders of admission. Physicians in this group received information about patients who met the criteria for referral to nephrology or did not visit hospitals on schedule.

Involve the clinical team in patient care adherence to treatment as well as communication between physicians and nephrologists has greatly improved. Most importantly, this approach has helped slow the progression of CKD and has led to better patient outcomes.

In a study published this month in Nephrological dialysis transplantation, Professor Yamagata shows the results of a 10-year observation of the FROM-J study. “Even seven years after completing the initial study, patients are in intervention group had better kidney function and lower rates of strokes and heart disease than those treated with CKD alone, ”explains Professor Yamagata.

This finding suggests that interdisciplinary care has a long-term impact on the outcomes of COPD patients. It is difficult to see which aspects of the intervention were most influential. Asked about this, Professor Yamagata replied: “It was probably a combined effect of several factors. The team not only helped bring patients to their own care, but also gave their doctors the opportunity to gain more knowledge about what is needed to maintain the kidneys. and brain and observed heart health in patients with CKD, as well as more intensive collaboration between physicians and specialists ”.

These findings illustrate the power of engaging a team of health professionals to maintain positive results among patients with CKD, even years after discontinuation of therapy. This type of intervention is likely to have wider implications for treatment a wide range of chronic diseases.

Do the results reported by dialysis patients improve?

Additional information:
Toshiyuki Imasawa et al., Long-Term Effectiveness of the Primary Care Promotion Program for the Treatment of Chronic Kidney Disease: Extended Surveillance of the FROM-J Cluster Randomized Trial, Nephrological dialysis transplantation (2022). DOI: 10.1093 / ndt / gfac041

Citation: Multidisciplinary care improves outcomes for patients with chronic kidney disease (2022, May 26) obtained May 26, 2022 from html

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