| Focused clinical campaign improves mineral and bone disorder outcomes. | |
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MedLine Citation:
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PMID: 22369592 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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As with other disease states, mineral and bone disorder (MBD) management is challenging and may benefit from more systematic management. To evaluate the effectiveness of a focused campaign to improve MBD outcomes, we compared the percentage of patients meeting 2003 Kidney Dialysis Outcomes Quality Initiative (KDOQI)-recommended MBD targets between baseline and 18 months after programme initiation. The four components of the clinical campaign were: (1) a set of grids allowing simultaneous evaluation of MBD test results, (2) a weighted, facility-level cumulative scoring system representing percent of patients within KDOQI-recommended MBD targets, (3) team involvement and (4) patient education. Eighteen months after programme initiation, the percent of patients simultaneously meeting all 2003 KDOQI targets increased 7% and the percent meeting calcium and phosphorus targets increased 24% and 8%, respectively. These findings suggest that a coordinated clinical campaign with effective tools, outcome tracking and sharing and team involvement is an effective strategy to improve MBD outcomes. |
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Authors:
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Debbie Benner; Allen R Nissenson; David Van Wyck |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of renal care Volume: 38 ISSN: 1755-6686 ISO Abbreviation: J Ren Care Publication Date: 2012 Mar |
Date Detail:
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Created Date: 2012-02-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101392167 Medline TA: J Ren Care Country: France |
Other Details:
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Languages: eng Pagination: 2-8 Citation Subset: N |
Copyright Information:
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© 2011 European Dialysis and Transplant Nurses Association/European Renal Care Association. |
Affiliation:
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DaVita National Nutrition, Irvine, CA, USA Office of Chief Medical Officer, DaVita Inc., Denver, CO, USA. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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