Towards rational approaches of health care utilization in complex patients: An exploratory randomized trial comparing a novel combined clinic to multiple specialty clinics in patients with renal disease-cardiovascular disease-diabetes

Nephrology Dialysis Transplantation

Volumn 27, Issue SUPPL. 3, 2012, Pages

  Weber, Catherine ^a   Beaulieu, Monica ^a,b,c   Djurdjev, Ognjenka ^b,c   Er, Lee ^b,c   Taylor, Paul ^a   Ignaszewski, Andrew ^a   Burnett, Shelley ^a   Levin, Adeera ^a,b,c  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^b ST PAUL S HOSPITAL   (Canada)

^c BC Provincial Renal Agency   (Canada)

Author keywords

chronic disease management; kidney disease; outcomes; randomized control trial; resource utilization

Indexed keywords

ADULT; AGE DISTRIBUTION; AGED; ARTICLE; CARDIOVASCULAR DISEASE; CONTROLLED STUDY; COST BENEFIT ANALYSIS; COST CONTROL; DIABETES MELLITUS; EXPLORATORY RESEARCH; FEMALE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE FACILITY; HEALTH CARE UTILIZATION; HOSPITALIZATION; HUMAN; KIDNEY CARE CLINIC; KIDNEY DISEASE; MAJOR CLINICAL STUDY; MALE; MEDICAL CARE; MORTALITY; MULTIPLE SPECIALTY CLINIC; NOVEL COMBINED CLINIC; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RENAL REPLACEMENT THERAPY; SAMPLE SIZE;

AGED; CARDIOVASCULAR DISEASES; COST SAVINGS; DELIVERY OF HEALTH CARE; DIABETES MELLITUS, TYPE 2; FEMALE; FOLLOW-UP STUDIES; HEALTH SERVICES NEEDS AND DEMAND; HOSPITALIZATION; HUMANS; KIDNEY DISEASES; MALE; PROGNOSIS; RENAL DIALYSIS; SURVIVAL RATE;

EID: 84868597373     PISSN: 09310509     EISSN: 14602385     Source Type: Journal    
DOI: 10.1093/ndt/gfr292     Document Type: Article

References (10)

1. Levin A, Chaudhry MR, Djurdjev O et al. Diabetes, kidney disease and cardiovascular disease patients. Assessing care of complex patients using outpatient testing and visits: additional metrics by which to evaluate health care system functioning. Nephrol Dial Transplant 2009; 24: 2714-2720
2. Stanton MW, Rutherford MK. The high concentration of U.S. health care expenditures. Rockville, MD: Agency for Healthcare Research and Quality; 2005. Research in Action Issue 19. AHRQ Pub. No. 06-0060
3. McAlister FA, Lawson FM, Teo KK et al. A systematic review of randomized trials of disease management programs in heart failure. Am J Med 2001; 110: 378-384
4. Curtis BM, Ravani P, Malberti F et al. The short-and long-term impact of multi-disciplinary clinics in addition to standard nephrology care on patient outcomes. Nephrol Dial Transplant 2005; 20: 147-154
5. Shaffer J, Wexler LF. Reducing low-density lipoprotein cholesterol levels in an ambulatory care system. Results of a multidisciplinary collaborative practice lipid clinic compared with traditional physician-based care. Arch Intern Med 1995; 155: 2330-2335
6. Renders CM, Valk GD, Griffin SJ et al. Interventions to improve the management of diabetes in primary care, outpatient, and community settings: a systematic review. Diabetes Care 2001; 24: 1821-1833
7. Tonelli M, Bohm C, Pandeya S et al. Cardiac risk factors and the use of cardioprotective medications in patients with chronic renal insufficiency. Am J Kidney Dis 2001; 37: 484-489
8. Levin A, Stevens L, McCullough PA. Cardiovascular disease and the kidney. Tracking a killer in chronic kidney disease. Postgrad Med 2002; 111: 53-60
9. Tsasis P, Bains J. Management of complex chronic disease: facing the challenges in the Canadian health-care system. Health Serv Manage Res 2008; 21: 228-235
10. Go AS, Chertow GM, Fan D et al. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med 2004; 351: 1296-1305