Purpose: To examine the effect of integrated follow-up (a nephrologist, nurse and dietician) in patients with chronic kidney disease (CKD).
Method: A total of 1,500 CKD patients enrolled from the out-patient department of West China Hospital were randomly allocated to the integrated follow-up group (n=750) and the traditional follow-up group (n=750). Patients were followed up for 1 year. The outcome indexes in the study included the main lab indexes, compliance to follow-up, quality of life, and patient satisfaction.
Results: Scores on compliance and patient satisfaction in integrated follow-up group was significantly higher than those in traditional follow-up group. The blood pressure control in integrated follow-up group was better compared to those in traditional follow-up group. In addition, although renal function decreased in both group during follow up, eGFR in integrated group was significantly higher.
Conclusion: Integrated follow-up is beneficial to improving patient compliance and satisfaction, controlling blood pressure and slowing down the progress of CKD. The findings in the study pointed out a new model for CKD management.
Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.