Screening for chronic kidney disease moving toward more sustainable health care

Publication

Screening for chronic kidney disease moving toward more sustainable health care

Curtis, S., Komenda, P.

Current Opinion in Nephrology and Hypertension

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Study Description

Screen, triage, and treat programs aim to detect early stage disease with the intention of promoting medical and lifestyle interventions in line with a patient’s level of risk that may slow disease progression and reduce morbidity and mortality. Early detection facilitates appropriate risk stratification and coordination of care among patients, primary care and nephrology, ensuring resources are utilized appropriately. The purpose of this article is to review various screening initiatives in groups at high-risk of Chronic Kidney Disease.

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Assessing physical function in chronic kidney disease

Iman, Y., Harasemiw, O., Tangri, N.

Current Opinion in Nephrology and Hypertension

Publication Category

Study Description

People with chronic kidney disease have a high prevalence of poor physical function, which in turn is associated with poor health-related quality of life, and an increased risk of adverse events, including hospitalizations and all-cause mortality. Implementing early interventions may prove to be effective for preventing decline in physical function; however, it is imperative that clinicians screen patients to identify those at the highest risk of decline. In this review, we present subjective and objective screening tools that can easily and cost-effectively be implemented into routine nephrology practice to assess physical function.

Publication

Health-Related Quality of Life A Rapid Predictor of Hospitalization in Patients With Cirrhosis

Kok, B., Whitlock, R., Ferguson, T., Kowalczewski, J., Tangri, N., Tandon, P.

The American Journal of Gastroenterology

Publication Category

Study Description

Patients with cirrhosis experience a worsened quality of life; this may be quantified by the use of health-related QoL (HRQoL) constructs, such as the chronic liver disease questionnaire (CLDQ) and EuroQoL Group—visual analog scale (EQ-VAS). In this multicenter prospective study, we aimed to evaluate HRQoL as a predictor of unplanned hospital admission/early mortality, identify HRQoL domains most affected in cirrhosis, and identify predictors of low HRQoL in patients with cirrhosis

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